OverviewNurse Practitioner Per DiemThis position covers all zip codes in: Marshall County, IndianaComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value 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.CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities.
We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members.
Providers have 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.Compensation:Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum incomeIn-home visit rate: $120 - $140 depending on state of residenceIf available, our telehealth rate is $85 per completed assessmentBenefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions.
New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.ResponsibilitiesKnowledge of CMS Regulations and NCQA HEDIS GuidelinesKnowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA) Familiarity with ICD-10 and CPT-4 coding practicesComplete 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, Company policy, and client requirementsSupport 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 requiredMake general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testingAddress and close identified gaps in care (disease-specific or preventive)Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; andPerform, document and communicate results of Point of Care (POC) TestingMaintain compliance with Company policies, procedures and mission statementAdhere to all confidentiality and HIPAA requirements as outlined within the Company’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 positionFulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the CompanyUphold responsibilities relative to the separation of duties for applicable processes and procedures within your job functionOn a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)We reserve the right to change this job description from time to time as business needs dictate and will provide notice of suchOther duties as assignedQualificationsActive un-encumbered license to practice nursingANCC or AANP board certification asa Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology 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 familiesUnderstanding of Medicare, Medicaid and Health Plan benefit structures beneficialAbility to multitaskExcellent customer service skillsBi-lingual or multi-lingual a plusAbility to practice autonomously in a remote clinical environment, including independantly conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making soundclinical decisions without direct on-site supervisionProficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation toolsThis company utilizes E-Verify.ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
By embracing diversity, equity and inclusion we enhance our work environment and drive business success.
ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve.
We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting.
We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.Originally posted on Himalayas
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