Nurse Practitioner

2 weeks ago

Pendleton, Oregon, 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 vital role in delivering high-quality healthcare services to our members.

Responsibilities:
  • Provide 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, need for additional services, emergency services required if necessary, and need for follow-up and timelines for follow-up to primary care provider (PCP) and health plan as required.
  • Make general recommendations to members intended to improve members' 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 in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
Qualifications:
  • 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.

We are an equal opportunity employer and welcome applications from qualified candidates. If you are passionate about delivering high-quality healthcare services and making a difference in the lives of our members, we encourage you to apply for this exciting opportunity.

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