Company name
Humana Inc.
Location
Rogers, AR, United States
Employment Type
Full-Time
Industry
Healthcare, Nursing
Posted on
Apr 20, 2021
Profile
Description
Your Home Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging the gap between the physician's office and the member's home. YHA provides prospective home visits conducted by licensed and trained clinical practitioners who perform In-Home Wellness Assessments (IHWA). The IHWA was established to identify and assess Humana Medicare Advantage members who are at risk of excessive utilization of future health related services and to supplement Humana's Health Assessment Program. YHA provides an additional opportunity to ensure documentation missed in the provider's office is captured and members that have limited function or resources to travel to see a provider can receive quality care in their home.
The Advanced Practice Provider (APP), NP/PA, assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state; the APP guides members/families towards and facilitates interaction with resources appropriate for the care and wellbeing of members. The Advanced Practice Provider works on diverse clinical issues ranging in complexity from moderate to substantial.
Responsibilities
The Advanced Practice Provider employs a variety of strategies, approaches, and techniques to manage a member's physical, behavioral and SDOH concerns. The APP Identifies and resolves barriers to effective care through completion of a comprehensive, accurate and thorough assessment of the assigned member population, including timely completion of all required assessment documentation (paper or electronic) and ensuring all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS, Humana/Your Home Advantage and client requirements. The APP Provides members with general recommendations intended to improve knowledge of chronic condition(s), such as information concerning recommended testing. The APP is not responsible for prescribing or changing a member's treatment plan.
The APP role for Humana/YHA is best suited for the clinician comfortable working independently in a home-visit setting, who is willing and able to travel within the agreed upon territory to conduct in-home assessments (via their personal vehicle or public transportation) during typical business hours. The APP will spend 1-2 hours with a member in their home, which may be in understaffed/remote areas, in the presence of pets, or members/family members that are tobacco users. This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management
Required Qualifications
Active un-encumbered Nurse Practitioner or Physician Assistant license in the state where the position is located
Nurse Practitioner Certification from either the ANCC or AANP
Minimum 1-year in-person clinical experience preferred (as NP or PA)
Valid driver's license and required liability insurance for personal vehicle
Fluency in English. Must be able to effectively communicate in English with elderly and chronically ill patients and families
Superior customer service and bedside manner skills
Critical thinking, deductive reasoning and decision making skills
Preferred Qualifications
Familiarity with CPT-4 coding
Bi-lingual or multi-lingual Preferred
BLS, ACLS
Understanding of Medicare, Medicaid and Health Plan benefit structures
Geriatric or adult medicine specialty
Additional Information
Must reside in OH, TN, FL, NC, AR or VA
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com