Nurse Practitioner (Per Diem) Job at Complex Care Solutions, LLC, Wichita, KS

YWNsaDFwd1lub1lrczBISW1lb2doZ1RtelE9PQ==
  • Complex Care Solutions, LLC
  • Wichita, KS

Job Description



ComplexCare Solutions (CCS) 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. Our visits give Providers the opportunity to spend a full hour with these members which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital.

CCS is calling on Nurse Practitioners that are passionate about helping their local communities. We care dearly about those we serve and we need your help to make a difference in the lives of our members.

Pay Range:

In-Home Assessment: $120

Telehealth Assessment: $100

Responsibilities

  • Knowledge of CMS Regulations and NCQA HEDIS Guidelines;
  • Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD-9, ICD-10 and CPT-4 coding practices;
  • Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic);
  • 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; and
  • 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;
  • Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company;
  • Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function;
  • We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.
  • Other duties as assigned

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:
    • Hepatitis B
    • Influenza
    • MMR: Measles, Mumps and Rubella
    • Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)
    • Varicella
    • Tuberculosis
  • Home Health exp 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.

PI9f9fb9f5f165-30492-37319978

Job Tags

Local area, Immediate start, Remote job,

Similar Jobs

Schnitzer Properties

Event Coordinator Job at Schnitzer Properties

 ...Portland-based real estate development company is looking for an Event Coordinator. This is the most exciting, fun job! We want someone who...  ...meetings, agenda items and follow up items Additional duties and special projects as assigned Experience, training, skills... 

Walt Disney Company

Sr. Game Designer Job at Walt Disney Company

Job Posting Title:Sr. Game DesignerReq ID:10107200Job Description:About the Role & Team Disney Games, a division of Disney Experience, is one of the world's largest licensors of games across platforms. Our games teams work closely with external development studios... 

Aperture Group

Event Coordinator Job at Aperture Group

 ...Event Coordinator (Corporate & Community Events) Location: Franklin & Nashville, TN Hours: 40 hours/week, Must be able to work Nights & Weekends About the Role: Are you passionate about creating polished, unforgettable experiences for small businesses and... 

Gamecompanies

Senior Game Designer (Level) Job at Gamecompanies

 ...Naughty Dog has been crafting best-selling, critically acclaimed games that constantly push the boundaries of narrative, gameplay, and...  ...together.In service of these goals, Naughty Dog is growing our design team!What you will do:Design high quality layouts for your levels... 

Houston Properties Team

Online Community Manager - Chief Storyteller for Real Estate Team Job at Houston Properties Team

Youll love this role if you are the kind of person who... Thinks social media is for generating leads, not just making pretty posts. Gets a rush when campaigns produce real results like people DMing How do I apply? Loves crafting content that speaks...