Job Abstract

The Home and Community Care (HCC) program is a longitudinal, integrated care delivery program. The HCC National On Call advanced practice clinician (APC) is responsible for providing telephonic care and direction to members and facility staff during various evening, overnight, weekend, and holiday hours. This role is responsible for the delivery of medical care services to a pre-designated group of enrollees in NJ, CT, RI, NY, ME, NH.

In this home-based role you will provide afterhours virtual (primarily telephonic) care for aging residents in various settings. This excellent opportunity affords an autonomous role bringing enormous satisfaction in the care and comfort of our aging population. In this role you will have the ability to achieve work life balance. Optum is transforming care delivery with innovative and personal care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities.

Scheduling:

This is a Full time, work from home position requiring various shift coverage with a mix of weeknights, weekend, and holiday coverage.

While shift times can vary, we provide coverage to members on weeknights from 5pm- 8am local time, continuous coverage from Friday at 5pm to Monday at 8am. Holiday coverage is also provided beginning at 5pm of the end of the last business day to 8am of the resumption of business hours.

• Flexibility and the ability to adapt are a must as you will cross cover multiple markets and teams
• Availability and Coverage expectations for this role
  • Weeknight shifts between 5pm and 8am
  • Every other weekend coverage for 10-12-hour shifts covering both day and night shifts
    
    • Expectations that you are working and/or have approved PTO for 52 weekend shifts/year. Each FT/PT employee is eligible to have off up to 6 weekend shifts a year for PTO
    • Unapproved time away/Unpaid Time Off will result in need to add additional shift(s) to your schedule
• Overnight and holidays are required for all APCs
• Holiday scheduling is completed at the beginning of the year for advanced planning

You will have the flexibility to work remotely* from anywhere in the United States as you take on some tough challenges.

Primary Responsibilities:

• Available on provided telephonic platform, both taking and placing calls to coordinate care for members between facilities, hospitals, and Optum field colleagues
• Utilize EMR proficiently to provide acute care to members during overnight and weekend/ holiday hours
• Primary Care Delivery
  
  • Deliver cost-effective, quality care to members
  • Manage both medical and behavioral, chronic, and acute conditions effectively, and in collaboration with a physician or specialty provider
  • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
  • Responsible for ensuring encounter is documented appropriately to support the diagnosis at that visit
  • The APC is responsible for ensuring that all quality elements are addressed and documented
  • Utilizes practice guidelines and protocols established by HCC
  • Must attend and complete all mandatory educational training requirements
• Care Coordination
  
  • Coordinate care as members transition through different levels of care and care settings
  • Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
  • Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the members needs and wishes
  • Evaluate plan of care for cost effectiveness while meeting the needs of members, families, and providers to decreases high costs, poor outcomes and unnecessary hospitalizations
• Program Enhancement Expected Behaviors
  • Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, HCC staff and other provider groups
  • Ability to meet shift scheduling requirements, and attendance expectations
  • Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
  • Function independently and responsibly with minimal need for supervision
  • Demonstrate initiative in achieving individual, team, and organizational goals and objectives
  • Participate in HCC quality initiatives
  • Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• NP: Graduate of an accredited Master of Science Nursing or Doctor of Nursing Practice program
• Active and unrestricted license in the state which you reside, and ability to obtain in other required locations
• Active Nurse Practitioner certification through a national board:
• NP: Board certified through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center, with certification in one of the following:
  
  • Family Nurse Practitioner
  • Adult Nurse Practitioner
  • Gerontology Nurse Practitioner
  • Adult-Gerontology Acute Care Nurse Practitioner
• Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
• Ability to gain a collaborative practice agreement, if applicable in the states you are working
• 3+ year of clinical experience as an APC
• Ability to work scheduled shifts in accordance with scheduling policies
• Proficient computer skills including the ability to document medical information with written and electronic medical records
• Proven understanding of Geriatrics, Chronic Illness, and acute disease management

Preferred Qualifications:

• Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
• Experience working in a nursing home, or with seniors in an acute care facility
• Understanding of advanced illness and end of life discussions
• Proven ability to develop and maintain positive customer relationships
• Proven adaptability to change

*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only:The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.

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 everyoneof every race, gender, sexuality, age, location and incomedeserves 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.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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