![CCS Corp](https://media.trabajo.org/img/noimg.jpg)
Nurse Practitioner
3 months ago
ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in-home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. Our visits give Providers the opportunity to spend a full hour with these members which allows them to capture a comprehensive picture of that individual's personal needs and what is required to keep them in the home and out of the hospital.
CCS is calling on Nurse Practitioners that are passionate about helping their local communities. We care dearly about those we serve and we need your help to make a difference in the lives of our members.
Responsibilities
- Knowledge of CMS Regulations and NCQA HEDIS Guidelines;
- Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD-9, ICD-10 and CPT-4 coding practices;
- 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, Inovalon 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 Inovalon policies, and as determined by reasonable professional judgment and ethical professional practice standards; and
- Perform, document and communicate results of Point of Care (POC) Testing.
- Maintain compliance with Inovalon's policies, procedures and mission statement;
- Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position;
- Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company;
- Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function;
- We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.
- Other duties as assigned
- Active un-encumbered license to practice nursing;
- Nurse Practitioner Certification from either the ANCC or AANP;
- Maintains current CPR certification (ACLS, BLS - Provider, CPR - Provider or ATLS)
- Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:
- Hepatitis B
- Influenza
- MMR: Measles, Mumps and Rubella
- Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)
- Varicella
- Tuberculosis
- Geriatric or adult medicine specialty a plus;
- Must be able to effectively communicate with elderly and chronically ill patients and families;
- Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial;
- Ability to multitask;
- Excellent customer service skills;
- Bi-lingual or multi-lingual a plus.
NPHJ21
Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description. If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless. ComplexCare Solutions is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.
By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
ComplexCare Solutions is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.
-
Nurse Practitioner
3 months ago
Bay St Louis, United States VitalCore Health Strategies Full timeJoin the VitalCore Team in Mississippi! We’re people who are fueled by passion, not by profit. VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for a Nurse Practitioner at South Mississippi Correctional Institute in Leakesville, MS! At VitalCore we pride ourselves on retaining and acquiring compassionate and...
-
Nurse Practitioner
1 month ago
Bay St Louis, United States Singing River Health System Full timeNurse Practitioner - Behavioral Health ServicesSinging River Health System Hospital - Pascagoula | Part-Time | When needed Monday - Friday 8am - 5pm | Mississippi United States Position Overview The Psychiatric Nurse Practitioner works in collaboration with physicians to deliver mental health care services to adult patients. He/She performs psychiatric...
-
Nurse Practitioner NP, Part-Time, HRA
1 month ago
Bay St Louis, United States Hueman Risk Adjustment Solutions Full timeDescription Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bay Saint Louis, MS. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your...
-
Nurse Practitioner
2 days ago
St Louis, Missouri, United States Medical Edge Recruitment Full timeJob Opportunity:We are seeking a skilled Nurse Practitioner to join our team at Medical Edge Recruitment. As a leading travel nursing recruitment agency, we specialize in providing top talent to clients in the healthcare industry.Job Summary:This is a 24-week contract opportunity for a Nurse Practitioner to work in a public school setting in the St. Louis...
-
Nurse Practitioner
3 weeks ago
St. Louis, United States ALL FOR YOU MEDSPA Full timeOverviewWe are seeking a dedicated Nurse Practitioner to join our growing wellness center. The ideal candidate will have experience in hormone replacement therapy and weight loss injections as well as someone who encompasses a self starting attitude and is a team player. This position offers the opportunity to work in a fun environment that focuses on...
-
Nurse Practitioner
1 month ago
St. Louis, United States NEUAGE Health + Wellness Full timeNEUAGE Health + Wellness proudly stands as a rapidly growing health clinic, flourishing across 4 locations in Ladue & Lake Saint Louis, MO, Leawood, KS and O'Fallon, IL. Our journey doesn't stop there, as we're thrilled to unveil our 5th location coming to Des Peres, MO! In this exciting phase of expansion, we're in search of exceptional individuals to join...
-
Certified Psychiatric Nurse Practitioner
4 hours ago
St Louis, Missouri, United States Necnic Group, LLC Full timePosition: Psychiatric Mental Health Nurse Practitioner - Inpatient CareOverview:We are seeking a qualified and dedicated Psychiatric Mental Health Nurse Practitioner who is passionate about providing care in a private practice environment. The ideal candidate will possess certification as a Psychiatric Mental Health Nurse Practitioner and have a keen...
-
Nurse Practitioner, PRN NP
4 weeks ago
St. Louis, United States Crossroads Hospice Full timeAt Crossroads Hospice & Palliative Care, we have the privilege of delivering compassion in its truest form. For us, it is about having the bravery to truly listen and honor the unique journey of each person we care for.Being a Hospice nurse goes beyond administering medical care, it's about exceeding expectations to honor their wishes and ensure they...
-
Nocturnist Nurse Practitioner Position
4 hours ago
St. Louis, United States The National Coalition of Healthcare Recruiters Full time(Only QUALIFIED Healthcare Professionals accepted) Hospitalist - Nurse Practitioner or Physician Assistant Nocturnist Position This is a remarkable opportunity for a licensed Nurse Practitioner or Physician Assistant in Missouri with inpatient experience to join a thriving hospitalist team. Key Responsibilities: Conduct evaluation and management services...
-
Nocturnist Nurse Practitioner Position
5 days ago
St. Louis, United States The National Coalition of Healthcare Recruiters Full time(Only QUALIFIED Healthcare Professionals accepted) Hospitalist - Nurse Practitioner or Physician Assistant Nocturnist Position We are seeking a licensed Nurse Practitioner or Physician Assistant with inpatient experience to join a dynamic hospitalist team. Key Responsibilities: Conduct evaluations and management services for patients in need of hospitalist...
-
Nocturnist Nurse Practitioner Position
4 hours ago
St. Louis, United States The National Coalition of Healthcare Recruiters Full time(Only QUALIFIED Healthcare Professionals accepted) Hospitalist - Nurse Practitioner or Physician Assistant Nocturnist Role An exceptional opportunity awaits for a licensed Nurse Practitioner or Physician Assistant with inpatient experience to join a dynamic hospitalist team. Key Responsibilities: Conduct comprehensive evaluations and management services for...
-
Neurology Nurse Practitioner
8 hours ago
St Louis, United States SSM Health Full timeDocCafe has an immediate opening for the following position: Neurology Nurse Practitioner in Saint Louis, Missouri. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. Register now to apply for this job and for access to 125,000+ other openings. DocCafe Offers: Free Physician and Advanced Practice Job...
-
Nurse Practitioner
5 days ago
St Louis, Missouri, United States Elevance Health Full timeJoin an Exceptional Healthcare TeamAs a valued member of Elevance Health, Paragon Healthcare has been a leader in delivering critical infusible and injectable therapies for over two decades through our specialized pharmacies and infusion centers.Position: Family Nurse Practitioner (FNP) – Infusion ServicesLocation: Candidates must reside within a...
-
Nocturnist Nurse Practitioner Position
5 days ago
St. Louis, United States The National Coalition of Healthcare Recruiters Full time(Only QUALIFIED Healthcare Professionals accepted) Hospitalist - Nurse Practitioner or Physician Assistant Nocturnist Role This is an outstanding opportunity for a licensed Nurse Practitioner or Physician Assistant with inpatient experience to join a growing hospitalist team. Key Responsibilities: Conduct evaluation and management services for patients in...
-
Family Nurse Practitioner
4 weeks ago
St. Louis, United States Troy Urgent Care Walk-in Clinic Full time $115,000 - $140,000Why work with us? At Doctors Urgent Care Group, our goal is to provide the best care possible to our patients and take care of our employees who care for our patients. Our employees are passionate, patient-focused, competent, and attentive. We make an impact on our patients’ lives and in the communities we live in by working together as a team. We support...
-
Pediatric Nurse Practitioner
6 days ago
St Louis, Missouri, United States CareSTL Health Full timeCARESTL HEALTH is a non-profit organization committed to delivering healthcare services to the St. Louis community. We are in search of a Family Nurse Practitioner to become a vital part of our healthcare team.Position Overview:The Family Nurse Practitioner will collaborate with primary care physicians, employing professional standards and resources to...
-
Nurse Practitioner Palliative Care
1 month ago
St Louis, United States Empatia Full timeOur Company: Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and...
-
Nurse Practitioner Palliative Care
3 months ago
St Louis, United States Empatia Full timeOur Company: Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and...
-
Family Nurse Practitioner
3 weeks ago
St Louis, United States Elevance Health Full timeBe Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Family Nurse Practitioner (FNP) –Infusion Clinic- Paragon...
-
Family Nurse Practitioner
4 weeks ago
St Louis, United States Elevance Health Full timeBe Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Family Nurse Practitioner (FNP) –Infusion Clinic- Paragon...