Nurse Practitioner

6 days ago


Columbus, Georgia, United States ComplexCare Solutions Full time
Job Title: Nurse Practitioner

ComplexCare Solutions is seeking a skilled Nurse Practitioner to join our team. As a Nurse Practitioner, you will play a critical role in delivering high-quality in-home and virtual assessments to our members nationwide.

Responsibilities:
  • Knowledge of CMS Regulations and NCQA HEDIS Guidelines
  • Familiarity with ICD-9, ICD-10, and CPT-4 coding practices
  • Complete comprehensive, accurate, and thorough reviews of assigned member populations
  • Ensure timely completion and submission of all required encounter documentation
  • Support the physician-patient relationship and ensure timely and adequate communication
  • Make general recommendations to members to improve their knowledge of chronic conditions
  • Address and close identified gaps in care
  • Recognize emergent or urgent situations and take appropriate action
  • Perform, document, and communicate results of Point of Care (POC) Testing
Qualifications:
  • Active, unencumbered license to practice nursing
  • Nurse Practitioner Certification from ANCC or AANP
  • Board Certified through AANP or ANCC
  • Maintains current CPR certification
  • Compliance with recommended Healthcare Personnel Requirements for vaccinations and preventive testing

ComplexCare Solutions is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a culture of inclusion and diversity in the workplace.



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