Nurse Practitioner or Physician Assistant - Port Huron, MI
Company: UnitedHealth Group
Location: Port Huron
Posted on: June 13, 2022
Job Description:
Combine two of the fastest-growing fields on the planet with a
culture of performance, collaboration and opportunity and this is
what you get. Leading edge technology in an industry that's
improving the lives of millions. Here, innovation isn't about
another gadget, it's about making health care data available
wherever and whenever people need it, safely and reliably. There's
no room for error. Join us and start doing -your life's best
work.(sm)Do you want to make a difference in healthcare?Landmark
Health, now part of the Optum family of businesses, 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.The -Nurse
Practitioner (NP) -or -Physician Assistant (PA) -provides medical
care and management to members served by the program and
participates in gathering clinical information for medical
necessity determinations for service requests. The NP/PA 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, the NP/PA 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
nursing
- Understands and complies with long-term care policies and
procedures, including those that regulate nursing facilities and
assisted living communities
- Establishes and maintains effective relationships with members
and their legal representatives, facility staff, PCPs and other
collaborating physicians/providers
- Performs an initial comprehensive assessment on all newly
enrolled members and bi-annually thereafter. Develops a member
management care plan upon enrolment 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 procedure
- Prescribes appropriate diagnostics and interventions to avoid
unnecessary transfers/acute admissions.
- Consults with hospital physicians following notification of
member transfer
- Collaborates with UM staff and PCPs/facility staff to enable
medical necessity determinations for requested medical
services
- Educates members and/or their legal representatives in disease
processes affecting members and ways to manage them effectively, as
well as to promote wellness
- Provides counsel, support and education to facility staff
- Supports 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 reviews
- Monthly staff meetings
- Schedule Joint Operating Committee meetings
- Quarterly Quality Improvement Committee meetings
- Continuing education/journal club programs
- Implements 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 delivery
- On-call for caseload during business hours. May require some
participation in clinical on-call program as plan expands
- Keeps current on relevant medical and nursing research,
technology, and related issues by attending continuing education
courses, professional meetings and journal reviews
- Perform related duties as necessary and other duties as
assignedCompetencies:
- 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
topics
- Technical Skills - Assesses own strengths and weaknesses;
pursues training and development opportunities; strives to
continuously build knowledge and skills; shares expertise with
others
- Interpersonal Skills - Focuses on solving conflict; maintains
confidentiality; listens to others; keeps emotions under control
and overcomes resistance when necessary; remains open to new
ideas
- Oral 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 events
- Attendance/Punctuality - Is consistently at work and on time;
ensures work responsibilities are covered when absent; arrives at
meetings and appointments on time
- Initiative - 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. -***Work Schedule: Mon-Fri from 8am-5pm
ET with additional on-call reponsibilities***Required
Qualifications:
- Completion of Nurse Practitioner or -Physician Assistant
-accredited program
- Current state RN or PA license for the state of Michigan
- Current NP or PA license for the state of Michigan
- Knowledge of CPT, ICD-9 and HCPC codes
- Knowledge of clinical standards of care
- Computer skills: internet navigation, Microsoft Office - Teams,
Outlook, and Excel
- Ability 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 public
- Ability to add, subtract, multiply, and divide in all units of
measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent
- Ability 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
- Access to reliable transportation; if you are driving a
vehicle, you must comply with all the terms of the Landmark Motor
Vehicle Safety policy
- Full COVID-19 vaccination is an essential requirement 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 compliancePreferred Qualification:
- 2+ years of clinical experience
- Awareness about UM standards, NCQA requirements, CMS
guidelines, Milliman guidelines, and Medicaid/Medicare contracts
and benefit systems
- Knowledge of long-term care, community resources and
cost-effective alternatives regarding patient care delivery
systemsPhysical Demands:
- 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 arms
- The employee must occasionally lift and/or move up to 10
pounds
- Specific vision abilities required by this job include close
vision, distance vision, color vision, peripheral vision, depth
perception and ability to adjust focusWork Environment:
- Noise level is usually moderate -To 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 employment.Careers 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) - - -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, Warren , Nurse Practitioner or Physician Assistant - Port Huron, MI, Healthcare , Port Huron, Michigan
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