Nurse Practitioner - Concord, CA $20K Sign On Bonus for External Hires
Company: UnitedHealth Group
Location: Concord
Posted on: May 4, 2022
Job Description:
Landmark Health was created to transform how healthcare is
delivered to the most medically vulnerable members in our
community. - Our medical group provides home-based medical care to
chronically ill patients, many of whom are ill-equipped to navigate
our overwhelming healthcare system. -Because many of our patients
are frail and elderly, we deliver care primarily in the comfort of
their home. Our Program is also offered to eligible patients -at no
incremental financial cost -to them. We are not a fee-for-service
practice; we benefit economically only if we deliver high-quality
patient outcomes and satisfaction. As a result, our clinical teams
can spend quality-time caring for a smaller number of patients,
giving all patients the space, respect, compassion and care they
deserve.At Landmark, our interdisciplinary teams collaboratively
manage our complex patient panels. These teams are led by
Physicians, Nurse Practitioners, and Physician Assistants, with
supporting care provided by RN Nurse Care Managers, Social Workers,
Pharmacists, Behavioral Health, and other employed team
members.Join Landmark to be part of a growing company full of
purpose-driven, action-oriented, and compassionate team members
working to dramatically transform healthcare for our
communities.This role provides medical care and management to
members served by the program and participates in gathering
clinical information for medical necessity determinations for
service requests. Works with the Landmark Health Medical Director,
Director of Health Services, Corporate Director of Health Services,
and UM staff in the development and/or implementation of medical
management policy, clinical protocols, utilization management
guidelines, and quality management programs. Dedicated to improving
the health and well-being of members, this position collaborates
with the PCP, and as needed, the health plan Medical Director and
other health professionals, to develop members' goals of care in
all phases of long-term care.Primary Responsibilities:
- Practices in accordance with the respective state laws and
regulations governing the practice of advanced practice
nursing
- Understands and complies with long-term care policies and
procedures, including those that regulate nursing facilities and
assisted living communities
- Establishes and maintains effective relationships with members
and their legal representatives, facility staff, PCPs and other
collaborating physicians/providers
- Performs an initial comprehensive assessment on all newly
enrolled members and bi-annually thereafter Develops a member
management care plan upon enrollment and updates it as needed when
changes in condition warrant or following hospitalization Meets
with members and/or their legal representatives to review newly
developed or modified care plans; involves the PCP in these
meetings
- Completes follow-up and post-hospital assessments according to
documented standard operating procedure
- Prescribes appropriate diagnostics and interventions to avoid
unnecessary transfers/acute admissions
- Consults with hospital physicians following notification of
member transfer
- Collaborates with UM staff and PCPs/facility staff to enable
medical necessity determinations for requested medical
services
- Educates members and/or their legal representatives in disease
processes affecting members and ways to manage them effectively, as
well as to promote wellness
- Provides counsel, support and education to facility staff
- Supports FCMs in developing and providing in-service
educational programs to facility staff
- Participates in management meetings that include, but may not
be limited to:
- Weekly case conference reviews
- Monthly staff meetings
- Schedule Joint Operating Committee meetings
- Quarterly Quality Improvement Committee meetings
- Continuing education/journal club programs
- Implements HEDIS measure campaigns and other quality
initiatives as directed by Corporate Health Services to ensure the
highest standards of care and to promote the improvement of care
management and delivery
- On-call for caseload during business hours May require some
participation in clinical on-call program as plan expands
- Keeps current on relevant medical and nursing research,
technology, and related issues by attending continuing education
courses, professional meetings and journal reviews
- Perform related duties as necessary and other duties as
assignedYou'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:
- Completion of Nurse Practitioner accredited program
- Current state RN license
- Current NP license
- Knowledge of long-term care, community resources and
cost-effective alternatives regarding patient care delivery
systems
- Knowledge of CPT, ICD-9 and HCPC codes
- Knowledge of clinical standards of care
- Knowledge of Windows 2000 and MS Office Word Processing
software
- Access to reliable transportation required; if you are driving
a vehicle, you must comply with all the terms of the Landmark Motor
Vehicle Safety policy
- Full COVID-19 vaccination is an essential requirement 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 compliancePreferred Qualifications:
- 2+ years of clinical experience
- Awareness about UM standards, NCQA requirements, CMS
guidelines, Milliman guidelines, and Medicaid/Medicare contracts
and benefit systems is helpfulTo 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. 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.
Keywords: UnitedHealth Group, Concord , Nurse Practitioner - Concord, CA $20K Sign On Bonus for External Hires, Healthcare , Concord, California
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