Community Care APC - Medicare Advantage

Optum; Reno (NV); On-site; USD 110,000 - 164,000; Full time

Job summary

Optum Care Community Center of Nevada in Reno, NV is seeking an Advanced Practice Clinician to join our team for Medicare Advantage care. The role covers in-clinic and home-based wellness visits, with a focus on integrated, team-based care and evidence-based practices.

You will diagnose, treat, and manage patients under current standards, coordinate with primary care, and contribute to STAR/HEDIS metrics while navigating a dynamic healthcare environment with supportive resources.

Qualifications

• Current NP/PA license in NV or ability to obtain
• Current DEA certificate or ability to obtain
• Board Certified or in the process of obtaining certification
• Greater than 1 year of NP/PA experience
• Understanding of coding and documentation
• Experience with HEDIS and STARS measures

Responsibilities

• Provides diagnosis, treatment, therapy, and management of patients according to current standards of care
• In-Home & Clinic annual wellness visits required
• Uses evidence-based care processes for cost-effective lab, radiology, and extended service providers
• Collaborates with patient’s primary care provider
• Provides guidance to nursing staff on treatment plans and care coordination
• Maintains knowledge of STAR, HEDIS, and medical coding and diagnosis requirements

Skills

HEDIS & STARS knowledge

EMR systems proficiency

Clinical documentation

Education

NV NP/PA license

DEA certificate

Board certification

1+ year NP/PA experience

Tools

EMR proficiency

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Community Care APC - Medicare Advantage (2384518)

Community Care APC - Medicare Advantage - 2384518

Optum Care Community Center of Nevada is seeking an Advanced Practice Clinician to join our team in Reno, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career and will empower you to live your best life at work and at home.

Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Position Highlights:

• Complete Medicare yearly wellness exams for seniors and provide limited primary care
• Clinic hours and locations are variable: Monday-Friday, 7am-4pm vs. 8am-5pm
• Opportunity to work with an elite team of APC specialists

What makes an Optum organization different?

• Practice at the peak of their license
• We recognize that if you want to provide good care and do it well, you can’t do it alone – this is the foundation of the team-based care model
• The culture is one of clinical innovation and transformation
• We are influencing change on a national scale while still maintaining the culture and community or our local organizations

Clinician Responsibilities:

• Provides diagnosis, treatment, therapy, and management of patients according to current standards of care utilizing best practices recommendation
• In-Home & Clinic annual wellness patient visits are required
• Utilizes evidence-based care processes for cost-effective and efficient use of lab, radiology, and extended service providers
• Collaborates with the patient’s primary care provider
• Provide guidance to nursing personnel on treatment plans and care coordination
• Maintains knowledge of STAR, HEDIS, and medical coding and diagnosis requirements

Required Qualifications:

• Current NP/ PA license in the state of Nevada or ability to obtain
• Current DEA certificate or ability to obtain
• Board Certified or in the process of obtaining certification
• Greater than 1 year of experience as an NP/PA
• Understanding of coding and documentation
• Experience with HEDIS and STARS measures
• Valid driver's license, access to reliable transportation and ability to travel within the assigned territory

Preferred Qualifications:

• Fluency in EMR systems & technology
• Experience in providing Medicare yearly exams under a Global Risk/Medicare Advantage Model

Compensation for this specialty generally ranges from $109,500 - $164,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.