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 is seeking 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. Perform in-home annual health assessment of high-risk health plan members leading to comprehensive picture of a member s 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 member s 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) Associated topics: advanced practice registered nurse, anesthetist crna, arnp, arnp c, assistant cna, bilingual, certified nurse midwife, midwife, nurse practitioner, ob
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.