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Nurse Practitioner, Transitional Care - Rochester, NY - $10K Sign On Bonus for External Candidates

UnitedHealth Group
Rochester, NY
  • Job Code
  • Jobs Rated
767613 Nurse Practitioner Transitional Care Rochester NY 10K Sign On Bonus for External Candidates

Nurse Practitioner, Transitional Care - Rochester, NY - $10K Sign On Bonus for External Candidates (767613)

Position Description

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.


As a Nurse Practitioner, you will provide care to your daily census of patients. You will be responsible for member outcomes while delivering the Transition to Skilled Care delivery model.  Outcomes include, but are not limited to, engagement rate, length of stay, readmission, HEDIS and Star measures, coding, and diagnosis accuracy.


 Primary Responsibilities:

  • Manage individual transition to skilled program (TTS) members to achieve value driven goals of TTS program including but not limited to, readmissions, length of stay, engagement rate, and HEDIS/Star measures
  • Deliver cost-effective, quality care to assigned members
  • Manage both medical and behavioral chronic and acute conditions effectively in collaboration with a physician or specialty provider
  • Responsible for ensuring that all diagnoses are ICD10 coded accurately and documented appropriately to support the diagnosis at that visit
  • The APC is responsible for ensuring that all quality elements are addressed and documented for each engagement in the TTS program
  • The APC will do an initial medication reconciliation, and annual medication reconciliation on discharge to lower level of care
  • Facilitate agreement and implementation of the member’s plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
  • Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed
  • Utilizes practice guidelines and protocols established by CCM
  • May be required to participate in on-call program
  • Travel between care sites
  • Understand the Payer/Plan benefits, CCM associated policies, procedures and articulate them effectively to providers, members and key decision-makers
  • Assess the medical necessity/effectiveness of ancillary services to determine the appropriate continuation of benefits and communicate to providers and appropriate team members
  • Coordinate care as members transition through different levels of care and care settings
  • Continually monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
  • Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member’s needs and wishes
  • Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations and extended lengths of stay
  • Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, CCM staff and other provider groups
  • Actively promote the CCM program in assigned facilities by partnering with key stakeholders (i.e.: internal sales function, provider relations, facility leader) to maintain and develop membership growth
  • Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
  • Function independently and responsibly with minimal need for supervision
  • Demonstrate initiative in achieving individual, team and organizational goals and objectives
  • Participate in CCM quality initiatives

Required Qualifications:

  • Masters prepared or PA in compliance with state licensure requirements

  • Certified nurse practitioner through ANCC/AANP for adult, family and/or geriatrics (GNP-C preferred)
  • Current unrestricted license in state(s) in which practicing
  • Unrestricted DEA (license to prescribe narcotics/level II) per state regulations (unless prohibited in state of practice).
  • 1+ years experience as a Nurse Practitioner in a long term care or community setting
  • Proficient computer skills including the ability to document medical information with written and electronic medical records

Preferred Qualifications:

  • Understanding of Geriatrics and Chronic Illness
  • Ability to develop and maintain positive customer relationships
  • Adaptability to change
  • Understanding of Advanced Illness and end of life discussions

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.



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 by law.

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



Keywords: Nurse Practitioner, NP, long term care, skilled care, SNF, LTC, Assisted Living, Nursing Home, Primary Care, Rochester, NY, New York

Job Details

  • Contest Number767613
  • Job TitleNurse Practitioner, Transitional Care - Rochester, NY - $10K Sign On Bonus for External Candidates
  • Job FamilyHealthcare Delivery
  • Business SegmentOptumCare

Job Location Information

  • Rochester, NY
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

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Nurse Practitioner, Transitional Care - Rochester, NY - $10K Sign On Bonus for External Candidates

UnitedHealth Group
Rochester, NY

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Nurse Practitioner, Transitional Care - Rochester, NY - $10K Sign On Bonus for External Candidates

UnitedHealth Group
Rochester, NY

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Nurse Practitioner
74th2018 - Nurse Practitioner
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Median Salary: $110,930

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