Optum Medical Coding Jobs in Virginia (NOW HIRING)

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Optum is seeking a Nurse Practitioner to join our Home-based Medical Care team in Washington, DC. 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.

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.

The Optum at Home (OAH) Dual Special Needs Plan (DSNP) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of patients (beneficiaries) in their place of residence. The OAH program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, comprised of the Optum at Home team of clinicians as well as community-based health care professionals (e.g., PCP, specialists, behavioral health, pharmacy, and other providers). Optum providers serve people in their own homes through annual evaluations, longitudinal visits for higher risk beneficiaries, and care coordination during transitions from the hospital or nursing home and ongoing care management.

Nurse practitioners (NP) function in the role of the Advanced Practice Clinician (APC) within the Optum at Home, providing care to our highest-risk health plan beneficiaries. The APC is part of an interdisciplinary team that includes a Case Manager (RN and/or BHA), Care Navigator, Optum Pharmacy, and other supporting team members. APCs support all aspects of patient care, including diagnosis, treatments, and consultations. APCs provide general and preventative care, interventional care, point of care testing, patient/caretaker education, and medication prescribing during in-home, telephonic, and virtual visits with the interdisciplinary team.

The APC is a licensed practitioner who works under a collaborative agreement (protocol) with a supervising physician (If applicable by State). The protocol is a written document in which the physician gives the NP authority to perform medical acts and agrees to be available for immediate consultation if necessary. The APC is responsible for managing health problems and coordinating health care for the Optum at Home beneficiaries in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, diagnosis, development of plan of care, implementation of treatment plan, ongoing evaluation of patient status and response to the plan of care, and ordering drugs, treatments and diagnostic studies. Clinical management is conducted in collaboration with other care team members.

This position will require 80-100% travel to patient homes/residences in the Washington, DC area all zip codes.

• Perform comprehensive age-appropriate assessments for complex and chronically ill patients with the frequency established in the model of care
• Effectively manage medical and behavioral conditions, acute and chronic, in collaboration with the member's team of care providers (e.g., PCP, specialists)
• Ensure accurate and complete ICD 10 condition documentation with supportive evidence of diagnosis Provide acute, follow-up, and post-hospitalization evaluation to engage resources and strategies to address medical, functional, and social barriers to care
• Develop a collaborative relationship with the team of health care providers, while acting as an advocate for the patient's goals of care
• Order and interprets diagnostic tests relative to patient's age-specific needs
• Prescribe appropriate pharmacologic and non-pharmacologic treatment modalities
• Implement interventions to support goals to regain or maintain physiologic stability; monitoring the effectiveness of interventions
• Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
• Provide patients and caregivers with counseling and education regarding health maintenance, disease prevention, condition trajectory, diagnosis, treatment, and need for follow up as appropriate during each patient visit.
• Conduct advanced illness and advanced care planning conversations to identify and prioritize the patient's goals of care for treatment plan development
• Verify and document that the patient understands diagnosis, treatment and follow up recommendations
• Actively participate in organizational quality initiatives, peer support, and mentoring activities
• Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of service delivery
• Maintain credentials essential for practice, to include licensure, certification, and CME
• Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members

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.

• Graduate of an accredited Nurse Practitioner (NP) Program
• Current Advanced Practice Registered Nurse (APRN) Licensure with unrestricted license in good standing in Washington, D.C, or the ability to obtain prior to start date
• Board Certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC) or Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP) in addition to Adult/Family or Gerontology Nurse Practitioners (ACNP)
• Active Prescriptive Authority in the state of professional licensure (unless prohibited by state regulations)
• Proven solid computer skills, including electronic medical records
• Ability to travel 75-80% of time for field-based regional travel (This role requires you to travel from one appointment to the next. Should you be driving on your own, you must provide proof of a valid driver's license from appropriate government authorities, to ensure compliance with the law) Washington, DC area all zip codes
• Driver's License and access to reliable transportation

• 2+ years in practice (community or long-term care setting preferred)
• Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
• Advanced knowledge of and experience with symptom management
• Understanding of Advanced Illness and end of life discussions
• Awareness of health literacy and health equity in patient care settings
• Ability to work with diverse care teams in a variety of settings
• Experience working with patients in non-clinical settings
• Effective time management and communication skills

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).

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