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Nurse Practitioner Transitional Care 15000 Sign On Bonus External Candidates Milwaukee,Cedarburg, Port Washington, WI

At Optum, a part of the UnitedHealth Group family of businesses, we believe in innovation. You have found the best place to advance your advanced practice nursing career. We are one of the nation’s largest employers of Nurse Practitioners, offering 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. Join us and feel proud knowing you’re empowered to help other live healthier lives.

Primary Responsibilities:

  • 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
  • Ensuring that all diagnoses are ICD9 / ICD10 coded accurately and documented appropriately to support the diagnosis at that visit
  • Ensuring that all quality elements are addressed and documented
  • 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 mandatory
  • After hour on call coverage may be required
  • Understand the Payer / Plan benefits, Optum 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 member's 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
  • Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, Optum staff and other provider groups
  • Actively promote the Optum programs in community (Skilled nursing facility, Assisted living facility, community) by partnering with key stakeholders (i.e.: internal sales function, provider relations, facility leader) to maintain and develop membership caseload
  • 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 Optum quality initiatives

Required Qualifications:

  • Certified nurse practitioner through ANCC / AANP for adult, acute care, family and / or geriatrics
  • Current unrestricted license in state(s) in which practicing, Wisconsin or ability to obtain
  • Unrestricted DEA (license to prescribe narcotics / level II info here) per state regulations (unless prohibited in state of practice)  
  • Understanding of Geriatrics and Chronic Illness
  • Experience as a Nurse Practitioner in a long term care setting, skilled nursing home or community setting for 2+ year(s) or A new graduate Nurse Practitioner with at least 3 years of experience in ICU, ER or post acute rehabilitation setting
  • Proficient computer skills including the ability to document medical information with written and electronic medical records
  • Understanding of Advanced Illness and end of life discussions

Preferred Qualifications:

  • Experience as a Nurse Practitioner in a long term care setting, skilled nursing home or community setting for 2+ year(s)
  • Ability to develop and maintain positive customer relationships
  • Adaptability to change

This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect others for years to come. Ready for a new path? Learn more, and start doing 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, NP, Long term care, geriatric, home health, primary care, acute rehab, rehabilitation, Milwaukee, Cedarburg, Port Washington, WI, Wisconsin

Nurse Practitioner Transitional Care 15000 Sign On Bonus External Candidates Milwaukee,Cedarburg, Port Washington, WI

Port Washington, WI
Full Time, Part Time, Per Diem

Published on 08/28/2019