**Become a part of our caring community and help us put health first** Humana Gold Plus Integrated is seeking a Provider Engagement, Clinical Executive who will develop and grow positive, long-term relationships with physicians, providers and healthcare systems to support quality performance and improve member outcomes within the contracted working relationship with the health plan. The Provider Engagement, Clinical Executive works on problems of diverse scope and complexity ranging from moderate to substantial. They exercise independent judgment and decision making on complex issues regarding job duties and related tasks and work under minimal supervision. The Provider Engagement, Clinical Executive uses independent judgment requiring analysis of variable factors and determining the best course of action.
The Provider Engagement, Clinical Executive represents the scope of health plan/provider relationship across such areas as, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, and other areas as they relate to provider performance, member experience, market growth, and operational excellence. This work focuses on areas of clinical emphasis and advises executives to develop functional strategies (often segment specific) on matters of significance.
+ Oversees plans and implements provider facing Quality Improvement (QI) initiatives, including scorecard development/monitoring, gaps in care reports, and CAHPS survey results/strategy.
+ Collaborates with the market provider engagement/contracting/network optimization/practice transformation team to:
+ Develops provider engagement strategy, including Value - Based Programs (VBP), high-volume Fee-for-Service (FFS) and dual-eligible when applicable.
+ Participates in meetings with providers and network teams (JOC, Clinical/Quality, Operation).
+ Develop and/or standardize QI/clinical provider meeting presentations and reporting package.
+ Creates market provider quality/clinical performance profiling and develop strategy to assist low performing providers to meet clinical targets.
+ Develops EMR interoperability strategy.
+ Key contributor to development and oversight of care coordination function (CCF) and outcome reporting.
+ Key contributor to market planning sessions on provider risk readiness evaluation and timing.
+ Key contributor to quality strategy for all provider facing activities, including participating in integrated care internal workgroups.
+ Key contributor to market value-based provider incentive programs, including Primary Care Physician (PCP), specialist, and hospital.
+ Department of Health and Family Services (HFS) and Center for Medicaid & Medicaid Services (CMS) point of contact for workgroups to develop provider strategies to improve member outcomes and close gaps.
+ Liaison to providers to assist in developing strategies to improve clinical outcomes including but not limited to ER utilization, follow up after hospitalizations and preventive screenings.
**Use your skills to make an impact**
**Required Qualifications**
+ **Candidates must reside within a reasonable distance of Chicago, Illinois, in the states of Illinois, Indiana or Wisconsin.**
+ Bachelor's degree.
+ Five (5) or more years of experience in clinical strategy and implementation, focused on provider outcomes.
+ Knowledge of quality metrics such as HEDIS and NCQA measures.
+ Experience in healthcare, payor clinical programs, and value-based care organizations.
+ Direct experience working with providers.
+ Ability to drive cross functional teams to alignment.
+ Demonstrated business and financial acumen.
**Preferred Qualifications**
+ Registered Nurse (RN).
+ Five (5) or more years' experience in clinical practice working with or within a provider organization.
+ Knowledge of an integrated care delivery system.
+ Experience implementing QI initiatives and strategies.
+ Experience using healthcare data and analytics to inform program development.
**Additional Information**
+ **Workstyle:** This is a remote position with some travel.
+ **Travel:** This role requires up to 10% travel to meet with provider groups within Illinois and occasional onsite meetings at Humana's Schaumburg, IL office.
+ **Typical Work Schedule:** Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available.
**WAH Internet Statement**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**Interview Format**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$86.3k-118.7k yearly 30d ago
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Provider Engagement, Clinical Executive
Humana 4.8
Homewood, IL jobs
Become a part of our caring community and help us put health first Humana Gold Plus Integrated is seeking a Provider Engagement, Clinical Executive who will develop and grow positive, long-term relationships with physicians, providers and healthcare systems to support quality performance and improve member outcomes within the contracted working relationship with the health plan. The Provider Engagement, Clinical Executive works on problems of diverse scope and complexity ranging from moderate to substantial. They exercise independent judgment and decision making on complex issues regarding job duties and related tasks and work under minimal supervision. The Provider Engagement, Clinical Executive uses independent judgment requiring analysis of variable factors and determining the best course of action.
The Provider Engagement, Clinical Executive represents the scope of health plan/provider relationship across such areas as, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, and other areas as they relate to provider performance, member experience, market growth, and operational excellence. This work focuses on areas of clinical emphasis and advises executives to develop functional strategies (often segment specific) on matters of significance.
Oversees plans and implements provider facing Quality Improvement (QI) initiatives, including scorecard development/monitoring, gaps in care reports, and CAHPS survey results/strategy.
Collaborates with the market provider engagement/contracting/network optimization/practice transformation team to:
Develops provider engagement strategy, including Value - Based Programs (VBP), high-volume Fee-for-Service (FFS) and dual-eligible when applicable.
Participates in meetings with providers and network teams (JOC, Clinical/Quality, Operation).
Develop and/or standardize QI/clinical provider meeting presentations and reporting package.
Creates market provider quality/clinical performance profiling and develop strategy to assist low performing providers to meet clinical targets.
Develops EMR interoperability strategy.
Key contributor to development and oversight of care coordination function (CCF) and outcome reporting.
Key contributor to market planning sessions on provider risk readiness evaluation and timing.
Key contributor to quality strategy for all provider facing activities, including participating in integrated care internal workgroups.
Key contributor to market value-based provider incentive programs, including Primary Care Physician (PCP), specialist, and hospital.
Department of Health and Family Services (HFS) and Center for Medicaid & Medicaid Services (CMS) point of contact for workgroups to develop provider strategies to improve member outcomes and close gaps.
Liaison to providers to assist in developing strategies to improve clinical outcomes including but not limited to ER utilization, follow up after hospitalizations and preventive screenings.
Use your skills to make an impact
Required Qualifications
Candidates must reside within a reasonable distance of Chicago, Illinois, in the states of Illinois, Indiana or Wisconsin.
Bachelor's degree.
Five (5) or more years of experience in clinical strategy and implementation, focused on provider outcomes.
Knowledge of quality metrics such as HEDIS and NCQA measures.
Experience in healthcare, payor clinical programs, and value-based care organizations.
Direct experience working with providers.
Ability to drive cross functional teams to alignment.
Demonstrated business and financial acumen.
Preferred Qualifications
Registered Nurse (RN).
Five (5) or more years' experience in clinical practice working with or within a provider organization.
Knowledge of an integrated care delivery system.
Experience implementing QI initiatives and strategies.
Experience using healthcare data and analytics to inform program development.
Additional Information
Workstyle: This is a remote position with some travel.
Travel: This role requires up to 10% travel to meet with provider groups within Illinois and occasional onsite meetings at Humana's Schaumburg, IL office.
Typical Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$86.3k-118.7k yearly Auto-Apply 31d ago
Home Infusion Nurse - Accredo - Midland, TX
Cigna Group 4.6
Midland, TX jobs
Home Infusion Registered Nurse - Accredo Specialty Pharmacy
Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes.
Provide follow-up care and manage responses to ensure their well-being.
Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
Active RN license in the state where you'll be working and living
2+ years of RN experience
1+ year of experience in critical care, acute care, or homehealthcare
Strong skills in IV insertion
Valid driver's license
Willingness to travel to patients' homes within a large geographic region
Ability to work 40 hours a week (can include days, evenings, and weekends, per business need)
Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$82k-217k yearly est. Auto-Apply 45d ago
LTSS Provider & FEA Liaison
Bluecross Blueshield of Tennessee 4.7
Remote
Be the Bridge Between Accuracy and Efficiency!
As an LTSS Claims Liaison, you're not just processing claims-you're shaping the backbone of provider success. This role is about transforming complexity into clarity by educating providers on claims submission, coding updates, and electronic transactions. You'll be the go-to expert for resolving inquiries swiftly, developing impactful training strategies, and maintaining essential resources.
Your mission? Empower providers, strengthen compliance, and support workforce development so TennCare members receive timely, quality care. If you thrive on problem-solving, love turning challenges into solutions, and want to make a measurable difference in healthcare delivery-this is your opportunity to lead the way.
Join us and help build a smarter, stronger LTSS network-one claim at a time!
Preference for candidates who have experience with medical claims & knowledge of LTSS programs in Tennessee.
Candidates must live in Tennessee or a contiguous county.
Job Responsibilities
Provide for education and technical assistance regarding appropriate claims submission processes and requirements including, coding updates, electronic claims transactions and electronic funds transfers. Research and resolve claims issues and inquiries promptly.
Develop strategies to improve the effectiveness of BlueCare claims education and technical assistance activities
Develop and maintain BlueCare provider resources i.e. provider manual, fee schedules, website, training materials
Provide education and assistance with consumer-directed workers to resolve problems and address inquires
May support initial and ongoing workforce development strategies and goals to support measurable actions to help ensure a qualified, competent, and sufficient workforce to consistently deliver needed services in a timely manner.
Develop and initiate claims training and intervention to help provider obtain and retain compliance.
Support ongoing quality initiatives for LTSS providers, and other TennCare amendment changes.
Job Qualifications
Education
Bachelors degree in business or healthcare or relevant field or equivalent work experience required
Experience
3 years - Experience managing health plan accounts with multiple customer lines
Skills\Certifications
Working knowledge of healthcare claims, customer service, provider network contracting, and contract compliance
Ability to conduct root cause analysis, plan, organize and coordinate multiple projects
Ability to quickly take complex technical subjects and distill them into user-friendly presentations and digital communications.
Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
Excellent oral and written communication skills
Strong interpersonal and organizational skills
Proven decision making and problem solving skills
Knowledge and understanding of TennCare contracts as well as state and federal regulatory requirements
Proficient in Facets and CareAdvance
Job Specific Qualifications
LTSS experience is highly preferred
Strong claims experience and understanding is preferred
Number of Openings Available
1
Worker Type:
Employee
Company:
VSHP Volunteer State Health Plan, Inc
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
$64k-95k yearly est. Auto-Apply 8d ago
Provider Engagement Associate - Remote
Unitedhealth Group 4.6
Eden Prairie, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Whole Health Solutions and Optum Behavioral Care (OBC) are revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system, and we are seeking a Provider Engagement Associate to join our team. This remote role will support marketing in coordinating efforts within an assigned territory, will develop and maintain provider relationships to generate program referrals, and support in developing and implementing strategies to increase market share. We're looking for someone that has a history of being a self-starter, loves connecting with people and building relationships, and a proven track record calling on providers in a fully virtual environment.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
**Primary Responsibilities:**
+ In collaboration with Marketing, support our outward-facing marketing and engagement strategies to effectively penetrate assigned territories in collaboration with in-market Account Executives
+ Implement strategies and develop sales plans to effectively penetrate the assigned provider markets; Develop and implement strategies to increase market share through identification of targeted providers
+ Build relationships and establish partnerships with provider accounts (medical clinics & staff) to generate behavioral health referrals to OBC clinics and virtual services
+ Demonstrate proficiency in the development and implementation of virtual small group and individual presentations for targeted providers/clinics that cover all aspects of OBC programs
+ Manage clinic specific issues within established guidelines in conjunction with cross-functional team support
+ Conduct joint calls with clinical staff to develop strong customer relations with providers
+ Virtually present reporting and outcomes as part of ongoing clinic engagement
+ Complete training and maintain clinical, product, and market dynamics knowledge, including competitors within territory
+ Conduct job functions in a manner that promotes a high level of customer service to both internal and external customers
+ Coordinate efforts with other resources including Marketing, in-market Account Executives, local Clinical Managers, and Regional Directors
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:**
+ 3+ years of relevant experience in Account Management or customer leadership facing roles
+ Medical or behavioral healthcare environment experience
+ Experience calling on and presenting to physicians
+ Proven track record of success
**Preferred Qualifications:**
+ Experience in a territory management capacity
+ Experience selling directly to medical groups
+ Behavioral health knowledge
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline** : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
$34k-49k yearly est. 2d ago
Advisory Manager, Care Management - Provider - Remote
Unitedhealth Group Inc. 4.6
Eden Prairie, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Advisory Manager, Care Management (Provider) - Remote opportunity for a self-driven, collaborative case manager to partner with Optum leadership, remote and onsite teams to lead, assess, develop and implement an integrated, cohesive solution across Optum business units and key client services. This role is critical to ensuring Optum meets and exceeds our client expectations to Care Management and Clinical Variation services. The Manager will have a client- and patient-centric approach to program management, balanced with meeting Optum financial and non-financial business goals. We are looking for a proactive professional who is client savvy and can effectively execute against business objectives. This individual will work with leadership to structure to ensure seamless, consistent delivery of services and solutions.
The successful candidate must be passionate about driving improvements in performance, effective at working in a fast-paced, high-energy environment and confident in their interactions with senior executives, providers, and business partners.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Supports the project team by participating in assessment, solution design, implementation, execution through coordination, documentation, and tracking metrics and outcome activities
* Supports the combined client and Optum Clinical Practice team by identifying opportunities and risks, facilitating solutions, and maintaining alignment with cross-functional priorities
* Works directly with the frontline leadership and client on daily operational development
* Drives clear, concise lines of communication with key stakeholders across Optum and client teams in coordination with the Optum leader to ensure effective implementation of service commitments and capturing needs for project success
* Ensures cross-project cohesion by identifying areas of dependency and collaboration, scheduling and facilitating team meetings to ensure cross-business organization and harmonization
* Supports client relationship and program management activities, including but not limited to:
* manages historical, current, and future state Care Management and Clinical services content, ensuring accessibility to team members
* manages and tracks the Care Management project plans and scoping documents, including tasks, activities and milestones in partnership with the assigned consultants
* organizes status reports, identifying and escalating risks and issues when appropriate
* manages and tracks Care Management data and information requests and documentation
* coordinates across business units to create cohesive, client-ready business deliverables; and
* tracks performance against contractual obligations
* Provides thoughtful input to optimize overall Care Management and Clinical Variation performance, advising leaders on performance management and improvement activities
* Works with Care Management and Clinical Variation leadership to establish and track measured outcomes, criteria, standards and levels using appropriate methods
* Supports service deployment and closely monitors performance, working with finance and operations to ensure financial viability and operational excellence
* Identifies business unit gaps and helps to develop action plans to mitigate risks and issues
* Helps to onboard new team members
* Builds trusting relationships with senior leaders, clinicians, and business partners
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:
* Licensed Registered Nurse
* 5+ years of hospital care management including both discharge planning and utilization management experience
* 3+ years of experience in customer relationship management
* 3+ years of Acute Care experience
* Proficient with MS Excel and PowerPoint for creating presentations
* Demonstrated planning, organization, analytical and problem-solving skills
* Proven self-guided, motivated, and able to simultaneously manage multiple activities with little direction
* Proven solid strategic thinking and business acumen with the ability to align clinical strategies and recommendations with business objectives
* Proven solid presentation, written and verbal communication skills, including communicating with senior leadership
* Proven track record of working collaboratively with internal business partners and stakeholders across a large matrixed organization
* Proven ability to develop relationships with clinicians and business leadership
* Proven adaptable and flexible style; able to thrive in fast-paced, ambiguous situations
* Ability to travel up to 80% to client sites
Preferred Qualifications:
* Healthcare consulting experience with a reputable consulting firm in a client facing capacity
* Experience in hospital care management and/or leading complex clinical transformation consulting engagements resulting in significant recurring financial benefit
* Experience developing clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
$28k-31k yearly est. 30d ago
Advisory Manager, Care Management - Provider - Remote
Unitedhealth Group 4.6
Eden Prairie, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Advisory Manager, Care Management (Provider) - Remote opportunity for a self-driven, collaborative case manager to partner with Optum leadership, remote and onsite teams to lead, assess, develop and implement an integrated, cohesive solution across Optum business units and key client services. This role is critical to ensuring Optum meets and exceeds our client expectations to Care Management and Clinical Variation services. The Manager will have a client- and patient-centric approach to program management, balanced with meeting Optum financial and non-financial business goals. We are looking for a proactive professional who is client savvy and can effectively execute against business objectives. This individual will work with leadership to structure to ensure seamless, consistent delivery of services and solutions.
The successful candidate must be passionate about driving improvements in performance, effective at working in a fast-paced, high-energy environment and confident in their interactions with senior executives, providers, and business partners.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Supports the project team by participating in assessment, solution design, implementation, execution through coordination, documentation, and tracking metrics and outcome activities
+ Supports the combined client and Optum Clinical Practice team by identifying opportunities and risks, facilitating solutions, and maintaining alignment with cross-functional priorities
+ Works directly with the frontline leadership and client on daily operational development
+ Drives clear, concise lines of communication with key stakeholders across Optum and client teams in coordination with the Optum leader to ensure effective implementation of service commitments and capturing needs for project success
+ Ensures cross-project cohesion by identifying areas of dependency and collaboration, scheduling and facilitating team meetings to ensure cross-business organization and harmonization
+ Supports client relationship and program management activities, including but not limited to:
+ manages historical, current, and future state Care Management and Clinical services content, ensuring accessibility to team members
+ manages and tracks the Care Management project plans and scoping documents, including tasks, activities and milestones in partnership with the assigned consultants
+ organizes status reports, identifying and escalating risks and issues when appropriate
+ manages and tracks Care Management data and information requests and documentation
+ coordinates across business units to create cohesive, client-ready business deliverables; and
+ tracks performance against contractual obligations
+ Provides thoughtful input to optimize overall Care Management and Clinical Variation performance, advising leaders on performance management and improvement activities
+ Works with Care Management and Clinical Variation leadership to establish and track measured outcomes, criteria, standards and levels using appropriate methods
+ Supports service deployment and closely monitors performance, working with finance and operations to ensure financial viability and operational excellence
+ Identifies business unit gaps and helps to develop action plans to mitigate risks and issues
+ Helps to onboard new team members
+ Builds trusting relationships with senior leaders, clinicians, and business partners
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:**
+ Licensed Registered Nurse
+ 5+ years of hospital care management including both discharge planning and utilization management experience
+ 3+ years of experience in customer relationship management
+ 3+ years of Acute Care experience
+ Proficient with MS Excel and PowerPoint for creating presentations
+ Demonstrated planning, organization, analytical and problem-solving skills
+ Proven self-guided, motivated, and able to simultaneously manage multiple activities with little direction
+ Proven solid strategic thinking and business acumen with the ability to align clinical strategies and recommendations with business objectives
+ Proven solid presentation, written and verbal communication skills, including communicating with senior leadership
+ Proven track record of working collaboratively with internal business partners and stakeholders across a large matrixed organization
+ Proven ability to develop relationships with clinicians and business leadership
+ Proven adaptable and flexible style; able to thrive in fast-paced, ambiguous situations
+ Ability to travel up to 80% to client sites
**Preferred Qualifications:**
+ Healthcare consulting experience with a reputable consulting firm in a client facing capacity
+ Experience in hospital care management and/or leading complex clinical transformation consulting engagements resulting in significant recurring financial benefit
+ Experience developing clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
$28k-31k yearly est. 60d+ ago
NP Home Based Medical Care Statewide Traveler, Iowa
Unitedhealth Group 4.6
Cedar Falls, IA jobs
**$40,000 Student Loan Repayment or $25,000 Sign-on Bonus for individuals who have not previously participated in this program** **Optum is seeking a Statewide Nurse Practitioner Traveler to join our Home Based Medical Care team in Iowa. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
**This role requires travel across the entire state of Iowa, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.**
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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
+ Current NP license
+ Current state RN license
+ Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
+ Current valid DEA license or ability to obtain by start date
+ Frequent Travel across the entire state of Iowa, approximately 85% of the time
**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
+ Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
+ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$41k-50k yearly est. 43d ago
NP Home Based Medical Care Cumberland, Sampson, Bladen Counties, NC
Unitedhealth Group Inc. 4.6
Fayetteville, NC jobs
$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program Optum is seeking a Home Based Medical Care Nurse Practitioner to join our team in Cumberland, Sampson, and Bladen Counties, NC. 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 provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.
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.
Position in these functions works 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. 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:
* Performs an initial comprehensive assessment of 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
* 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
* Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions
* Completes follow-up and post-discharge assessments according to documented standard operating procedure
* 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
* 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
* Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants
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:
* Current state RN/NP license or ability to obtain by start date
* Certification through the American Academy of Nurse Practitioners (AANP), or the American Nurses Credentialing Center (ANCC)
* Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
* Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
Preferred Qualifications:
* 2+ years of clinical NP experience in IM, Geriatrics, Primary Care, ED, Urgent Care, HomeHealth Care visits or similar setting
* Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
* Proven computer literate and able to navigate the internet
Compensation for this specialty generally ranges from $104,500 - $156,000. 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.
$41k-52k yearly est. 5d ago
NP or PA, Home Based Medical Care Statewide Traveler - AR
Unitedhealth Group Inc. 4.6
Little Rock, AR jobs
$40,000 Student Loan Repayment Or $25,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program Optum is seeking a NP or PA - Home Based Medical Care Statewide Traveler to join our team in Little Rock, AR. 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 provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.
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.
Positions in these functions works 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. 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:
* Performs an initial comprehensive assessment of 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
* 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
* Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions
* Completes follow-up and post-discharge assessments according to documented standard operating procedure
* 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
* 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
* Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants
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 or Physician Assistant accredited program
* Current state RN/NP or PA license or ability to obtain by start date
* Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or National Commission on Certification of Physician Assistants (NCCPA), or the ability to obtain national certification and/or NP license in state of assignment by start date
* Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
* Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
Preferred Qualifications:
* 2+ years of clinical NP experience in IM, Geriatrics, Primary Care, ED, Urgent Care, HomeHealth Care visits or similar setting
* Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
* Proven computer literate and able to navigate the internet
PLEASE NOTE Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments.
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
$48k-60k yearly est. 5d ago
NP Home Based Medical Care Statewide Traveler, Iowa
Unitedhealth Group 4.6
Bettendorf, IA jobs
**$40,000 Student Loan Repayment or $25,000 Sign-on Bonus for individuals who have not previously participated in this program** **Optum is seeking a Statewide Nurse Practitioner Traveler to join our Home Based Medical Care team in Iowa. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
**This role requires travel across the entire state of Iowa, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.**
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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
+ Current NP license
+ Current state RN license
+ Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
+ Current valid DEA license or ability to obtain by start date
+ Frequent Travel across the entire state of Iowa, approximately 85% of the time
**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
+ Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
+ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$41k-50k yearly est. 43d ago
NP Home Based Medical Care Statewide Traveler, Iowa
Unitedhealth Group 4.6
Dubuque, IA jobs
**$40,000 Student Loan Repayment or $25,000 Sign-on Bonus for individuals who have not previously participated in this program** **Optum is seeking a Statewide Nurse Practitioner Traveler to join our Home Based Medical Care team in Iowa. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
**This role requires travel across the entire state of Iowa, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.**
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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
+ Current NP license
+ Current state RN license
+ Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
+ Current valid DEA license or ability to obtain by start date
+ Frequent Travel across the entire state of Iowa, approximately 85% of the time
**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
+ Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
+ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$41k-50k yearly est. 43d ago
NP Home Based Medical Care Statewide Traveler, Iowa
Unitedhealth Group Inc. 4.6
Des Moines, IA jobs
$40,000 Student Loan Repayment or $25,000 Sign-on Bonus for individuals who have not previously participated in this program Optum is seeking a Statewide Nurse Practitioner Traveler to join our Home Based Medical Care team in Iowa. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
This role requires travel across the entire state of Iowa, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.
Primary Responsibilities:
* Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
* Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
* Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
* Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
* Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
* Start treatment in the home at the point of care
* Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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
* Current NP license
* Current state RN license
* Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
* Current valid DEA license or ability to obtain by start date
* Frequent Travel across the entire state of Iowa, approximately 85% of the time
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
* Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
* Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$41k-50k yearly est. 43d ago
NP Home Based Medical Care Statewide Traveler, Iowa
Unitedhealth Group 4.6
Des Moines, IA jobs
**$40,000 Student Loan Repayment or $25,000 Sign-on Bonus for individuals who have not previously participated in this program** **Optum is seeking a Statewide Nurse Practitioner Traveler to join our Home Based Medical Care team in Iowa. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
**This role requires travel across the entire state of Iowa, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.**
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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
+ Current NP license
+ Current state RN license
+ Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
+ Current valid DEA license or ability to obtain by start date
+ Frequent Travel across the entire state of Iowa, approximately 85% of the time
**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
+ Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
+ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$41k-50k yearly est. 43d ago
NP Home Based Medical Care Statewide Traveler, Iowa
Unitedhealth Group 4.6
Cedar Rapids, IA jobs
**$40,000 Student Loan Repayment or $25,000 Sign-on Bonus for individuals who have not previously participated in this program** **Optum is seeking a Statewide Nurse Practitioner Traveler to join our Home Based Medical Care team in Iowa. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
**This role requires travel across the entire state of Iowa, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.**
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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
+ Current NP license
+ Current state RN license
+ Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
+ Current valid DEA license or ability to obtain by start date
+ Frequent Travel across the entire state of Iowa, approximately 85% of the time
**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
+ Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
+ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$41k-50k yearly est. 43d ago
NP Home Based Medical Care Statewide Traveler, Iowa
Unitedhealth Group 4.6
Ames, IA jobs
**$40,000 Student Loan Repayment or $25,000 Sign-on Bonus for individuals who have not previously participated in this program** **Optum is seeking a Statewide Nurse Practitioner Traveler to join our Home Based Medical Care team in Iowa. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
**This role requires travel across the entire state of Iowa, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.**
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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
+ Current NP license
+ Current state RN license
+ Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
+ Current valid DEA license or ability to obtain by start date
+ Frequent Travel across the entire state of Iowa, approximately 85% of the time
**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
+ Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
+ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$41k-50k yearly est. 43d ago
NP Home Based Medical Care Statewide Traveler in North Carolina
Unitedhealth Group Inc. 4.6
Raleigh, NC jobs
$40,000 Student Loan Repayment Or $25,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program Home Based Medical Care, part of the Optum family of businesses, is seeking a Statewide Traveler Nurse Practitioner to join our team in North Carolina. Optum is a clinician-led care organization that is changing the way clinicians work and live.
Home Based Medical Care involves travel to patient residences. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
Primary Responsibilities:
* Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
* Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
* Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
* Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
* Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
* Start treatment in the home at the point of care
* Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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:
* Graduate from an accredited Nurse Practitioner program
* Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC)
* Active and unrestricted Registered Nurse and Nurse Practitioner license in the State of North Carolina or the ability to obtain by start date
* 1+ years of clinical/family/geriatric practice experience as an NP
* Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
* Proficient computer skills including the ability to document medical information with written and electronic medical records
* Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
Preferred Qualifications:
* 2+ years of clinical NP experience in IM, Geriatrics, Primary Care, ED, Urgent Care, HomeHealth Care visits or similar setting
* Proven awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
* Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
PLEASE NOTE Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments.
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$41k-52k yearly est. 5d ago
NP Home Based Medical Care in Wake and Johnston Counties, NC
Unitedhealth Group Inc. 4.6
Raleigh, NC jobs
$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program Home Base Medical Care, part of the Optum family is seeking a Nurse Practitioner to join our Home-based Medical Care team in Wake and Johnston Counties, NC. Optum is a clinician-led care organization that is changing the way clinicians work and live.
Home Based Medical Care involves travel to patient residences. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
Works 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. 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.
Position Highlights & 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
* On-call for caseload during business hours. Participation in clinical after hours on-call program on rotational basis
* 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
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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:
* Certification through the American Academy of Nurse Practitioners (AANP), or the American Nurses Credentialing Center (ANCC)
* Current, unrestricted RN and NP licensure in the State of Practice, or the ability to obtain by assigned start date
* Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
* Proven knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
* Driver's License and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
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
PLEASE NOTE Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments.
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.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$41k-52k yearly est. 15d ago
NP Home Based Medical Care Statewide Traveler in North Carolina
Unitedhealth Group 4.6
Raleigh, NC jobs
**$40,000 Student Loan Repayment Or $25,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program** **Home Based Medical Care, part of the Optum family of businesses, is seeking a Statewide Traveler Nurse Practitioner to join our team in North Carolina. Optum is a clinician-led care organization that is changing the way clinicians work and live. **
**Home Based Medical Care involves travel to patient residences. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. **
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together. **
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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:**
+ Graduate from an accredited Nurse Practitioner program
+ Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC)
+ Active and unrestricted Registered Nurse and Nurse Practitioner license in the State of North Carolina or the ability to obtain by start date
+ 1+ years of clinical/family/geriatric practice experience as an NP
+ Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
+ Proficient computer skills including the ability to document medical information with written and electronic medical records
+ Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
**Preferred Qualifications:**
+ 2+ years of clinical NP experience in IM, Geriatrics, Primary Care, ED, Urgent Care, HomeHealth Care visits or similar setting
+ Proven awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
+ Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
****PLEASE NOTE**** Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. **The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments.**
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$41k-52k yearly est. 50d ago
NP Home Based Medical Care Statewide Traveler in North Carolina
Unitedhealth Group 4.6
Washington, NC jobs
**$40,000 Student Loan Repayment Or $25,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program** **Home Based Medical Care, part of the Optum family of businesses, is seeking a Statewide Traveler Nurse Practitioner to join our team in North Carolina. Optum is a clinician-led care organization that is changing the way clinicians work and live. **
**Home Based Medical Care involves travel to patient residences. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. **
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together. **
**Primary Responsibilities:**
+ Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system
+ Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
+ Engage new patients enrolling in the program with a comprehensive geriatric focused initial assessment that includes functional eval, social and safety assessments, cognitive screening, and mental health assessments and more
+ Triage, diagnose, and treat patients on an urgent basis in home with an array of equipment and medications
+ Order and interpret appropriate tests including x-rays, labs, and EKGs to diagnose, prescribe and treat within the provider's scope of practice and consistent with the standards of care
+ Start treatment in the home at the point of care
+ Collaborate with patient's PCP and specialists as needed
Home Base Medical Care, a part of Optum, 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 patients. 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 Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care 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. Together, we're making health care work better for everyone.
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:**
+ Graduate from an accredited Nurse Practitioner program
+ Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC)
+ Active and unrestricted Registered Nurse and Nurse Practitioner license in the State of North Carolina or the ability to obtain by start date
+ 1+ years of clinical/family/geriatric practice experience as an NP
+ Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
+ Proficient computer skills including the ability to document medical information with written and electronic medical records
+ Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
**Preferred Qualifications:**
+ 2+ years of clinical NP experience in IM, Geriatrics, Primary Care, ED, Urgent Care, HomeHealth Care visits or similar setting
+ Proven awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
+ Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
****PLEASE NOTE**** Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. **The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments.**
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._