Home Based Optum Medical Coding Jobs in Rhode Island

 * $40,000 Student Loan Repayment Or $20,000 Sign-on Bonus For Individuals Who Have Not Previously Participated In This Program  *

Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Senior Community Care (SCC) team, we work to provide care to patients at home, nursing homes and assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across settings. Join us to start Caring. Connecting. Growing together.

In this role, you will represent Optum as you provide consultative behavioral health to primary care provider serving patients in long term care settings. You'll interact closely with the facility staff and providers throughout the community; educating, building relationships and showing leadership in how to best address the complex needs of the patient and family. This is a flexible, autonomous role that creates enormous satisfaction as you impact the care and comfort of our aging population.

• No weekends, No major holidays
• No on call
• Team focus on patient goals of care, non-pharmacological approach
• Team focus on education

Primary Responsibilities: 

• Manage behavioral conditions in collaboration with social workers, psychiatrist and Medical providers
• Perform comprehensive behavioral health assessments
• Document findings consistent with Optum and Center for Medicare and Medicaid Services (CMS) regulations
• Facilitate agreement and implementation of the member's plan of care by engaging the care team
• Evaluate the effectiveness, necessity, and efficiency of the plan, making revisions as needed
• Assures that the aligns with the member's needs and wishes  
• Coordinate care as member's transition through different levels of care and care settings
• Includes the expertise of social work and other disciplines in care plan
• Assess the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
• Evaluate plan of care for cost effectiveness while meeting the needs of members, families, and providers to decreases high costs, poor outcomes and unnecessary hospitalization 
• Exhibit original thinking and creativity in the development of new and improved methods and approaches to behavioral health in the LTC setting

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, unrestricted NP license in the state of Rhode Island or the ability to obtain prior to start date
• PMHNP Certification (Psychiatric Mental Health Nurse Practitioner)
• Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
• 1+ years of experience in a long-term care setting or community setting
• Access to reliable transportation that will enable you to travel between nursing homes and/or care settings within a designated area 
• Valid driver's license with the ability to travel between nursing homes and/or care settings

Preferred Qualifications: 

• 3+ years of experience in a long-term care setting or community setting
• Demonstrated post-grad hands-on clinical experience
• Demonstrated ability to move up to 30 pounds

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.

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.