Nurse Practitioner HouseCalls - Philadelphia and Montgomery Counties PA

About the role

Optum Home & Community Care, part of the Optum family of businesses, is creating an integrated care model that addresses physical, mental, and social needs, helping patients access and navigate care anytime and anywhere. As a member of the Optum HouseCalls team, you will work in an interdisciplinary care environment to help patients navigate the health care system and connect them to key support services. HouseCalls is an innovative, performance‑driven program that brings care directly to members’ homes. As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in‑home health assessments for Medicare Advantage and other plan members. This non‑prescribing, field‑based role focuses on improving health outcomes through education, gap closure, and collaboration with primary care providers (PCP).

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.
• Identify and document diagnoses for care management and treatment planning.
• Communicate findings to members’ primary care providers to address gaps in care.
• Recognize urgent/emergent situations and intervene appropriately.
• Educate members on disease processes, medications, and compliance.
• Address social determinants of health and provide referrals as needed.
• Receive recognition and rewards for performance, with clear direction on success and development opportunities for other roles.

Requirements

• For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult‑Gerontology Primary Care.
• For PAs: Current NCCPA certification and state licensure.
• 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 to complete home visits.
• Ability to navigate varied home environments; ability to sit/stand/kneel as needed to perform assessments.
• If practicing in a state that allows NPs/P