Part Time Nurse Practitioner or Physician Assistant-Long Term Care, Buffalo, NY
Company: Optum
Location: Buffalo
Posted on: May 17, 2022
Job Description:
Geriatrics opening in Buffalo, New York. This and other
physician assistant jobs brought to you by DocCafe.com
Sign-On bonus 20,000 for external candidates
Combine two of the fastest-growing fields on the planet with a
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improving the lives of millions. Here, innovation isn't about
another gadget, it's about making health care data available
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no room for error. Join us and start doing your life's best
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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
- Responsible for 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 or Physician Assistant 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 requirement of this
role. UnitedHealth Group will adhere to all federal, state and
local regulations as well as all client requirements and will
obtain necessary proof of vaccination prior to employment to ensure
compliance
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
- Ability to develop and maintain positive customer
relationships
- Adaptability to change
- 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
To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies now require all employees to disclose COVID-19
vaccination status prior to beginning employment. In addition, some
roles require full COVID-19 vaccination 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)
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, Physician Assistant- Advanced
Practice Clinician, ISNP, City, Buffalo, New York, NY
Keyphrases: gerontologist jobs, long term care nurse jobs, long
term care nursing jobs
Keywords: Optum, Buffalo , Part Time Nurse Practitioner or Physician Assistant-Long Term Care, Buffalo, NY, Healthcare , Buffalo, New York
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