Full Time Advanced Practice Clinician (NP/PA) - Optum Senior Community Care -...
Registered Nurse, Cincinnati, OH, United States
$10,000 Sign-on Bonus for External Candidates
Nurse Practitioner or Physician Assistant - Full Time (40 hrs/wk) - Hamilton/Butler/Warren/Clermont counties, Ohio
We are seeking a dedicated full-time Nurse Practitioner to join our local team in the Hamilton County, Butler County, Warren County, and Clermont County markets in Ohio.
As a CCM Nurse Practitioner / Physician Assistant per diem, you will provide care to Optum members and be responsible for the delivery of medical care services on a periodic or intermittent basis.
Primary Responsibilities
Primary Care Delivery
Deliver cost-effective, quality care to assigned members
Manage both medical and behavioral, chronic and acute conditions effectively, and 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 CMS regulations
Ensure all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit
Ensure all quality elements are addressed and documented
Conduct 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 facility staff, families/responsible parties, and primary and specialty care physicians
Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed
Utilize practice guidelines and protocols established by CCM
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
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 the 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 decrease 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
Enter available hours into web‑based application at least one month prior to available work time
Demonstrate initiative in achieving individual, team, and organizational goals and objectives
Participate in CCM quality initiatives
Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling
Required Qualifications
Certified Nurse Practitioner or Physician Assistant through a national board
For NPs: Graduate of an accredited master's degree in nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), AG AC NP, ACNP, with preferred certification as ANP, FNP, or GNP
For PAs: Current NCCPA certification
Active and unrestricted license in the state in which you reside
Current active DEA licensure/prescriptive authority or ability to obtain post‑hire, per state regulations (unless prohibited in state of practice)
Ability to gain a collaborative practice agreement, if applicable in your state
Ability to complete physical requirements of the job including moving a 30‑pound bag in and out of the car, navigating stairs and a variety of dwelling conditions
Driver’s license and access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Preferred Qualifications
1+ years of hands‑on postgrad experience within Long Term Care
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
Pay and Benefits
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The salary for this role will range from $109,500 to $164,000 annually based on full‑time employment. In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements). We comply with all minimum wage laws as applicable.
Application Deadline
This posting may be available for a minimum of 2 business days or until we have collected a sufficient candidate pool. The posting may end early due to volume of applicants.
Equal Employment Opportunity Statement
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.
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Nurse Practitioner or Physician Assistant - Full Time (40 hrs/wk) - Hamilton/Butler/Warren/Clermont counties, Ohio
We are seeking a dedicated full-time Nurse Practitioner to join our local team in the Hamilton County, Butler County, Warren County, and Clermont County markets in Ohio.
As a CCM Nurse Practitioner / Physician Assistant per diem, you will provide care to Optum members and be responsible for the delivery of medical care services on a periodic or intermittent basis.
Primary Responsibilities
Primary Care Delivery
Deliver cost-effective, quality care to assigned members
Manage both medical and behavioral, chronic and acute conditions effectively, and 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 CMS regulations
Ensure all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit
Ensure all quality elements are addressed and documented
Conduct 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 facility staff, families/responsible parties, and primary and specialty care physicians
Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed
Utilize practice guidelines and protocols established by CCM
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
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 the 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 decrease 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
Enter available hours into web‑based application at least one month prior to available work time
Demonstrate initiative in achieving individual, team, and organizational goals and objectives
Participate in CCM quality initiatives
Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling
Required Qualifications
Certified Nurse Practitioner or Physician Assistant through a national board
For NPs: Graduate of an accredited master's degree in nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), AG AC NP, ACNP, with preferred certification as ANP, FNP, or GNP
For PAs: Current NCCPA certification
Active and unrestricted license in the state in which you reside
Current active DEA licensure/prescriptive authority or ability to obtain post‑hire, per state regulations (unless prohibited in state of practice)
Ability to gain a collaborative practice agreement, if applicable in your state
Ability to complete physical requirements of the job including moving a 30‑pound bag in and out of the car, navigating stairs and a variety of dwelling conditions
Driver’s license and access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Preferred Qualifications
1+ years of hands‑on postgrad experience within Long Term Care
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
Pay and Benefits
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The salary for this role will range from $109,500 to $164,000 annually based on full‑time employment. In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements). We comply with all minimum wage laws as applicable.
Application Deadline
This posting may be available for a minimum of 2 business days or until we have collected a sufficient candidate pool. The posting may end early due to volume of applicants.
Equal Employment Opportunity Statement
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.
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