Nurse Practitioner (Per Diem)
Company: ComplexCare Solutions
Location: Portland
Posted on: April 18, 2024
Job Description:
Nurse Practitioner (Per Diem)
Job Locations
US-OR-Portland
Job ID
2019-2343
Type
Per Diem
Overview
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.
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;
andPerform, 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, Gerentology or Emergency
Medicine.
- Maintains current CPR certificationCompliance, prior to hire,
with recommended Healthcare Personnel Requirements for vaccinations
and preventive testing:
Hepatitis BInfluenzaMMR: Measles,
Mumps and RubellaPertussis, Tetanus and diphtheria and acellular
pertussis (Tdap)VaricellaTuberculosisHome 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.
Keywords: ComplexCare Solutions, Gresham , Nurse Practitioner (Per Diem), Healthcare , Portland, Oregon
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