Job Description

$10,000  Sign-on Bonus for External Candidates

Home Based In-Home and Telehealth Visits

Area of Coverage is Pottawatomie County and Limited Areas of Northern MO 

Neola, Oakland, Shelby, McClelland, Minden, Oakland, Treynor, Hancock, Underwood Walnut

Home Based Medical Care, Internal Medicine, Urgent Care, SNF, LTAC , Palliative

Landmark, part of the Optum family of businesses, is seeking a Nurse Practitioner to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live. 

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. 

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while   Caring. Connecting. Growing together.   

Position in this function works as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population within an assigned geography. Dedicated to improving the health and well- being of patients, this position collaborates with the PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients’ goals of care in all phases of the patient journey. 

Primary Responsibilities:

• Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants
• Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable
• Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable
• Completes follow-up and post-discharge assessments according to documented standard operating procedure
• Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions
• Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc. New hire and annual skills check/training provided
• Consults with hospital, emergency or post-acute clinical team following notification of patient transfer
• Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness
• Provides counsel, support and education to staff as appropriate
• Actively participates in ongoing meetings pertaining to patient care and clinical excellence
• Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery
• On-call for caseload during business hours. Participation in clinical after hours on-call program on rotational basis
• Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
• Perform related duties as necessary and other duties as assigned

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:

• Completion of Nurse Practitioner accredited program
• Current state RN license
• Current NP license
• Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy

Preferred Qualifications:

• 2+ years clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care
• Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
• Knowledge of CPT, ICD-10 and HCPC codes
• Knowledge of clinical standards of care
• Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
• Home Based Care, Urgent, Emergent, Internal Medicine, SNF, LTAC
• Telehealth 

Landmark Health, a part of Optum, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to patients. Our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve. At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. Join Landmark to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities. Together, we're making health care work better for everyone.

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.

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