Job Description

$10,000 Sign-on Bonus for External Candidates

Optum is seeking a Nurse Practitioner - Optum Home Based Medical Care to join our Home-based Medical Care team in St. Louis, MO area. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you’ll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together.

You will work as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population within an assigned geography. We are looking for a Nurse Practitioner to join our team and work primarily in the Hillsboro, MO area.

Dedicated to improving the health and well-being of patients, this position collaborates with the PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients’ goals of care in all phases of the patient journey.

Primary Responsibilities:

• Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants
• Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable
• Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable
• Completes follow-up and post-discharge assessments according to documented standard operating procedure
• Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions
• Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc. New hire and annual skills check/training provided
• Consults with hospital, emergency or post-acute clinical team following notification of patient transfer
• Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness
• Provides counsel, support and education to staff as appropriate
• Actively participates in ongoing meetings pertaining to patient care and clinical excellence
• Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery
• 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 assigned

On-Call Requirement:

Average on call days per month is 3. Call hours are weekdays 5p-11p. Providers can see patients face-to-face until 9pm. No on call after 11p. Weekend call is 8a-11p with face-to-face visits occurring between the hours of 8a and 9p. On call reimbursement is a combination of a call “beeper fee” (a standard amount for the call day) and reimbursement for every visit seen face-to-face and telephonically. Mileage is reimbursed at the federal rate. After hours visits are seen by the on-call provider

Supervisory:

• Reports directly to the advance practice supervisor, HBMC physician pod leader, or AMD
• Directs all clinical care questions to supervising or on-call physician

Competencies:

To 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 topics
• Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others
• Customer 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 commitments
• 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
• Dependability - 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 plan
• 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 workflow

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:

• Completion of Nurse Practitioner accredited program
• Certification through the American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC)
• Current, unrestricted RN licensure in State of Practice
• Current, unrestricted NP licensure in State of Practice
• Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
• Access to reliable transportation

Preferred Qualifications:

• 2+ years of clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care
• Knowledge of CPT, ICD-10 and HCPC codes
• Knowledge of clinical standards of care
• Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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