Nurse Practitioner (Per Diem)

ComplexCare Solutions (CCS) specializes in delivering high-value home and virtual assessments for health plans nationwide, focusing on member engagement to evaluate current health status, gaps in care, potential health risks, and care management opportunities to drive better clinical outcomes. This per diem role covers all zip codes in Forsyth County, NC.

About the role

As a Nurse Practitioner with CCS, you will conduct comprehensive in-home or virtual assessments for members, spending a full hour per visit to capture a detailed picture of each individual’s personal needs. This role aims to help members remain in their homes and avoid hospitalization by identifying and addressing health risks and care gaps.

Responsibilities

• Complete comprehensive, accurate, and thorough reviews of assigned member populations, 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 in handling data and rendering services.
• Fulfill responsibilities and duties necessary for achieving operational and financial success of the company.
• Uphold responsibilities related 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).
• Perform other duties as assigned.

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, diphtheria and acellular pertussis (Tdap), Varicella, and Tuberculosis.
• 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, and 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.

Preferred Qualifications

• Home health experience (a plus).
• 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.

Pay

• In-home visit rate: $120 - $140 per assessment (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).

Benefits

• Eligibility to participate in a company 401K plan with automatic enrollment at a 3% contribution rate (option to opt out).

Schedule

Minimum availability of 25 slots per month (approximately 37 hours).