Nurse Practitioner or Physician Assistant Per Diem - Hartford & Middlesex Counties CT - Senior Community Care at UnitedHealth Group
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Nurse Practitioner or Physician Assistant Per Diem - Hartford & Middlesex Counties CT - Senior Community Care
Hartford Connecticut
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Nurse Practitioner or Physician Assistant Per Diem - Hartford & Middlesex Counties CT - Senior Community Care
Requisition number 2340624
Job category Healthcare Delivery
Primary location Hartford CT
Additional locations Windsor Connecticut | Middletown Connecticut | Enfield Connecticut
Date posted 03172026
Overtime status Non-exempt
Travel No
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5000 Sign On Bonus for External Candidates
Optum Home & Community Care part of the UnitedHealth Group family of businesses is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individuals physical mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Senior Community Care SCC product we work with a team to provide care to patients at home in a nursing home assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.
Were connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Were fast becoming the nations 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 models success but the efforts care and commitment of our Nurse Practitioners.
Serving millions of Medicare and Medicaid patients Optum is the nations 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 Nurse Practitioner Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in 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 concisecomprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services CMS regulations
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 members plan of care by engaging the facility staff familiesresponsible 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 PayerPlan benefits CCM associate policies procedures and articulate them effectively to providers members and key decision-makers
Assess the medical necessityeffectiveness 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 most effective plan of care that aligns with the members 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 concernsissues
Function independently and responsibly with minimal need for supervision
Ability to 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
Youll 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
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.
What we do
Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.
https://www.youtube.com/watch?v=5PbNyi2IDkY
Caring. Connecting. Growing together.
Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:
• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer.
• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture.
• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop.