UnitedHealth Group Nurse Practitioner, Clinical Advisor - Gettysburg, York and Harrisburg in Reading, Pennsylvania
Optum Home & Community Care, part of the UnitedHealth Group 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) product, we work with a team to provide care to patients at home in a nursing home, 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 care settings. Join us to start Caring. Connecting. Growing together.
The Clinical Advisor is responsible for managing up to approximately one half a case load and for providing mentoring, coaching and support for APCs and RNs in the field. The Clinical Advisor partners with their Clinical Services Manager (CSM), Clinical Team Lead (CTL) or Director of Clinical Operations (DCO) to enhance clinical expertise and adherence to Optum’s clinical model.
Primary Responsibilities:
1. Set team direction, resolve problems, and provide guidance to members of own team.
2. Adapt departmental plans and priorities to address business and operational challenges.
3. Clinically mentor/teach team members as appropriate under the direction of CSM.
4. Maintain caseload of 50% or more patients and acquire patients according to team needs in conjunction with clinical advisor duties.
5. Partner with the manager or supervisor to ensure effective on-boarding of new clinicians and ongoing development of existing clinicians.
6. Develop innovative approaches and support the implementation and adoption of new clinical and quality initiatives.
7. Utilize advanced clinical nursing expertise, knowledge of geriatric/chronic disease management, and the long-term care industry to provide coaching, mentoring, and role-modeling to new and existing clinicians.
8. Oversee and implement clinical staff development programs in collaboration with market leadership.
9. Review work performed by others and provide recommendations for improvement in conjunction with supervisor.
10. Serve as a resource to APCs/RNs for escalated complex and/or clinical issues.
11. Communicate needs and issues surfaced by clinical staff to site and corporate leadership.
12. Promote the development of a collegial team for coverage, troubleshooting and brainstorming.
13. Anticipate customer needs and proactively develop solutions to meet them.
14. Solve complex problems and develop innovative solutions in collaboration with other stakeholders.
15. Perform complex conceptual analyses.
16. Forecast and plan resource requirements.
17. Authorize deviations from standards.
18. May lead functional or segment teams and/or projects.
19. Motivate and inspire other team members.
Primary Care Delivery:
1. Deliver cost-effective, quality care to assigned members.
2. Manage both medical and behavioral chronic and acute conditions effectively in collaboration with a physician or specialty provider.
3. 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.
4. Facilitate agreement and implementation of the member’s plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians.
5. Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed.
Required Qualifications:
1. Certified Nurse Practitioner through a national board.
2. Graduate of an accredited master’s degree in Nursing (MSN) program or doctor of nursing practice (DNP) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC).
3. Active and unrestricted license in the state which you reside.
4. Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations.
5. 3+ years NP experience.
6. Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area.
7. Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations.
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.
#J-18808-Ljbffr