Autonomous NP: Geriatric Care Transitions (SNF) Sign-On

Optum; Richmond (VA); On-site; USD 124,000 - 158,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Optum Home & Community Care is seeking an Advanced Practice Clinician for the SNF Patient Connect Program. This autonomous role conducts one-time assessments, collaborates with case management, and documents acute/chronic conditions to support care transitions from hospital to SNF and back home.

Role emphasizes coding accuracy, quality metric closure, and patient/family education, with independent practice across varied care settings. Travel between sites is required.

Qualifications

• Active ANCC or AANP certification in Family, Adult, Geriatric, or AG-Primary Care.
• Active, unrestricted state licensure without disciplinary actions.
• Driver’s license and reliable transportation.
• Willingness to travel between care sites.
• Minimum 10 hours per week availability.
• Ability to document medical information in EMR systems.

Responsibilities

• Perform comprehensive assessments and document findings per CMS regulations.
• Code diagnoses as ICD10 and document appropriately for the visit.
• Ensure all quality elements are addressed and documented.
• Conduct initial medication review.
• Attend mandatory educational and computer/virtual training requirements.
• Travel between care sites as required.
• Coordinate care and communicate with patients and team members.
• Contribute to program enhancement and quality initiatives.

Skills

ANCC/AANP certification

Driver’s license

Reliable transportation

Collaborative practice agreement

Travel between care sites

Clinical documentation

Education

NP or PA certification in Family/Adult/Geriatric Primary Care

Tools

EMR systems

Job description

Optum Home & Community Care is seeking an Advanced Practice Clinician for the SNF Patient Connect Program. This autonomous role conducts one-time assessments, collaborates with case management, and documents acute/chronic conditions to support care transitions from hospital to SNF and back home.

Role emphasizes coding accuracy, quality metric closure, and patient/family education, with independent practice across varied care settings. Travel between sites is required.