NP or PA, Care at Home - Erie Niagara
About the role
Optum Home & Community Care, part of the Optum family of businesses, is creating an integrated care model that holistically addresses patients' physical, mental and social needs, helping them access and navigate care anytime and anywhere. As a member of the Optum Care at Home product, you will work with an interdisciplinary care team to help patients navigate the health care system and connect them to key support services, providing preventive care that helps patients stay well at home. The Optum at Home program is a longitudinal, integrated care delivery program that coordinates clinical care for high‑risk health plan beneficiaries in their place of residence. The APC within OAH provides care to our highest‑risk beneficiaries and is part of an interdisciplinary team.
Responsibilities
- Conduct comprehensive in‑home assessments, including past medical history review, medication reconciliation, vital signs, and physical exam
- Perform evidence‑based screenings and point‑of‑care testing as appropriate
- Manage members through acute medical situations or exacerbations of chronic conditions, including testing, diagnostics, and interventions
- Manage members during short‑term sub‑acute rehabilitation episodes
- Ensure accurate and complete documentation, including ICD‑10 coding
- Communicate and collaborate with the interdisciplinary care team
- Conduct advanced illness and advanced care planning conversations
- Provide patients and caregivers with counseling and education
Requirements
Required Qualifications
- Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult‑Gerontology Primary Care (for NPs)
- Current NCCPA certification and state licensure (for PAs)
- Active, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitations
- Active and unrestricted driver's license
- Access to reliable transportation