Nurse Practitioner (Per Diem)

ComplexCare Solutions (CCS) specializes in delivering high-value home and virtual assessments for health plans nationwide. We focus on member engagement to evaluate current health status, gaps in care, potential health risks, and care management opportunities, driving better clinical outcomes. On behalf of SME Medical Delaware, P.A., we seek Advanced Practice Providers passionate about helping local communities.

About the role

Providers spend a full hour with members to capture a comprehensive picture of their personal needs, helping to keep them in their homes and out of the hospital.

Pay

• In-home visit rate: $120 - $140 depending on state of residence
• Telehealth rate: $85 per completed assessment (if available)
• Compensation pay range: $2,400.00 - $10,000.00 per month (potential income varies based on completed assessments, state of residence, and business needs; no guarantee of visits or minimum income)

Benefits

• Eligible to participate in a company 401K plan with automatic 3% contribution enrollment (opt-out available)

Requirements

• Active unencumbered license to practice nursing
• ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology, or Emergency Medicine
• Current CPR certification
• Compliance 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 experience a plus
• Ability to effectively communicate with elderly and chronically ill patients and families
• Understanding of Medicare, Medicaid, and Health Plan benefit structures (beneficial)
• Ability to multitask and provide excellent customer service
• Bilingual or multilingual skills 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
  • Making sound clinical decisions without direct on-site supervision
• Proficiency with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools
• Knowledge of CMS Regulations and NCQA HEDIS Guidelines
• Knowledge of Evidence-based Clinical Practice Standards (e.g., ADA, ACC, AHA)
• Familiarity with ICD-10 and CPT-4 coding practices

Responsibilities

• Complete comprehensive, accurate, and thorough reviews of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)
• Ensure all pertinent and active medical conditions are documented in the medical record in compliance with CMS/DHHS, Company policy, and client requirements
• Support the physician/patient relationship by ensuring timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services (if necessary), and follow-up timelines to the primary care provider (PCP) and health plan
• Make general recommendations to members to improve their knowledge of chronic conditions, including information on 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 professional standards
• 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
• Fulfill responsibilities and duties that contribute to the operational and financial success of the Company
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures
• Be available for a minimum of 25 slots of availability per month (approximately 37 hours)
• Other duties as assigned