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Clinical Care Coordinator
2 months ago
We are seeking a skilled Nurse Practitioner to join our team at ComplexCare Solutions. As a key member of our healthcare team, you will play a vital role in delivering high-quality, patient-centered care to our members.
Key Responsibilities- Comprehensive Assessments: Conduct thorough, accurate, and timely assessments of assigned member populations, including the completion and submission of all required encounter documentation.
- Clinical Expertise: Utilize knowledge of CMS Regulations, NCQA HEDIS Guidelines, and evidence-based clinical practice standards to ensure high-quality care and optimal patient outcomes.
- Communication and Collaboration: Effectively communicate with patients, families, and healthcare providers to ensure seamless care coordination and timely follow-up.
- Documentation and Reporting: Maintain accurate and comprehensive medical records, including documentation of assessment findings, recommendations, and follow-up plans.
- Quality Improvement: Identify and address gaps in care, including disease-specific and preventive services, to improve patient outcomes and quality of life.
- Compliance and Confidentiality: Maintain compliance with Inovalon's policies, procedures, and mission statement, as well as adhere to all confidentiality and HIPAA requirements.
- Active Un-Encumbered License: Possess an active, un-encumbered license to practice nursing.
- Certification and Education: Hold a Nurse Practitioner Certification from either the ANCC or AANP, and maintain current CPR certification (ACLS, BLS - Provider, CPR - Provider, or ATLS).
- Healthcare Experience: Possess a minimum of [X] years of experience in geriatric or adult medicine, with a strong understanding of Medicare, Medicaid, and Health Plan benefit structures.
- Communication and Interpersonal Skills: Demonstrate excellent communication and interpersonal skills, with the ability to effectively interact with patients, families, and healthcare providers.
- Technical Skills: Possess strong technical skills, including proficiency in electronic medical records and other relevant software applications.
At ComplexCare Solutions, we offer a competitive compensation package, comprehensive benefits, and opportunities for professional growth and development. If you are a motivated and compassionate healthcare professional looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity.
