Nurse Practitioner/Physician Assistant-Greater Cleveland, OH
Company: UnitedHealth Group
Location: Akron
Posted on: November 24, 2022
Job Description:
$10,000 Sign-on Bonus for external candidatesCareers at
Landmark, part of the Optum and UnitedHealth Group family of
businesses. At Landmark, we work to deliver high quality,
comprehensive care to chronically ill patients wherever they reside
and whenever they need it. We focus on doing what's right for the
people we serve, even when it's not easy. This is your opportunity
to be part of a compassionate team that is setting out to change
health care for complex, chronic patients. We're looking for driven
people like you because changing the status quo takes dedication.
Here, we'll invest in your personal and professional growth while
giving you a unique opportunity to make a difference. Helping
people feel their best is a rewarding part of doing your life's
best work.(sm)ABOUT LANDMARKDo you want to make a difference in
healthcare?Landmark Health 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.Because many of our patients are
frail and elderly, we deliver care primarily in the comfort of
their home. Our Program is also offered to eligible patients at no
incremental financial cost to them. We are not a fee-for- service
practice; we benefit economically only if we deliver high-quality
patient outcomes and satisfaction. As a result, our clinical teams
can spend quality-time caring for a smaller number of patients,
giving all patients the space, respect, compassion and care they
deserve.At Landmark, our interdisciplinary teams collaboratively
manage our complex patient panels. These teams are led by
Physicians, Nurse Practitioners, and Physician Assistants, with
supporting care provided by RN Nurse Care Managers, Social Workers,
Pharmacists, Behavioral Health, and other employed team
members.Join Landmark to be part of a growing company full of
purpose-driven, action-oriented, and compassionate team members
working to dramatically transform healthcare for our
communities.Objective
Provides 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 nursingUnderstands and complies with long-term
care policies and procedures, including those that regulate nursing
facilities and assisted living communitiesEstablishes and maintains
effective relationships with members and their legal
representatives, facility staff, PCPs and other collaborating
physicians/providersPerforms 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 procedurePrescribes appropriate diagnostics and
interventions to avoid unnecessary transfers/acute
admissions.Consults with hospital physicians following notification
of member transferCollaborates with UM staff and PCPs/facility
staff to enable medical necessity determinations for requested
medical servicesEducates members and/or their legal representatives
in disease processes affecting members and ways to manage them
effectively, as well as to promote wellnessProvides counsel,
support and education to facility staffSupports 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 reviewsMonthly staff
meetingsSchedule Joint Operating Committee meetingsQuarterly
Quality Improvement Committee meetingsContinuing education/journal
club programsImplements 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 deliveryOn-call for caseload during business hours.
May require some participation in clinical on-call program as plan
expandsKeeps current on relevant medical and nursing research,
technology, and related issues by attending continuing education
courses, professional meetings and journal reviewsPerform related
duties as necessary and other duties as assignedCompetencyTo
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 topicsTechnical Skills - Assesses own strengths and
weaknesses; pursues training and development opportunities; strives
to continuously build knowledge and skills; shares expertise with
othersCustomer 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 commitmentsInterpersonal Skills - Focuses on
solving conflict; maintains confidentiality; listens to others;
keeps emotions under control and overcomes resistance when
necessary; remains open to new ideasOral 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
eventsAttendance/Punctuality - Is consistently at work and on time;
ensures work responsibilities are covered when absent; arrives at
meetings and appointments on timeDependability - 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
planInitiative - 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:
Current state RN licenseCurrent NP
licenseCompletion of Nurse Practitioner accredited programKnowledge
of clinical standards of careAbility 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.Knowledge of Windows 2000 and MS Office Word Processing
software.Access to reliable transportation required; if you are
driving a vehicle, you must comply with all the terms of the
Landmark Motor Vehicle Safety policyFull 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 experienceKnowledge
of long-term care, community resources and cost-effective
alternatives regarding patient care delivery systemsKnowledge of
CPT, ICD-9 and HCPC codesAwareness about UM standards, NCQA
requirements, CMS guidelines, Milliman guidelines, and
Medicaid/Medicare contracts and benefit systemsAbility 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 publicAbility to add, subtract, multiply, and divide in all
units of measure, using whole numbers, common fractions, and
decimals. Ability to compute rate, ratio, and percentPHYSICAL
DEMANDSThe 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 armsThe employee must occasionally
lift and/or move up to 10 poundsSpecific vision abilities required
by this job include close vision, distance vision, color vision,
peripheral vision, depth perception and ability to adjust focusWORK
ENVIROMENT: The work environment characteristics described here are
representative of those an employee encounters while performing the
essential functions of this job. Reasonable accommodations may
beThe 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 employmentCareers 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)**PLEASE NOTE** The Sign-On Bonus is only available to
external candidates. Candidates who are currently working for a
UnitedHealth Group, UnitedHealthcare or a related entity in a full
time, part time, or per diem basis ("Internal Candidates") are not
eligible to receive a Sign-On Bonus. 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, Akron , Nurse Practitioner/Physician Assistant-Greater Cleveland, OH, Healthcare , Akron, Ohio
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