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Assists in teaching clinicians and management team about Medicare Risk Adjustment, Star ratings, and overall population health approach to patient care in both formal presentations and off the cuff at impromptu opportunities.
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Warm weather, 300-plus days of sunshine, championship golf, hiking, skiing, five-star restaurants, endless attractions and entertainment choices are reasons Las Vegas is one of the fastest-growing cities in the United States.
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HEDIS / STAR experience or participation with similar regulatory reporting. Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and create interpretive exhibits.
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Optum Senior Community Care provides the Patient Connect Program for United Healthcare members in a short stay/transitional setting with focus on reduction in 30-day hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and discharge and post discharge support.
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The Optum practitioner will provide a one time comprehensive health assessment for the member in collaboration with the case management team to support better care coordination and health outcomes.
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Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. 2+ years of experience working with Medicaid waiver populations. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life.
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Active Nurse Practitioner certification through a national board:Board certified through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center, with certification in one of the following:Family Nurse Practitioner Adult Nurse Practitioner Gerontology Nurse Practitioner Adult-Gerontology Acute Care Nurse Practitioner.
$42.31 an hourExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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For NPs: Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP.
$42.31 - $83.27 an hourFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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This is an autonomous role that creates enormous satisfaction for the NP as you impact the care and support of our population. We're going beyond basic care to health programs integrated across the entire continuum of care.
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Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS®/Star measures. 1+ years HEDIS®/STAR experience. Act as a SME for data collection and HEDIS® questions, asked by provider offices.
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Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations. Proficient computer skills including the ability to document medical information with written and electronic medical records.
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Ensure that all NCQA and other accreditation standards are met; ensure compliance with accurate coding and documentation standards, STAR, HEDIS measures. Ensure that all NCQA and other accreditation standards are met; ensure compliance with accurate coding and documentation standards, STAR, HEDIS measures.
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