Nurse Practitioner or Physician Assistant

Optum; Town of Monroe (NY); On-site; USD 5,953,987 - 10,636,449; Part time

Benefits offered by this job

Sign-on Bonus

Per diem schedule

Travel opportunities

Job summary

Optum is expanding its Senior Community Care (SCC) team to provide at-home care for patients in nursing homes and assisted living facilities. The role involves delivering cost-effective, quality care, performing comprehensive assessments, and coordinating plans of care across care settings.

The position requires NP licensure in New York, active DEA, and the ability to travel between care sites. Per diem arrangement with a sign-on bonus is offered.

Qualifications

• Must be Certified Nurse Practitioner with active NY state license.
• MSN degree and board certification in ANP/AGACNP/ACNP.
• DEA licensure or ability to obtain post-hire per state regulations.
• Ability to travel to client/patient sites within designated area.

Responsibilities

• Deliver care to assigned home-based members, collaborating with physicians or specialists.
• Perform comprehensive assessments and document in CMS-compliant manner.
• Ensure accurate ICD-10 coding and documentation to support diagnoses.
• Conduct medication reviews and reconciliations post-hospitalization.
• Engage facility staff and families to implement member care plans.

Skills

NP Certification

Active NY License

DEA Licensure

Travel Availability

Education

MSN in Nursing

Board Certification ANP/AGACNP/ACNP

Job description

$5,000 Sign-on Bonus for External Candidates

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Optum is the nation's largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family of businesses. You have found the best place to advance your advanced practice nursing career. As a CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.

Primary Responsibilities

• Deliver cost-effective, quality care to assigned members
• Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider
• Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Centers for Medicare and Medicaid Services (CMS) regulations
• Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit
• The APC is responsible for ensuring that all quality elements are addressed and documented
• The APC will do an initial medication review, annual medication review and a post-hospitalization medication reconciliation
• Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
• Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed
• Utilizes practice guidelines and protocols established by CCM
• Must attend and complete all mandatory educational and LearnSource training requirements
• Travel between care sites mandatory

Care Coordination

• Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers
• Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members
• Coordinate care as members transition through different levels of care and care settings
• Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
• Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member's needs and wishes
• Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations

Program Enhancement Expected Behaviors

• Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, CCM staff and other provider groups
• Actively promote the CCM program in assigned facilities by partnering with key stakeholders (i.e. internal sales function, provider relations, facility leader) to maintain and develop membership growth
• Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
• Function independently and responsibly with minimal need for supervision
• Ability to enter available hours into web‑based application, at least one month prior to available work time
• Demonstrate initiative in achieving individual, team, and organizational goals and objectives
• Participate in CCM quality initiatives
• Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling

Qualifications - External

Required Qualifications

• Certified Nurse Practitioner through a national board
• For NPs: Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP
• Active and unrestricted license in the state in which you reside
• Current active DEA licensure/prescriptive authority or ability to obtain post‑hire, per state regulations (unless prohibited in state of practice)
• Ability to gain a collaborative practice agreement, if applicable in your state
• Ability to complete physical requirements of the job including moving a 30‑pound bag in and out of the car, navigating stairs and a variety of dwelling conditions
• Availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off‑hours (after 5 pm, on weekends, and/or holidays) not to exceed 960 hours in a calendar year
• Driver's license and access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area

Preferred Qualifications

• 1+ years of hands‑on post‑grad experience within Long Term Care
• Understanding of Geriatrics and Chronic Illness
• Understanding of Advanced Illness and end‑of‑life discussions
• Proficient computer skills including the ability to document medical information with written and electronic medical records
• Ability to develop and maintain positive customer relationships
• Adaptability to change

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.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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). The hourly pay for this role will range from $43.22 to $77.21 per hour based on full‑time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group 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.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.