CareCoach Connect Nurse Practitioner - WellMed Medical Group - Houston, TX

A partner of the Optum Care network, WellMed Medical Group, is seeking a CareCoach Connect Advanced Practice Clinician (APC) to provide both longitudinal and episodic medical care to mostly Medicare-aged patients on a Medicare Advantage plan. The APC will conduct visits in patients’ homes and virtually to manage their acute and chronic conditions. The APC collaborates with the lead collaborating physician to formulate a diagnosis and appropriate plan of care.

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.?? 

Position Highlights:

• Provide care in patient’s homes and virtually consistent with their licensure and/or certification.
• Diagnose and treat both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The APC will also treat acute conditions such as injuries and other medical conditions such as infections or exacerbations of chronic disease.
• Order and interpret diagnostic lab work, x-rays, EKG.
• Prescribe pharmacological and non-pharmacological interventions for both acute and chronic conditions.
• Perform procedures based on the patient’s condition (ex: place IVs, wound debridement, joint injections, vaccinations, etc.)
• Collaborate with lead M.D./D.O, specialists, other health care team members, the patient and family in developing a plan of care.
• Determine effectiveness of interdisciplinary treatment plan, evaluate patient response, and revise plan of care accordingly including program designation, discharge planning and frequency of visits and visitors.
• Communicate effectively with patients and families for understanding of diagnosis, prognosis, and treatment plans.
• Oversee census of longitudinal care patients and manage them with the team on a regular basis (census may change regularly due to geographic catchment area changes).
• Transition appropriate patients to hospice or back to usual care when clinically necessary.
• Perform transition of care evaluations and acute visits for patients when clinically necessary.
• Prepare and maintain accurate patient records, and documents.
• Provide education to patients and families regarding chronic disease management, symptom management and quality of life expectations.
• On-Call responsibilities as required.

What makes an OptumCare organization different?

• WellMed is a Medicare Advantage Plan that operates as a health system focused on Quality/Value Based Outcomes
• Our care model limits daily volume to allow our providers the time needed to provide quality care to their patients 
• We offer clinical and leadership growth and stability second to none
• Providers are supported to practice at the peak of their license
• We are influencing change on a national scale while maintaining the culture and community of our local care organizations

Compensation/Benefits Highlights:

• Base Salary plus Incentive bonus target
• Optum Care Advanced Provider Clinician Partnership Plan
• 401k with match and UHG Employee Stock Purchase Program
• 160 hours of PTO, 40 hours CME, and 9 national holidays
• Comprehensive Benefits from Optum Partner Services 

About WellMed:

At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors.  WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. 

Required Qualifications:

• Graduate of an accredited Nurse Practitioner or Physician’s Assistant Program
• Current Licensure through the State Board of Nurse Examiners or State Medical Board
• Current prescriptive authority from the State Board of Nursing or State Medical Board
• Comfortable with chronic condition management for Medicare-aged population
• Must have a valid driver’s license within the state of work
• Position will require a minimum of 25% travel and overnight trips with hotel stay
• Ability to establish effective working relations with patients and their families

Preferred Qualifications:

• 2+ years internal medicine/family practice with geriatric care experience
• Home health experience
• Knowledge of Palliative care and end of life symptom management
• Bilingual (English/Spanish) language proficiency preferred
• Ability to assess the physical, and psychosocial, status of geriatric populations
• Ability to work independently and interdependently with the interdisciplinary team, showing initiative and motivation