Medical Nurse Practitioner

2 weeks ago


Peachtree City, Georgia, United States ComplexCare Solutions Full time
Join Our Team as a Medical Nurse Practitioner

At ComplexCare Solutions, we are dedicated to delivering high-quality in-home and virtual assessments for health plans nationwide. Our team of passionate professionals is committed to making a difference in the lives of our members.

About the Role

We are seeking a skilled Medical Nurse Practitioner to join our team. As a Medical Nurse Practitioner, you will be responsible for delivering comprehensive care to our members, including evaluating their health status, identifying gaps in care, and developing personalized care plans.

Key Responsibilities
  • Evaluate members' health status and identify gaps in care
  • Develop and implement personalized care plans
  • Provide education and support to members on managing their chronic conditions
  • Collaborate with healthcare providers to ensure timely and adequate communication
  • Document all pertinent and active medical conditions in the medical record
  • Ensure compliance with CMS/DHHS, Inovalon policy, and client requirements
Requirements
  • Active un-encumbered license to practice nursing
  • Knowledge of CMS Regulations and NCQA HEDIS Guidelines
  • Familiarity with ICD-9, ICD-10, and CPT-4 coding practices
  • Ability to work independently and as part of a team
  • Excellent communication and documentation skills
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and compassionate Medical Nurse Practitioner looking to make a difference in the lives of our members, we encourage you to apply.



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