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 Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.  
 

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. 

Primary Responsibilities: 

Clinical Expertise & Leadership:

• Functions as the primary day-to-day clinical leader of the interdisciplinary care team (IDT), providing clinical decision-making support, curbside consultations, ride alongs, and comprehensive chart reviews (in accordance with state-specific CPA requirements) to ensure we maintain a high level of patient and caregiver satisfaction and exceptional clinical outcomes
• Performs chart reviews and leads discussions with the interdisciplinary team to ensure that care plans meet the clinical and psycho-social needs of patients, promoting coordinated and holistic care
• Demonstrate exceptional medical judgment and resource utilization in developing care plans, ordering diagnostic tests, and making appropriate referrals for the highest complexity patients
• Execute on HEDIS measure campaigns and other quality initiatives as directed by the Market Medical Director (MMD) and Associate Medical Director (AMD). Hold team members accountable to the highest standards of care management and delivery to enhance patient outcomes
• Participate in and lead clinical management meetings (e.g., daily huddle, weekly case reviews and IDT meetings, and weekly provider meetings)
• Keeps current on relevant medical research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews

Team Management:

• Manages a team of 6-10 advanced practice clinicians, providing guidance, mentorship, and support to optimize their performance and professional development
• Responsible for all administrative duties related to people management such as PTO, FMLA, coaching, and performance reviews
• Create and foster a team culture that is collaborative and patient-centric
• Advocate to relevant stakeholders regarding internal issues, challenges, barriers, and needed changes
• Monitor team-level performance metrics (e.g., admission/readmission rates, length of stay, CHF, COPD) in order to identify opportunities to deliver high quality patient care

In-Home Co-Management of Complex Patients:

• Provide comprehensive medical care to our most complex patients in their place of residence through effective co-management of patients with their assigned longitudinal APC provider. Apply clinical expertise to guide team members to effectively assess and address patient’s medical, urgent, social, psychological, financial, caregiver support, and environmental safety needs. Percentage of patient-facing time can vary significantly to as high as 40% when short staffed
• Apply clinical expertise to develop and update individualized care plans for patients, documenting clinical encounters accurately in the electronic medical record. Foster strong patient-provider and caretaker/family-provider relationships to enhance patient compliance with the care plan
• Rotate on-call duties to provide after-hours urgent care coverage for medically complex patients, ensuring continuity of care
• Arrange placement of patients to appropriate levels of care, collaborating with relevant healthcare facilities and providers

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays 
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account 
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 
• 401(k) Savings Plan, Employee Stock Purchase Plan 
• Education Reimbursement 
• Employee Discounts 
• Employee Assistance Program 
• Employee Referral Bonus Program 
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) 
• More information can be downloaded at: http://uhg.hr/uhgbenefits 

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: 

• Active NP or PA license OR MD/DO license. Licensure must be unencumbered, free of any open/unresolved disciplinary actions including probation or restrictions against privilege to practice
• 5 years of clinical experience, home-based care preferred
• 3 years of leadership and/or management experience in a healthcare setting
• Extensive experience in providing medical care to geriatrics and/or seriously ill patients
• Understanding of patient care quality metrics (e.g., HEDIS, Stars, disease-based metrics) in order to drive team members to achieve quality outcomes
• Familiarity with CPT and ICD-10 codes
• Ability to complete physical requirements of the job including lifting a 30-pound bag in and out of a vehicle, navigating stairs and a variety of dwelling conditions, and sit, stand, and kneel to perform physical assessment
• Reliable transportation to complete home visits; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
• Up to 100% daily travel within assigned territory

Preferred Qualifications: 

• Experience utilizing Ubiquity EMR
• Internal Home-Based Medical Care candidates
• Knowledge of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems

Soft Skills:

• Excellent written and verbal communication skills
• Interpersonal and conflict resolution skills

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.

 Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 

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