Nurse Practitioner

1 week ago

Wayne, Nebraska, United States ComplexCare Solutions Full time
About ComplexCare Solutions

We are a leading provider of in-home and virtual assessments for health plans nationwide. Our mission is to deliver high-value care to those in need, with a focus on driving better clinical outcomes.

Job Summary

We are seeking a skilled Nurse Practitioner to join our team on a per diem basis. As a Nurse Practitioner with ComplexCare Solutions, you will have the opportunity to work with a diverse population of patients, providing comprehensive assessments and care management services.

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.
  • 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.
Requirements
  • Active un-encumbered license to practice nursing.
  • Nurse Practitioner Certification from either the ANCC or AANP, in Family, Adult, Gerontology, or Emergency Medicine.
  • Maintains current CPR certification.
  • Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing.
  • Home Health experience 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.

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