UnitedHealth Group
At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be – helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together.
This position is for the oversight of the Regional HouseCalls program which delivers in home annual wellness exam to all qualified Medicare Advantage Members, Community and State members and several other plans.
HouseCalls is a unique program designed to enhance and improve quality care for our members. We provide in home assessments to members and tailor our care based on the individual and their health care needs.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Leading and directing all clinical functions to ensure optimal performance
Developing policies and procedures to ensure quality and performance meet expectations
Researching and providing appropriate recommendations for improving processes and implementing new programs. Use STARS and HEDIS quality measures to guide these decisions
Work with Training and Development to develop education and training for the clinical teams
Workforce management: Manage the demands of a rapidly changing staffing environment with resilience. Analyzes and makes fact based decisions utilizing forecasting model
Assuring performance adheres with established quality standards, evidenced based practice guidelines and departmental benchmarks and workflows
Perform yearly common reviews and continually manage performance
Ensure enterprise, department, HIPPA, and regulatory compliance: Maintaining security of Protected Health Information (PHI) and Intellectual Property (IP)
GSS functions: Update status change, terminations, PTO management, population and network development reconciliation.
Regular meetings and collaboration with supporting departments to ensure operational efficiency
Represents HouseCalls in a positive, solution focused manner that embodies our corporate values: Integrity, Compassion, Relationships, Innovation and Performance
Develop strategies to increase job satisfaction and reduce turnover rates
Identify key talent and provide opportunities for professional growth and career advancement
Assure staff receives the appropriate orientation, training and ongoing professional development
Mentor and support for Clinical Team Managers and HouseCalls Practitioners
Minimum 25% travel
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:
Successful completion of an accredited Nurse Practitioner program: Masters or Doctoral prepared
GNP, FNP, ANP, board certified and eligible with an unencumbered license to practice in assigned state
7+ years of practice experience in a clinical setting
3+ years of management and leadership experience
Preferred Qualifications:
Experience in a home setting
Experience in working within a managed care environment
Knowledge of HEDIS and STAR quality measures
Proficiency in Clinical Documentation and Quality Improvement
Proficiency in Microsoft Office products and applications
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group
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