NP/PA - Optum Senior Community Care (Senior Living & Patient Connect) - Hamilton & Butler Counties (greater Hamilton, OH)

Requisition Number: 2385106
$10,000 Sign-on Bonus for External Candidates
No on-call, no weekends, and no holidays required.
Please note: This is a W-2 salaried full-time (40 hpw) role
Optum Home & Community Care, part of the Optum 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) team, we work to provide care to patients at home, in assisted living facilities for senior housing, and in skilled nursing facilities (SNF). 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 settings. Join us to start Caring. Connecting. Growing together.
This unique opportunity is a blended role that supports both Optum's Senior Community Care Senior Living & SNF Patient Connect Programs. This truly dynamic opportunity will afford you the ability to practice at the peak of your license, in that you will both provide direct acute & chronic care management to patients at home & in assisted living facilities - as well as provide unique, one-time visits designed for UnitedHealthcare members transitioning from hospitalization to a skilled nursing facility (SNF) back home.
This role will support patients throughout the Hamilton & Butler County markets, as well as a small portion of Warren County, within the State of Ohio.
Our Senior Living Program is an integrated care delivery program that coordinates the delivery and provision of clinical care of members, where the Advanced Practice Clinician (APC) provides care to our highest-risk health plan members. We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Providers.
Our SNF Patient Connect Program focuses on improving care transitions, reducing 30-day hospital readmissions, and enhancing overall patient outcomes during a critical stage in the healthcare journey. The Advanced Practice Clinician (APC) conducts a comprehensive, one-time health assessment in collaboration with the case management team to support effective care coordination. The visit emphasizes accurate and complete documentation of acute and chronic conditions, improved coding accuracy, and increased closure of STAR/HEDIS quality measures, including support for Advanced Care Planning directives.
This position offers the opportunity to work independently across varied care settings, leveraging clinical expertise to improve patient satisfaction, strengthen discharge planning, and enhance post-discharge support. It is a highly rewarding role for clinicians seeking autonomy while making a meaningful difference in the lives of a complex patient population.
Primary Responsibilities:

• Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations, , including:
  • Past medical history review, medication reconciliation, vital signs, and physical exam
  • Evidence-based screenings and point-of-care testing (as appropriate)
• Support members during a short term sub-acute rehabilitation episode
• 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
• Must attend and complete all mandatory educational and computer/virtual training requirements
• Travel between care sites mandatory
• Care Coordination
  • Communicate with the patient and necessary team members regarding any medical concerns at the time of your visit
  • Conduct advanced illness and advanced care planning conversations
  • Provide patients and caregivers with counseling and education
• Program Enhancement Expected Behaviors
  • 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 SCC quality initiatives
  • Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling

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.
Required Qualifications:

• For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary Care
• For PAs: Current NCCPA certification and state licensure
• Active, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitations
• Active and unrestricted driver's license
  • In addition to a driver's license, access to reliable transportation
• Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice; prescribing only required for Senior Living patient census)
• Ability to gain a collaborative practice agreement, if applicable in your state
• Availability to work 40 hours per week
• Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
• Ability to move a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations
• Ability to navigate varied environments and to position oneself as needed to perform job duties
• Proficient computer skills including the ability to document medical information with written and electronic medical records

Preferred Qualifications:

• 1+ years of clinical experience as an APC (long-term care setting preferred)
• Experience in geriatric medicine, long-term care, senior living or home care setting
• Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
• Understanding of Geriatrics and Chronic Illness
• Understanding of Advanced Illness and end of life discussions
• Proficiency with electronic medical records and technology

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.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.