Nurse Practitioner (Per Diem)

Complex Care Solutions, Inc • Rensselaer, NY 12144

Posted 1 month ago

Job Description

Overview

ComplexCare Solutions (CCS) excels at delivering high-touch, high-value assessment and care management services for health plans nationwide. We are known for our successful in-home member engagement, which allows us to collect a more robust range of data, implement more personalized care plans and motivate change for desired outcomes.

CCS isseeking Nurse Practitioners to conduct in-home visits to complete annual health assessments on a member to capture a comprehensive picture of the patient's health status, including the supporting evidence for all medical conditions.

Responsibilities

  • Perform in-home annual health assessment of high-risk health plan members leading to comprehensive picture of a members medical conditions, prior and current medical history, as well as conduct a medication review.
  • Provide member education regarding health conditions, medications, and nutrition. Emphasize the importance of consistent monitoring of health needs together with their Primary Care Physician.
  • Identify opportunities for preventive care, health promotion, home safety, and illness prevention.
  • Complete all documentation within 24 hours from visit.
  • Communicate urgent medical needs (including all prescription needs) with the members Primary Care Physician. CCS Nurse Practitioners are not permitted to prescribe medication per CCS policy.
  • Document clinical escalations, i.e., urgent medical or non-urgent care management needs, in accordance CCS policy.
  • Communicate clearly and in a timely manner with manager when clinical escalations are encountered.
  • Perform, document, and communicate results of in-home Point of Care (POC) Testing when directed.
  • Be responsive to CCS managers and directives (policies) and comply with trainings and updates as mandated by CCS.
  • Maintain ongoing Continuing Education as mandated by state licensure. Maintain strong professional level of knowledge and comprehensive clinical assessment skills related to chronic disease documentation including the following:
    • 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 coding practices.
  • Advanced practice degree and active (current) Nurse Practitioner licensure in the state where services are being provided
  • Nurse Practitioner Board certification required
  • Maintains current CPR certification (ACLS, BLS - Provider, CPR - Provider or ATLS)
  • Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
  • Excellent computer skills - familiar with Microsoft Office or experience using an electronic medical record and comfortable utilizing a tablet to document
  • Excellent customer service skills
  • Per Diem Availability 25 hour slots of availability required per month (not inclusive of travel time between appointments)



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      Nurse Practitioner (Per Diem)

      Complex Care Solutions, Inc • Rensselaer, NY 12144



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