Medicare Advantage NP/PA: Impactful Community Care

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

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.