Nurse Practitioner -Liberty/Crosby
Company: UnitedHealth Group
Location: Indianapolis
Posted on: June 25, 2022
Job Description:
**$10,000 Sign On Bonus for External Candidates** Landmark
Health, part of the Optum and UnitedHealth Group family of
businesses, 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. 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. OBJECTIVE 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
assigned 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: To perform this job successfully, an individual
must be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge,
skill, and/or ability required. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.
- Certificates, Licenses, Registrations:
- Current state RN license
- Current NP license
- 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
- Education and/or Experience:
- Completion of Nurse Practitioner accredited program
- 2+ years clinical experience, desired
- 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
- Awareness about UM standards, NCQA requirements, CMS
guidelines, Milliman guidelines, and Medicaid/Medicare contracts
and benefit systems is helpful
- Full COVID-19 vaccination is an essential job function 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 compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation. To 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 bylower
48 law. UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: UnitedHealth Group, Indianapolis , Nurse Practitioner -Liberty/Crosby, Healthcare , Indianapolis, Indiana
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