Full Time Nurse Practitioner - St. Louis, MO
Company: UnitedHealth Group
Location: Saint Charles
Posted on: March 12, 2023
Job Description:
$10,000 Sign-on Bonus for External Candidates
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Come make an impact on the
communities we serve as we help advance health equity on a global
scale. Here, you will find talented peers, comprehensive benefits,
a culture guided by diversity and inclusion, career growth
opportunities and 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. We are looking for
someone that can work in the St Louis, MO area.
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 of Missouri
- Certified Nurse Practitioner through a national board: 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
- 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. Our objective is to make health care simpler
and more effective for everyone. With our hands at work across all
aspects of health, you can play a role in creating a healthier
world, one insight, one connection and one person at a time. We
bring together some of the greatest minds and ideas to take health
care to its fullest potential, promoting health equity and
accessibility. Work with diverse, engaged and high-performing teams
to help solve important challenges.
PLEASE NOTE The Sign-On Bonus is only available to external
candidates. Candidates who are currently working for a UnitedHealth
Group, UnitedHealthcare or a realated entity in a full time, part
time, or per diem basis ("Internal candidates") are not eligible to
receive a Sign-On Bonus.
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.
. click apply for full job details
Keywords: UnitedHealth Group, Saint Charles , Full Time Nurse Practitioner - St. Louis, MO, Healthcare , Saint Charles, Missouri
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