Nurse Practitioner or Physician Assistant - Home Visits - Rochester, NY

Company: UnitedHealth Group
Location: Tenafly
Posted on: May 24, 2023

Job Description:

$40,000 Student Loan Repayment or $30,000 Sign-on Bonus for individuals who have not previously participated in this program

Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what's right for the people we serve, even when it's not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We're looking for driven people like you because changing the status quo takes dedication. Here, we'll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life's best work.(sm)

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.

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.

SUMMARY

• 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
    
    COMPETENCY
    
    To perform the job successfully, an individual should demonstrate the following competencies:
    • Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics
    • Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others
    • Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments
    • Interpersonal Skills - Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas
    • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Must be able to deal with frequent change, delays, or unexpected events
    • Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time
    • Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternate plan
    • Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow
      
      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.
      • Completion of Nurse Practitioner or Physician Assistant accredited program
      • Licensed as NP or PA-C in State where you will be practicing
      • 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
      • 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 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
        
        Preferred Qualifications:
        • 2+ years of clinical experience
        • Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
          
          Language Skills:
          
          Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals . click apply for full job details

Keywords: UnitedHealth Group, Tenafly , Nurse Practitioner or Physician Assistant - Home Visits - Rochester, NY, Healthcare , Tenafly, New Jersey