Nurse Practitioner, Population Health - OptumCare Network

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OptumCare Network is committed to supporting medical practices to transition to sophisticated team-based care models that meet the needs of individual patients and populations of patients. Foundational to this transition is moving the business model from primarily Fee-For-Service (FFS) to FFS plus Value Based Care (VBC). This transition shifts the emphasis from a focus on volume to a focus on quality and resource stewardship.

The Nurse Practitioner will provide such services to clinical practices across the state. In order to minimize travel time and to develop relationships, the Nurse Practitioner will be assigned to a more limited geographical area where most efforts will be deployed.

The Nurse Practitioner will review the work of community clinicians, develop innovative approaches, be perceived as an expert and sought out as such, and serve as a mentor to community clinicians.

Primary Responsibilities:

A Population Health Nurse Practitioner collaborates with medical practices while providing three key services:

• Chronic Condition Reviews: Conduct in office, in home, in rehabilitation centers, in custodial care housing and in virtual visits with Optum members to systematically review their chronic conditions. The Nurse Practitioner ensures that primary care clinicians have an accurate problem list to reference while overseeing and coordinating care. The Nurse Practitioner constructs this problem list in accordance with current standards established by CMS in its HCC-based, risk adjustment model
• Educating Clinicians on How to Employ Risk Adjustment Best Practices: Meet with primary care clinicians in their offices or virtually to educate these clinicians on CMS’s HCC-based, risk adjustment model. The Nurse Practitioner is responsible for developing the knowledge, skills and attitudes of community clinicians such that these clinicians integrate CMS’s risk adjustment model into their work processes
• Promoting Care Model Improvements: The Nurse Practitioner is ambassador of best practices in chronic care to community clinical teams and will have educational roles likely including, but not limited to, promotion of best practices in HEDIS measures of quality; dementia and caregiver support programs; and transitional care interventions

The allocation of time within the three above services will differ for each Population Health Nurse Practitioner based on interest, experience, and skill level of the individual as well as business needs.

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:

• Advanced Registered Nurse Practitioner (Nurse Practitioner) degree
• Recent graduates of a Nurse Practitioner program are eligible for this role
• Current and unrestricted state license to practice medicine as a Nurse Practitioner or ability to obtain by start date
• Current and unrestricted Drug Enforcement Agency license or ability to obtain by start date
• Current state license to operate a motor vehicle and reliable transportation

Preferred Qualifications:

• 2+ years of clinical experience
• Ability to travel beyond assigned area occasionally within licensed state (with notice, based on business needs)

Essential Technical/Motor Skills:

• Excellent range of knowledge with respect to the practice of medicine.  Ability to speak clearly and communicate with patients, families, agencies, other providers and staff regarding patient care
• Competency in the range of Microsoft Office applications and similar tools, including but not limited to Word, Excel, and PowerPoint
• Ability to communicate through a language translator (both live in-person and remote telephonic translators)

Interpersonal Skills:

• Ability to develop positive interaction with patients, families, physicians, administrators and co-workers in order to effectively care for the patient
• Key competencies include: curiosity, communication, collaboration, relationship-management, storytelling, and adaptation to change

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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