Optum

Nurse Practitioner, Population Health - OptumCare Network

Portland, OR

full-time
Inpatient and outpatient

$10,000 Sign-on Bonus for External Candidates

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. OptumCare Network is seeking two Nurse Practitioners to join our teams in Portland and Eugene.

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.

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)

Posted December 21, 2024