Nurse Practitioner - Long Term Care - Ocean, Monmouth Counties
Company: UnitedHealth Group
Location: Basking Ridge
Posted on: June 23, 2022
Job Description:
**$10,000 Sign On Bonus For External Candidates** -Combine two
of the fastest-growing fields on the planet with a culture of
performance, collaboration and opportunity and this is what you
get. Leading edge technology in an industry that's improving the
lives of millions. Here, innovation isn't about another gadget,
it's about making health care data available wherever and whenever
people need it, safely and reliably. There's no room for error.
Join us and start doing -your life's best work.(sm) -We're fast
becoming the nation's largest employer of Nurse Practitioners;
offering a superior professional environment and incredible
opportunities to make a difference in the lives of patients. This
growth is not only a testament to our model's success but the
efforts, care, and commitment of our Nurse Practitioners. -Serving
millions of Medicare and Medicaid patients, Optum is the nation's
largest health and wellness business and a vibrant, growing member
of the UnitedHealth Group family of businesses. You have found the
best place to advance your advanced practice nursing career. As an
CCM APC you will provide care to your caseload of patients and be
responsible for the delivery of medical care services to a
pre-designated group of enrollees. -Primary Responsibilities:
- Primary Care Delivery
- Deliver cost-effective, quality care to assigned members -
- Manage both medical and behavioral chronic and acute conditions
effectively in collaboration with a physician or specialty provider
-
- Perform comprehensive assessments and document findings in a
concise/comprehensive manner that is compliant with documentation
requirements and Center for Medicare and Medicaid Services (CMS)
regulations -
- Providing a comprehensive clinical assessment for the Patient
Connect members in a short term stay/transitional setting in
collaboration with the case management team to support better care
coordination and health outcomes -
- With a focus on reduction in 30-day hospital readmissions in
addition to other primary care responsibilities listed here -
- Ensuring that all diagnoses are ICD10, coded accurately, and
documented appropriately to support the diagnosis at that visit
-
- The APC is responsible for ensuring that all quality elements
are addressed and documented -
- The APC will do an initial medication review, annual medication
review and a post-hospitalization medication reconciliation -
- Facilitate agreement and implementation of the member's plan of
care by engaging the facility staff, families/responsible parties,
primary and specialty care physicians -
- Evaluate the effectiveness, necessity and efficiency of the
plan, making revisions as needed -
- Utilizes practice guidelines and protocols established by CCM
-
- Must attend and complete all mandatory educational and
Learnsource training requirements -
- Travel between care sites mandatory -
- Care Coordination
- Understand the Payer/Plan benefits, CCM associate policies,
procedures and articulate them effectively to providers, members
and key decision-makers -
- Assess the medical necessity/effectiveness of ancillary
services to determine the appropriate initiation of benefit events
and communicate the process to providers and appropriate team
members -
- Coordinate care as members transition through different levels
of care and care settings -
- Continually monitor the needs of members and families while
facilitating any adjustments to the plan of care as situations and
conditions change -
- Review orders and interventions for appropriateness and
response to treatment to identify most effective plan of care that
aligns with the member's needs and wishes -
- Evaluate plan of care for cost effectiveness while meeting the
needs of members, families and providers to decreases high costs,
poor outcomes and unnecessary hospitalizations -
- Program Enhancement Expected Behaviors
- Regular and effective communication with internal and external
parties including physicians, members, key decision-makers, nursing
facilities, CCM staff and other provider groups -
- Actively promote the CCM program in assigned facilities by
partnering with key stakeholders (i e : internal sales function,
provider relations, facility leader) to maintain and develop
membership growth -
- Exhibit original thinking and creativity in the development of
new and improved methods and approaches to concerns/issues -
- Function independently and responsibly with minimal need for
supervision -
- Demonstrate initiative in achieving individual, team, and
organizational goals and objectives -
- Participate in CCM quality initiatives ---------------You'll be
rewarded and recognized for your performance in an environment that
will challenge you and give you clear direction on what it takes to
succeed in your role as well as provide development for other roles
you may be interested in.Required Qualifications:
- Active and unrestricted license in the state which you
reside
- Certified Nurse Practitioner through a national board
- For NPs: Graduate of an accredited master's degree in Nursing
(MSN) program or doctor of nursing practice (DNP) program and board
certified through the American Academy of Nurse Practitioners
(AANP) or the American Nurses Credentialing Center (ANCC),
Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP),
Adult/Family or Gerontology Nurse Practitioners (ACNP), with
preferred certification as ANP, FNP, or GNP
- For PAs: Graduate of an accredited Physician Assistant degree
program and currently board certified by the National Commission on
Certification of Physician Assistants (NCCPA)
- Current active DEA licensure/prescriptive authority or ability
to obtain post-hire, per state regulations (unless prohibited in
state of practice)
- Access to reliable transportation that will enable you to
travel to client and/or patient sites within a designated area
- Ability to lift a 30-pound bag in and out of car and to
navigate stairs and a variety of dwelling conditions and
configurations
- Ability to gain a collaborative practice agreement, if
applicable in your state
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation -Preferred
Qualifications:
- 1+ years of hands-on post grad experience within long-term
care, short-stay transitional setting care, and/or assisted living
-
- Understanding of Geriatrics and Chronic Illness -
- Understanding of Advanced Illness and end of life discussions
-
- Proficient computer skills including the ability to document
medical information with written and electronic medical records
-
- Ability to develop and maintain positive customer relationships
-
- Adaptability to change -To protect the health and safety of our
workforce, patients and communities we serve, UnitedHealth Group
and its affiliate companies require all employees to disclose
COVID-19 vaccination status prior to beginning employment. In
addition, some roles and locations require full COVID-19
vaccination, including boosters, as an essential job function.
UnitedHealth Group adheres to all federal, state and local COVID-19
vaccination regulations as well as all client COVID-19 vaccination
requirements and will obtain the necessary information from
candidates prior to employment to ensure compliance. Candidates
must be able to perform all essential job functions with or without
reasonable accommodation. Failure to meet the vaccination
requirement may result in rescission of an employment offer or
termination of employment -Careers with Optum. -Here's the idea. We
built an entire organization around one giant objective; make
health care work better for everyone. So when it comes to how we
use the world's large accumulation of health-related information,
or guide health and lifestyle choices or manage pharmacy benefits
for millions, our first goal is to leap beyond the status quo and
uncover new ways to serve. Optum, part of the UnitedHealth Group
family of businesses, brings together some of the greatest minds
and most advanced ideas on where health care has to go in order to
reach its fullest potential. For you, that means working on high
performance teams against sophisticated challenges that matter.
Optum, incredible ideas in one incredible company and a singular
opportunity to do -your life's best work.(sm) -**PLEASE NOTE** The
Sign On Bonus is only available to external candidates. -Candidates
who are currently working for a UnitedHealth Group,
UnitedHealthcare or a related entity in a full time, part time, or
per diem basis ("Internal Candidates") are not eligible to receive
a Sign On Bonus. -Diversity creates a healthier atmosphere:
UnitedHealth Group is an Equal Employment Opportunity/Affirmative
Action employer and all qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, age, national origin, protected veteran status,
disability status, sexual orientation, gender identity or
expression, marital status, genetic information, or any other
characteristic protected by law. -UnitedHealth Group is a drug-free
workplace. Candidates are required to pass a drug test before
beginning employment
Keywords: UnitedHealth Group, Newark , Nurse Practitioner - Long Term Care - Ocean, Monmouth Counties, Healthcare , Basking Ridge, New Jersey
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