Optum Care at Home Clinical Advisor - Nurse Practitioner or Physician Assistant - Ohio (Statewide)

Optum Care At Home Clinical Advisor

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 Optum Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. 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 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.

Responsible for managing up to approximately one half a case load and for providing mentoring, coaching and support for NPs/PAs in the field. The Clinical Advisor partners with their Clinical Services Manager (CSM) or Director of Clinical Operations (DCO) to enhance clinical expertise and adherence to Optum's clinical model.

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.

Primary Responsibilities:

• The Clinical Advisor reports to and is supported by the Clinical Services Manager (CSM) and Director of Clinical Operations (DCO)
• Partner with the Manager or Supervisor to ensure effective on-boarding of new clinicians and ongoing development of existing clinicians
• Develop innovative approaches and support the implementation and adoption of new clinical and quality initiatives
• Does not have direct reports but works in coordination with the CSM and DCO to enhance clinical expertise and adherence to the clinical model through planning and implementing the orientation and development of NP staff
• 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
• Oversee and implement clinical staff development programs in collaboration with market leadership
• Review work performed by others and provides recommendations for improvement in conjunction with supervisor
• Serve as a resource to NPs/PAs for escalated complex and/or clinical issues
• Partner with clinicians and other site functions to ensure business development activities are in place to meet business goals
• Sought out as knowledge-based expert
• Communicate needs and issues surfaced by clinical staff to site and corporate leadership
• Serve as a leader/ mentor
• Promote the development of a collegial team, for coverage, troubleshooting and brainstorming
• Foster and develop a culture of clinical expertise
• Anticipate customer needs and proactively develop solutions to meet them
• Solve complex problems and develop innovative solutions in collaboration with other stakeholders
• Perform complex conceptual analyses
• Forecast and plan resource requirements
• Authorize deviations from standards
• May lead functional or segment teams and/or projects
• Provide explanations and information to others on complex issues
• Motivate and inspire other team members
• Care Delivery Responsibilities: 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 PCP, specialists, or other health care professionals/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.

Required Qualifications:

• Graduate of an accredited Nurse Practitioner (NP) Program or Physician Assistant (PA) Program
• Current Advanced Practice Registered Nurse (APRN) Licensure or Physician Assistant (PA) Licensure with unrestricted license in good standing
• 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)
• Solid computer skills, including Electronic Medical Record
• Ability to travel 75% of time for field-based work
• Driver's License and access to a reliable transportation

Preferred Qualifications:

• 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
• Experience working with patients in non-clinical settings
• 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
• Effective time management and communication skills

Compensation for this specialty generally ranges from $115,000 - $172,000. 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