NP or PA Home Visits Salem or Eugene
Company: UnitedHealth Group
Location: Salem
Posted on: November 18, 2023
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Job Description:
$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus For
Individuals Who Have Not Previously Participated In This
Program
Optum Home & Community Care, part of the UnitedHealth Group family
of businesses, is creating something new in health care. We are
uniting industry-leading solutions to build an integrated care
model that holistically addresses an individual's physical, mental
and social needs - helping patients access and navigate care
anytime and anywhere. - -
As a team member of our Landmark product, we help bring home-based
medical care to complex, chronic patients. This life-changing work
helps give older adults more days at home. -
We're connecting care to create a seamless health journey for
patients across care settings. Join us to start Caring. Connecting.
Growing together. -
Do you want to make a difference in healthcare?
Landmark Health was created to transform how healthcare is
delivered to the most medically vulnerable members in our
community. Our medical group provides home-based medical care to
chronically ill patients, many of whom are ill-equipped to navigate
our overwhelming healthcare system.
Because many of our patients are frail and elderly, we deliver care
primarily in the comfort of their home. Our Program is also offered
to eligible patients at no incremental financial cost to them. We
are not a fee-for- service practice; we benefit economically only
if we deliver high-quality patient outcomes and satisfaction. As a
result, our clinical teams can spend quality-time caring for a
smaller number of patients, giving all patients the space, respect,
compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our
complex patient panels. These teams are led by Physicians, Nurse
Practitioners, and Physician Assistants, with supporting care
provided by RN Nurse Care Managers, Social Workers, Pharmacists,
Behavioral Health, and other employed team members.
Join Landmark to be part of a growing company full of
purpose-driven, action-oriented, and compassionate team members
working to dramatically transform healthcare for our
communities.
Position in this function provides medical care and management to
members served by the program and participates in gathering
clinical information for medical necessity determinations for
service requests. Works with the Landmark Health Medical Director,
Director of Health Services, Corporate Director of Health Services,
and UM staff in the development and/or implementation of medical
management policy, clinical protocols, utilization management
guidelines, and quality management programs. Dedicated to improving
the health and well-being of members, this position collaborates
with the PCP, and as needed, the health plan Medical Director and
other health professionals, to develop members' goals of care in
all phases of long-term care.
Primary Responsibilities: -
Practices in accordance with the respective state laws and
regulations governing the practice of advanced practice nursing
Understands and complies with long-term care policies and
procedures, including those that regulate nursing facilities and
assisted living communities
Establishes and maintains effective relationships with members and
their legal representatives, facility staff, PCPs and other
collaborating physicians/providers
Performs an initial comprehensive assessment on all newly enrolled
members and bi-annually thereafter. Develops a member management
care plan upon enrollment and updates it as needed when changes in
condition warrant or following hospitalization. Meets with members
and/or their legal representatives to review newly developed or
modified care plans; involves the PCP in these meetings
Completes follow-up and post-hospital assessments according to
documented standard operating procedure
Prescribes appropriate diagnostics and interventions to avoid
unnecessary transfers/acute admissions
Consults with hospital physicians following notification of member
transfer
Collaborates with UM staff and PCPs/facility staff to enable
medical necessity determinations for requested medical services
Educates members and/or their legal representatives in disease
processes affecting members and ways to manage them effectively, as
well as to promote wellness
Provides counsel, support and education to facility staff
Supports FCMs in developing and providing in-service educational
programs to facility staff
Participates in management meetings that include, but may not be
limited to:
Weekly case conference reviews
Monthly staff meetings
Schedule Joint Operating Committee meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
Implements HEDIS measure campaigns and other quality initiatives as
directed by Corporate Health Services to ensure the highest
standards of care and to promote the improvement of care management
and delivery
On-call for caseload during business hours. May require some
participation in clinical on-call program as plan expands
Keeps current on relevant medical and nursing research, technology,
and related issues by attending continuing education courses,
professional meetings and journal reviews
Perform related duties as necessary and other duties as
assigned
Competency
To perform the job successfully, an individual should demonstrate
the following competencies:
Problem Solving - Identifies and resolves problems in a timely
manner; gathers and analyzes information skillfully; develops
alternative solutions; works well in group problem solving
situations; uses reason even when dealing with emotional topics
Technical Skills - Assesses own strengths and weaknesses; pursues
training and development opportunities; strives to continuously
build knowledge and skills; shares expertise with others
Customer Service - Manages difficult or emotional customer
situations; responds promptly to customer needs; solicits customer
feedback to improve service; responds to requests for service and
assistance; meets commitments
Interpersonal Skills - Focuses on solving conflict; maintains
confidentiality; listens to others; keeps emotions under control
and overcomes resistance when necessary; remains open to new
ideas
Oral Communication - Speaks clearly and persuasively in positive or
negative situations; listens and seeks clarification; responds
openly to questions. Must be able to deal with frequent change,
delays, or unexpected events
Attendance/Punctuality - Is consistently at work and on time;
ensures work responsibilities are covered when absent; arrives at
meetings and appointments on time
Dependability - Follows instructions, responds to management
direction; takes responsibility for own actions; keeps commitments;
commits to long hours of work when necessary to reach goals;
completes tasks on time or notifies appropriate person with an
alternate plan
Initiative - Volunteers readily; undertakes self-development
activities; seeks increased responsibilities; takes independent
actions and calculated risks; looks for and takes advantage of
opportunities; asks for and offers help when needed; generates
suggestions for improving work and workflow
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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: -
Completion of Nurse Practitioner or Physician's Assistant
accredited program
Current state NP or PA license
Current NP or PA National Certification (AANP, ANPP, etc.)
2+ years of work experience applying the knowledge of:
Long-term care, community resources and cost-effective alternatives
regarding patient care delivery systems
CPT, ICD-9 and HCPC codes
Clinical standards of care
Language Skills:
Proven ability to read, analyze, and interpret general business
periodicals, professional journals, technical procedures, or
governmental regulations. Ability to write reports, business
correspondence, and procedure manuals. Ability to effectively
present information and respond to questions from groups of
managers, clients, customers, and the general public
Mathematical Skills:
Proven ability to add, subtract, multiply, and divide in all units
of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent
Reasoning Ability:
Proven ability to solve practical problems and deal with a variety
of concrete variables in situations where only limited
standardization exists. Ability to interpret a variety of
instructions furnished in written, oral, diagram, or schedule
form
Computer Skills:
Knowledge of Windows 2000 and MS Office Word Processing
software
Access to reliable transportation; if you are driving a vehicle,
you must comply with all the terms of the Landmark Motor Vehicle
Safety policy
Preferred Qualifications: -
2+ years of clinical experience
Awareness about UM standards, NCQA requirements, CMS guidelines,
Milliman guidelines, and Medicaid/Medicare contracts and benefit
systems
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Physical Demands:
The physical demands described here are representative of those
that must be met by an employee to successfully perform the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions
While performing the duties of this job, the employee is regularly
required to sit and use hands to finger, handle, or feel
The employee is required to stand; walk and reach with hands and
arms
The employee must occasionally lift and/or move up to 10 pounds
Specific vision abilities required by this job include close
vision, distance vision, color vision, peripheral vision, depth
perception and ability to adjust focus
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Work Environment:
The work environment characteristics described here are
representative of those an employee encounters while performing the
essential functions of this job. Reasonable accommodations may
be
The noise level in the work environment is usually moderate
**PLEASE NOTE** Employees must be in an active regular status.
Employees must remain in role for a minimum of 12 months from the
date of hire /rehire/transfer. -If an employee leaves Home and
Community, the student loan repayments will cease. The employee
must remain in an Advanced Practice Clinician or Physician role
within Home and Community for 36 months to receive the full benefit
of the student loan repayments. -
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission. - -
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. -
UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment. -
Keywords: UnitedHealth Group, Salem , NP or PA Home Visits Salem or Eugene, Other , Salem, Oregon
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