Nurse Practitioner (Per Diem) Position Available In Lenoir, North Carolina

Job Description:

Nurse Practitioner (Per Diem)

US-NC-KinstonJob ID:

2025-4326

Type:

Per Diem# of

Openings:

1

Category:

House CallsKinston,NCOverviewComplexCare Solutions (CCS) specializes in helping thosein need by delivering high value in-home and virtual assessmentsfor health plans nationwide. We pride ourselves on our memberengagement aimed towards evaluating current health status, gaps incare, potential health risks and care management opportunities witha focus on driving better clinical outcomes. Our visits giveProviders the opportunity to spend a full hour with these memberswhich allows them to capture a comprehensive picture of thatindividual’s personal needs and what is required to keep them inthe home and out of the hospital. CCS is calling on NursePractitioners that are passionate about helping their localcommunities. We care dearly about those we serve and we need yourhelp to make a difference in the lives of our members.

PayRange:

In-Home Assessment:

$120

Telehealth Assessment:

$100ResponsibilitiesKnowledge of CMS Regulations and NCQA HEDISGuidelines;

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, accurateand thorough review of the assigned member population, includingtimely completion and submission of all required encounterdocumentation (paper or electronic);Ensure that all pertinent andactive medical conditions are documented in the medical record in amanner compliant with CMS/DHHS, Inovalon policy, and clientrequirements;Support the physician/patient relationship and ensuretimely and adequate communication, documentation of assessmentfindings, recommendations, need for additional services, emergencyservices required if necessary and need for follow up and timelinesfor follow up to primary care provider (PCP) and health plan asrequired;Make general recommendations to members intended toimprove members’ knowledge of their chronic condition(s), such asinformation concerning recommended testing;Address and closeidentified gaps in care (disease-specific or preventive); Recognizeemergent or urgent situations requiring escalation and takeappropriate action as specified in Inovalon policies, and asdetermined by reasonable professional judgment and ethicalprofessional practice standards; andPerform, document andcommunicate results of Point of Care (POC) Testing.

Maintaincompliance with Inovalon’s policies, procedures and missionstatement;Adhere to all confidentiality and HIPAA requirements asoutlined within Inovalon’s Operating Policies and Procedures in allways and at all times with respect to any aspect of the datahandled or services rendered in the undertaking of theposition;Fulfill those responsibilities and/or duties that may bereasonably provided by Inovalon for the purpose of achievingoperational and financial success of the Company;Upholdresponsibilities relative to the separation of duties forapplicable processes and procedures within your job function;Wereserve the right to change this job description from time to timeas business needs dictate and will provide notice of such.

Otherduties as assignedQualificationsActive un-encumbered license topractice nursing;Nurse Practitioner Certification from either theANCC or AANP; in Family, Adult, Gerontology or Emergency Medicine.

Board Certified through the AANP or ANCCMaintains current CPRcertificationCompliance, prior to hire, with recommended HealthcarePersonnel Requirements for vaccinations and preventivetesting:

Hepatitis BInfluenzaMMR:

Measles, Mumps andRubellaPertussis, Tetanus and diphtheria and acellular pertussis(Tdap)VaricellaTuberculosisHome Health exp a plus Must be able toeffectively communicate with elderly and chronically ill patientsand families;Understanding of Medicare, Medicaid and Health Planbenefit structures beneficial;Ability to multitask;Excellentcustomer service skills;Bi-lingual or multi-lingual aplus.

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