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Comprehensive Care Advanced Care Practitioner
3 months ago
Job Title: Comprehensive Care Advanced Care Provider (CCACP) - Nurse Practitioner or Physician Assistant
HCC Coding, HEDIS Metrics, & RAF Scoring Experience REQUIRED***
Location: Tucson, AZ
Pay:$140k-$160K Annually
Job Summary: The Comprehensive Care Advanced Care Provider (CCACP) is responsible for closing healthcare gaps for members, with the goal of eliminating the need for repeat visits. This autonomous role involves building a flexible schedule in conjunction with the Market Medical Director (MMD) and care navigator, focusing on system-generated gaps lists. The CCACP will provide both in-person and telehealth services, travel across the market, and handle clinical documentation and HCC coding.
Key Responsibilities:
- Develop and manage a flexible schedule based on the gaps list, in coordination with the MMD and care navigator.
- Conduct member visits to identify and close healthcare gaps, ensuring no reoccurrence.
- Provide telehealth services on designated days.
- Travel to various centers within the market as needed.
- Write and refill prescriptions, including routine medications and new prescriptions based on identified gaps.
- Triage members and perform in-office tests (e.g., DNP check, quantiflow, BP).
- Engage in comprehensive clinical documentation and HCC coding.
- Participate in a 2-week orientation followed by an additional week of HCC Bootcamp training.
- Work within the market on-call schedule as required.
Performance Metrics:
- Annual incentive bonus based on the number of members seen and gaps closed.
Qualifications:
- Minimum two years of direct experience with HCC coding, HEDIS metrics, and familiarity with RAF scores.
- Demonstrated ability to identify and close healthcare gaps.
- Experience in writing and managing prescriptions.
- Strong clinical documentation skills.
- Flexibility to travel and adapt to varying work environments.
- Ability to work independently and make informed decisions.
- Proficiency in using telehealth technology.
Preferred Experience:
- Prior experience in a market-based role with extensive travel.
- Previous involvement in clinical gap management and quality improvement initiatives.
Application Requirements:
- CV must explicitly detail experience with HCC coding, HEDIS metrics, and RAF scores.
- Appropriate and unencumbered licensure required for Nurse Practitioner and Physician Assistant as required by state law.
Join us in a role where your expertise will make a significant impact on patient care and health outcomes in Tucson, AZ. Apply today to be part of our dynamic healthcare team
#KA
Master's Degree in Nursing. Active ANCC, AANP, or PA national certification in Family, Geriatrics, Adult, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care certification
Licensure must be unencumbered, free of any open/unresolved disciplinary actions including probation or restrictions against privilege to practice.
* Recommend diagnostic or therapeutic interventions with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy.
* Maintain complete and detailed records of patients' health care plans and prognoses.
