Remote Home Based Medical Care – Nurse Practitioner Urgentivist (RN, APRN) – Madison, St. Clair, and Monroe Counties, IL

Job Overview

  • Clinical License RN, APRN
  • State(s) IL

$10,000 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.   


As a team member of our Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. 

This role primarily provides urgent medical care and management to patients served by the Home Base Medical Care practice. This position also participates in gathering clinical information for medical necessity determinations for service requests. Dedicated to improving the health and well-being of patients, this position collaborates with the patient’s interdisciplinary team, the patient’s PCP and other health professionals and community resources as needed, to deliver and coordinate care in line with patient specific goals of care in all phase of the illness trajectory.

Primary Responsibilities:

  • Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing
  • Responds to urgent / unscheduled patient needs with the purpose of assessing acuity of illness and preventing hospitalization through interventions delivered in the home when medically indicated and desired by patient
  • During the visit, promptly communicates with the longitudinal provider and/or pod leader to discuss patient assessment and receive/document/implement orders received
  • Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc.
  • As availability allows, completes maintenance visits, post-discharge visits, and initial visits in a way and volume that allows prompt response to urgent patient requests during normal business hours
  • Following the visit, promptly communicates with the PCP and specialist as needed along with communicating findings to their primary assigned provider
  • Completes the required documentation in a timely manner (goal <48 hours) allowing the care team access to the care provided and a note to be generated to the PCP
  • Understands and complies with long-term care policies and procedures, including those that regulate nursing facilities and assisted living communities
  • Establishes and maintains effective relationships with patients and their legal representatives, facility staff, PCPs and other collaborating physicians/providers
  • Prescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions
  • Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness
  • Conducts Serious Illness Conversations and Goals of Care conversations with patients, families, and caregivers to ensure goal-concordant care; as appropriate, completes hospice education and referral facilitation
  • Provides counsel, support and education to facility staff
  • Supports Nurse Care Managers in developing and providing in-service educational programs to facility staff to the IDT
  • Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
  • Perform related duties as necessary and other duties as assigned

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:

  • Completion of Nurse Practitioner accredited program, Board certified
  • Active State NP License
  • Active State RN license
  • Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
  • Knowledge of clinical standards of care
  • Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy

Preferred Qualifications:

  • 2+ years clinical experience
  • Experience in geriatrics, ICU/ED, urgent care and palliative care

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.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.




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