Remote Telephonic After Hours Float Nurse Practitioner – FL or PA


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Requisition Number: 2216488
Job Category: Healthcare Delivery
Primary Location: Miami, FL
(Remote considered)

$10,000 – $30,000 Sign On Bonus For External Candidates

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.   

In this role you will have the ability to achieve work life balance. Optum is transforming care delivery with innovative and personal care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities. 

The Home and Community Care (HCC) program is a longitudinal, integrated care delivery program.  The HCC Float National On Call advanced practice clinician (APC) is responsible for providing telephonic care and direction to members and facility staff during various evening, overnight, weekend, and holiday hours. This role is responsible for the delivery of medical care services to a pre-designated group of enrollees in PA, MD, VA, DE, FL, GA, NC, and AL

This position is a work from home position where you can live anywhere in the country, but in order to start the position, need to at least have FL or PA licensure.  We will then help you get the additional licensures after starting in the role.


This is a Full Time Float, work from home position requiring various shift coverage with a mix of weeknights, weekend, and holiday coverage.

While shift times can vary, we provide coverage to members on weeknights from 5pm- 8am local time, continuous coverage from Friday at 5pm to Monday at 8am. Holiday coverage is also provided beginning at 5pm of the end of the last business day to 8am of the resumption of business hours.

  • Flexibility and the ability to adapt are a must as you will cross cover multiple markets and teams
  • Availability and Coverage expectations for this role
    • Weeknight shifts between 5pm and 8am
      • Every weekend coverage for 10-12-hour shifts covering both day and night shifts
      • Expectations that you are working and/or have approved PTO for 105 weekend shifts/year. Each FT/PT employee is eligible to have off up to 12 weekend shifts a year for PTO
    • Unapproved time away/Unpaid Time Off will result in need to add additional shift(s) to your schedule
  • Overnight and holidays are required for all APCs
  • Holiday scheduling is completed at the beginning of the year for advanced planning

Primary Responsibilities: 

  • Available on provided telephonic platform, both taking and placing calls to coordinate care for members between facilities, hospitals, and Optum field colleagues
  • Utilize EMR proficiently to provide acute care to members during overnight and weekend/ holiday hours
  • Primary Care Delivery
    • Deliver cost-effective, quality care to members
    • Manage both medical and behavioral, chronic, and acute conditions effectively, and in collaboration with a physician or specialty provider
    • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
    • Responsible for ensuring encounter is documented appropriately to support the diagnosis at that visit
    • The APC is responsible for ensuring that all quality elements are addressed and documented
    • Utilizes practice guidelines and protocols established by HCC
    • Must attend and complete all mandatory educational training requirements
  • Care Coordination
    • Coordinate care as members transition through different levels of care and care settings
    • Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
    • Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member’s needs and wishes
    • Evaluate plan of care for cost effectiveness while meeting the needs of members, families, and providers to decreases high costs, poor outcomes and unnecessary hospitalizations
  • Program Enhancement Expected Behaviors
    • Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, HCC staff and other provider groups
    • Ability to meet shift scheduling requirements, and attendance expectations
    • Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
      Function independently and responsibly with minimal need for supervision
    • Demonstrate initiative in achieving individual, team, and organizational goals and objectives.
    • Participate in HCC quality initiatives
    • Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling

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: 

  • Active and unrestricted license in the state which you reside, and ability to obtain in other required locations
  • Education:
    • NP: Graduate of an accredited Master of Science Nursing or Doctor of Nursing Practice program
  • Active Nurse Practitioner certification through a national board:
  • NP:  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
  • Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
  • Ability to gain a collaborative practice agreement, if applicable in the states you are working
  • 3+ year of clinical experience as an APC
  • Ability to work scheduled shifts in accordance with scheduling policies
  • Proficient computer skills including the ability to document medical information with written and electronic medical records.
  • Proven understanding of Geriatrics, Chronic Illness, and acute disease management

Preferred Qualifications: 

  • Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
  • Experience working in a nursing home, or with seniors in an acute care facility
  • Understanding of advanced illness and end of life discussions
  • Ability to develop and maintain positive customer relationships
  • Adaptability to change

If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.

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.