Nurse Practitioner

7 days ago

Canton, Ohio, United States ComplexCare Solutions Full time
Job Summary

ComplexCare Solutions is seeking a skilled Nurse Practitioner to join our team on a per diem basis. As a Nurse Practitioner with our company, you will have the opportunity to make a meaningful impact on the lives of our members by delivering high-quality, in-home and virtual assessments.

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.
Requirements
  • Active un-encumbered license to practice nursing.
  • Nurse Practitioner Certification from either the ANCC or AANP.
  • 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.
Preferred Qualifications
  • 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.
About ComplexCare Solutions

ComplexCare Solutions specializes in helping those in need by delivering high-value in-home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks, and care management opportunities with a focus on driving better clinical outcomes.

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