Nurse Practitioner - Optum - Per Diem

About the position

As a Nurse Practitioner at Optum, you will play a crucial role in delivering high-quality healthcare services to our members. This position is designed for those who are passionate about providing comprehensive care and are eager to make a significant impact in the lives of patients. You will be part of a dynamic team that is focused on integrating health programs across the entire continuum of care, ensuring that our members receive the best possible support for their health needs. Your responsibilities will include managing both medical and behavioral health conditions, performing thorough assessments, and ensuring compliance with documentation requirements set forth by the Center for Medicare and Medicaid Services (CMS). In this per diem role, you will be responsible for delivering cost-effective care to assigned members, collaborating with physicians and specialty providers to manage chronic and acute conditions. You will conduct initial and annual medication reviews, facilitate the implementation of care plans, and monitor the effectiveness of these plans to ensure they meet the needs of our members. Your ability to communicate effectively with internal and external stakeholders will be essential in promoting the CCM program and enhancing membership growth. This position requires a commitment to continuous learning and development, as you will be expected to complete all mandatory training and participate in quality initiatives. You will also need to be adaptable, as you will be working in various care settings and may need to adjust care plans based on changing member needs. Your role will be pivotal in ensuring that our members receive the highest standard of care, and you will be rewarded for your performance in an environment that encourages professional growth and development.

Responsibilities
? Deliver cost-effective, quality care to assigned members.
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? Manage both medical and behavioral, chronic and acute conditions effectively, in collaboration with a physician or specialty provider.
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? Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and CMS regulations.
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? Ensure that all diagnoses are ICD10 coded accurately and documented appropriately to support the diagnosis at that visit.
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? Address and document all quality elements as required.
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? Conduct initial medication reviews, annual medication reviews, and post-hospitalization medication reconciliations.
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? Facilitate agreement and implementation of the member's plan of care by engaging facility staff, families, and primary and specialty care physicians.
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? Evaluate the effectiveness, necessity, and efficiency of the plan, making revisions as needed.
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? Utilize practice guidelines and protocols established by CCM.
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? Attend and complete all mandatory educational and LearnSource training requirements.
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? Travel between care sites as required.
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? Understand Payer/Plan benefits and articulate them effectively to providers, members, and key decision-makers.
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? Assess the medical necessity/effectiveness of ancillary services and communicate the process to providers and team members.
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? Coordinate care as members transition through different levels of care and care settings.
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? Monitor the needs of members and families while facilitating adjustments to the plan of care as situations change.
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? Review orders and interventions for appropriateness and response to treatment to identify the most effective plan of care.
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? Evaluate plan of care for cost-effectiveness while meeting the needs of members, families, and providers.
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? Communicate regularly and effectively with internal and external parties including physicians, members, and nursing facilities.
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? Promote the CCM program in assigned facilities by partnering with key stakeholders to maintain and develop membership growth.
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? Exhibit original thinking and creativity in developing new methods and approaches to concerns/issues.
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? Function independently and responsibly with minimal supervision.
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? Enter available hours into a web-based application at least one month prior to available work time.
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? Demonstrate initiative in achieving individual, team, and organizational goals and objectives.
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? Participate in CCM quality initiatives.

Requirements
? Certified Nurse Practitioner through a national board.
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? Graduate of an accredited master's degree in Nursing (MSN) program and board certified through AANP or ANCC.
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? Active and unrestricted license in the state of residence.
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? Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations.
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? Access to reliable transportation for travel to client and/or patient sites.
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? Ability to lift a 30-pound bag and navigate stairs and various dwelling conditions.
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? Available 10 hours per week during the hours of 8 am to 5 pm M-F.
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? Ability to gain a collaborative practice agreement, if applicable.

Nice-to-haves
? 1+ years of hands-on post-graduate experience within long-term care.
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? Understanding of Geriatrics and chronic illness.
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? Understanding of advanced illness and end-of-life discussions.
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? Proficient computer skills including the ability to document medical information with written and electronic medical records.
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? Ability to develop and maintain positive customer relationships.
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? Adaptability to change.

Benefits
? $3,500 Sign-On Bonus for External Candidates.
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? Comprehensive benefits package including health insurance, 401k contribution, and equity stock purchase options.
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? Incentive and recognition programs.

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