Medical Nurse Practitioner

6 days ago


La Grange, Georgia, United States ComplexCare Solutions Full time
Job Title: Medical Nurse Practitioner - In-Home Care Specialist

ComplexCare Solutions is seeking a skilled Medical Nurse Practitioner to join our team of healthcare professionals. As an In-Home Care Specialist, you will play a vital role in delivering high-quality care to our members in the comfort of their own homes.

Key Responsibilities:
  • Conduct comprehensive assessments of members' health status, identifying gaps in care and potential health risks.
  • Develop and implement personalized care plans to address members' needs and improve clinical outcomes.
  • Collaborate with healthcare providers to ensure timely and adequate communication, documentation of assessment findings, and recommendations for additional services.
  • Provide education and support to members on managing their chronic conditions, including information on recommended testing and disease-specific or preventive care.
  • Maintain compliance with Inovalon's policies, procedures, and mission statement, adhering to all confidentiality and HIPAA requirements.
Requirements:
  • Active, unencumbered license to practice nursing in Family, Adult, Gerontology, or Emergency Medicine.
  • Knowledge of CMS Regulations and NCQA HEDIS Guidelines, as well as ICD-9, ICD-10, and CPT-4 coding practices.
  • Home Health experience a plus.
  • Bi-lingual or multi-lingual a plus.
About ComplexCare Solutions:

We pride ourselves on our member engagement and commitment to delivering high-value in-home and virtual assessments. Our team is passionate about making a difference in the lives of our members, and we're looking for like-minded professionals to join us.


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