Nurse Practitioner - Home Visits, North Dallas, University Park, Richardson, TX
Company: UnitedHealth Group
Location: Richardson
Posted on: June 20, 2022
Job Description:
$10,00 Sign on Bonus - External Candidate -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.ObjectiveProvides 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
assignedCompetencies: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 workflowYou'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 professional -license
- Current NP or PA license
- Access to reliable transportation; 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 or Physician Assistant
-accredited program
- 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
- 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
- Ability to effectively present information and respond to
questions from groups of managers, clients, customers, and the
general public
- Mathematical Skills:
- Ability to add, subtract, multiply, and divide in all units of
measure, using whole numbers, common fractions, and decimals
- Ability to compute rate, ratio, and percent
- Reasoning Ability:
- Ability to solve practical problems and deal with a variety of
concrete variables in situations where only limited standardization
exists
- Ability to interpret a variety of instructions furnished in
written, oral, diagram, or schedule form
- Computer Skills:
- Knowledge of Windows 2000 and MS Office Word Processing
software
- 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 accommodationPreferred
Qualifications:
- 2+ years clinical experience
- Awareness about UM standards, NCQA requirements, CMS
guidelines, Milliman guidelines, and Medicaid/Medicare contracts
and benefit systemsPhysical Demands:The physical demands described
here are representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
- While performing the duties of this job, the employee is
regularly required to sit and use hands to finger, handle, or
feel
- The employee is required to stand; walk and reach with hands
and arms
- The employee must occasionally lift and/or move up to 10
pounds
- Specific vision abilities required by this job include close
vision, distance vision, color vision, peripheral vision, depth
perception and ability to adjust focusWork Environment: -The work
environment characteristics described here are representative of
those an employee encounters while performing the essential
functions of this job. Reasonable accommodations may be
- The noise level in the work environment is usually moderateTo
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, Richardson , Nurse Practitioner - Home Visits, North Dallas, University Park, Richardson, TX, Healthcare , Richardson, Texas
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