Nurse Practitioner -Senior Community Care-Per Diem - St. Louis, MO
Company: Optum
Location: Saint Louis
Posted on: May 8, 2025
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Job Description:
$3,500 Sign On Bonus For External Candidates
Optum is seeking a Nurse Practitioner to join our Home-based
Medical Care team in St. Louis, MO. Optum is a clinician-led care
organization, that is creating a seamless health journey for
patients across the care continuum.
As a member of the broader Home and Community Care team, you'll
help bring home-based medical care to complex, chronic patients.
This life-changing work helps give older adults more days at
home.
At Optum, the integrated medical teams who practice within Home and
Community Care are creating something new in health care. Together,
we are bringing high-end medical service, compassionate care and
industry leading solutions to our most vulnerable patient
populations. Our holistic approach addresses the physical, mental
and social needs of our patients wherever they may be - helping
patients access and navigate care anytime and anywhere. We're
connecting care to create a seamless health journey for patients
across care settings. Join our team, it's your chance to improve
the lives of millions while -Caring. Connecting. Growing
together.
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We're fast becoming the nation's largest employer of Nurse
Practitioners; offering a superior professional environment and
incredible opportunities to make a difference in the lives of
patients. This growth is not only a testament to our model's
success but the efforts, care, and commitment of our Nurse
Practitioners.
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Serving millions of Medicare and Medicaid patients, Optum is the
nation's largest health and wellness business and a vibrant,
growing member of the UnitedHealth Group family of businesses. You
have found the best place to advance your advanced practice nursing
career. As an CCM Nurse Practitioner/ Physician Assistant per diem
you will provide care to Optum members and be responsible for the
delivery of medical care services in a periodic or intermittent
basis.
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Primary Responsibilities:
Primary Care Delivery
Deliver cost-effective, quality care to assigned 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 that all diagnoses are ICD10, coded
accurately, and documented appropriately to support the diagnosis
at that visit -
The APC is responsible for ensuring that all quality elements are
addressed and documented -
The APC will do an initial medication review, annual medication
review and a post-hospitalization medication reconciliation -
Facilitate agreement and implementation of the member's plan of
care by engaging the facility staff, families/responsible parties,
primary and specialty care physicians -
Evaluate the effectiveness, necessity and efficiency of the plan,
making revisions as needed -
Utilizes practice guidelines and protocols established by CCM -
Must attend and complete all mandatory educational and LearnSource
training requirements -
Travel between care sites mandatory -
Care Coordination
Understand the Payer/Plan benefits, CCM associate policies,
procedures and articulate them effectively to providers, members
and key decision-makers -
Assess the medical necessity/effectiveness of ancillary services to
determine the appropriate initiation of benefit events and
communicate the process to providers and appropriate team members
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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
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Review orders and interventions for appropriateness and response to
treatment to identify most effective plan of care that aligns with
the member's 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, CCM staff and other provider groups -
Actively promote the CCM program in assigned facilities by
partnering with key stakeholders (i e : internal sales function,
provider relations, facility leader) to maintain and develop
membership growth -
Exhibit original thinking and creativity in the development of new
and improved methods and approaches to concerns/issues -
Function independently and responsibly with minimal need for
supervision -
Ability to enter available hours into web-based application, at
least one month prior to available work time -
Demonstrate initiative in achieving individual, team, and
organizational goals and objectives -
Participate in CCM 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:
Certified Nurse Practitioner through a national board
For NPs: Graduate of an accredited Master's degree in Nursing (MSN)
program and board certified through the American Academy of Nurse
Practitioners (AANP) or the American Nurses Credentialing Center
(ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC
NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with
preferred certification as ANP, FNP, or GNP -
Active and unrestricted license in the state which you reside -
Current active DEA licensure/prescriptive authority or ability to
obtain post-hire, per state regulations (unless prohibited in state
of practice) -
Ability to move a 30-pound bag in and out of car and to navigate
stairs and a variety of dwelling conditions and configurations
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Availability to work 24 hours per month, with expectations that 16
of the 24 hours/month could be during off-hours (after 5 pm, on
weekends, and/or holidays) not to exceed 960 hours in a calendar
year
Ability to gain a collaborative practice agreement, if applicable
in your state
Access to reliable transportation that will enable you to travel to
client and/or patient sites within a designated area -
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Preferred Qualifications:
1+ years of hands-on post grad experience within Long Term Care
Understanding of Geriatrics and Chronic Illness -
Understanding of Advanced Illness and end of life discussions -
Proficient computer skills including the ability to document
medical information with written and electronic medical records
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Ability to develop and maintain positive customer relationships
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Adaptability to change -
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This role's wage is based on a per visit amount that falls in the
range of $90 to $155, and actual earnings will vary based on number
of visits performed
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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.
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OptumCare is a drug-free workplace. Candidates are required to pass
a drug test before beginning employment.
Keywords: Optum, Florissant , Nurse Practitioner -Senior Community Care-Per Diem - St. Louis, MO, Healthcare , Saint Louis, Missouri
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