UHG

About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Healthcare

Country:

US

Postal Code:

15122

Approximate Salary:

Not Specified

Position Type:

Full Time

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Nurse Practitioner, Long Term Care Traveler - Full Time - Penn Del Market (PA, DE) - Sign On Bonus and Loan Repayment Options Available for External Candidates

UHG - Pittsburgh, Pennsylvania

Posted: 10/20/2018

As an CPM Nurse Practitioner you will provide care to your caseload of patients. You will be responsible for the delivery of medical care services to a pre-designated group of enrollees.

 

The ideal candidate will begin this role in Pennsylvania and Delaware with the ability to cover a more broad territory including Washington, DC, Virginia, Maryland and North Carolina.

 

Primary Responsibilities:

 

Launch

  • Active role in Launch Month implementation process
  • Engagement with new facilities and facility relationship. However, Market will own the relationship
  • Responsible for performing back fill duties per new effective as driven by market need
  • Initiate and communicate a written detailed reporting off document to market staff
  • Included in this document will be the tracking grid as defined by the market

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
  • Responsible for ensuring that all diagnoses are ICD10 coded accurately and documented appropriately to support the diagnosis at that visit
  • The NP is responsible for ensuring that all quality elements are addressed and documented
  • The NP 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 CPM
  • May be required to participate in on-call program
  • Travel between care sites is based on the needs of business/market and required for the role
  • Expected Travel 75% - 100%

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.
  • Participate in CCM quality initiative
  • Meet performance expectations

Required Qualifications:

  • Prior experience and ability to perform both acute and chronic medical management
  • Understanding of Geriatrics, Acute, and Chronic Illness
  • Ability to develop and maintain positive customer relationships
  • Understanding of Advanced Illness and end of life discussions
  • Certified nurse practitioner through ANCC/AANP for adult, family and/or geriatrics
  • Masters prepared in compliance with state licensure requirements for assigned states covering
  • Credentialed in facilities where required
  • Current unrestricted license in state(s) in which practicing
  • Unrestricted DEA (license to prescribe narcotics/level II) per state regulations (unless prohibited in state of practice)
  • Currently have prescriptive authority or have no limitations to be granted prescriptive authority at time of hire and while in role. This will be based on state/markets hired to cover
  • Proficient computer skills with Microsoft Office suite of products including Outlook and Excel
  • Ability to document medical information in written and electronic medical records
  • Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
  • Ability to cover Pennsylvania, Delaware, Washington, DC, Virginia, Maryland and North Carolina

Preferred Qualifications:

  • 1+ year of experience as a Nurse Practitioner in a long term care setting or community setting
  • Adaptability to change

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.

 

 

Job Keywords: Nurse Practitioner Jobs, Geriatric Nurse Practitioner, NP, long term care, LTC, Assisted Living, Nursing Home, Primary Care, Philadelphia, Harrisburg, Pittsburgh, PA, Pennsylvania, Dover, Newark, DE, Delaware

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