Nurse Practitioner (Per Diem)

ComplexCare Solutions North Salem, MO
Part Time Entry Level

Posted 1 week ago

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About This Role

This Per Diem Nurse Practitioner role involves conducting in-home and virtual health assessments for health plans, focusing on evaluating current health status, identifying care gaps, and managing potential health risks. The position aims to improve clinical outcomes by providing comprehensive care to members in their homes.

Responsibilities

  • Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)
  • Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements
  • Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required
  • Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing
  • Address and close identified gaps in care (disease-specific or preventive)
  • Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards
  • Perform, document and communicate results of Point of Care (POC) Testing
  • Maintain compliance with Company policies, procedures and mission statement
  • Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures

Requirements

  • Active un-encumbered license to practice nursing
  • ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine
  • Maintains current CPR certification
  • Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing (Hepatitis B, Influenza, MMR, Tdap, Varicella, Tuberculosis)
  • Ability to effectively communicate with elderly and chronically ill patients and families
  • Ability to multitask
  • Excellent customer service skills
  • Ability to practice autonomously in a remote clinical environment
  • Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools

Nice to Have

  • Home Health experience
  • Understanding of Medicare, Medicaid and Health Plan benefit structures
  • Bi-lingual or multi-lingual

Skills

HIPAA * ICD-10 coding * EHRs * CMS Regulations * NCQA HEDIS Guidelines * American Diabetes Association (ADA) Standards * American College of Cardiology (ACC) Standards * American Heart Association (AHA) Standards * CPT-4 coding * Point of Care (POC) Testing * Cloud-based documentation tools *

* Required skills

Benefits

401K plan with automatic enrollment at 3% contribution rate

Certifications

Current CPR Certification (Required) ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine (Required)

About ComplexCare Solutions

ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in-home and virtual assessments for health plans nationwide, focusing on evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better c...

Healthcare
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