Nurse Practitioner
2 days ago
Complex Care Solutions is seeking a dedicated and compassionate Nurse Practitioner to join our team of healthcare professionals. As a Community Health Specialist, you will play a vital role in delivering high-quality, patient-centered care to individuals in need.
Key Responsibilities- Conduct comprehensive, accurate, and thorough reviews of assigned member populations, including timely completion and submission of all required encounter documentation.
- 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, and need for additional services.
- Make general recommendations to members intended to improve their 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.
- Perform, document, and communicate results of Point of Care (POC) Testing.
- Active, un-encumbered license to practice nursing.
- Nurse Practitioner Certification from either the ANCC or AANP, in Family, Adult, Gerontology, or Emergency Medicine.
- Board Certified through the AANP or ANCC.
- Maintains current CPR certification.
- Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing.
- Ability 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.
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Nurse Practitioner
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Nurse Practitioner
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Nurse Practitioner
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