Nurse Practitioner (Per Diem)

ComplexCare Solutions; Sandwich (MA); Remote; USD 26,784 - 111,600; Full time

Benefits offered by this job

401K plan

Job summary

ComplexCare Solutions is seeking a Nurse Practitioner for per diem home and telehealth assessments across Barnstable County, MA. You will spend substantial time with each member to capture needs and develop care plans that keep patients at home and out of the hospital.

You will perform comprehensive reviews, document findings, and coordinate with physicians, health plans, and CMS/CMS guidelines while maintaining HIPAA compliance and high-quality patient service.

Qualifications

• ANCC or AANP board certification as a Nurse Practitioner in Family, Adult, Gerontology or Emergency Medicine.
• Maintains current CPR certification.
• Active un-encumbered nursing license and HIPAA compliance.
• Knowledge of CMS regulations, NCQA guidelines and ICD-10/CPT-4 coding.

Responsibilities

• Perform comprehensive member assessments in home or telehealth settings.
• Document assessment findings and develop evidence-based treatment plans.
• Coordinate with physicians, PCPs and health plans for timely follow-up.
• Ensure all medical conditions are documented per CMS and client requirements.
• Maintain HIPAA compliance and high-quality patient service.

Skills

Multitasking

Autonomous practice

Customer service

Effective communication

Bilingual (plus)

Education

Nurse Practitioner certification (ANCC/AANP)

Tools

EHR systems

Secure messaging

Job description

Nurse Practitioner Per Diem

This position covers all zip codes in: Barnstable County, MA

Nurse Practitioner Per Diem

This position covers all zip codes in: Barnstable County, MA

ComplexCare 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 income
• In-home visit rate: $120 - $140 depending on state of residence
• If available, our telehealth rate is $85 per completed assessment

Benefit

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.

• 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-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, Company 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 company 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 Company policies, procedures and mission statement
• Adhere 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 position
• Fulfill those responsibilities and/or duties that may be reasonably provided 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
• On 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 such
• Other duties as assigned
• Active un-encumbered license to practice nursing
• ANCC or AANP board certification as a Nurse Practitioner in Family, Adult, Gerontology or Emergency Medicine.
• 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
• Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision
• Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools

This company utilizes E-Verify.