Nurse Practitioner (Per Diem)

About the role

ComplexCare Solutions (CCS) specializes in delivering high-value in-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. Our visits allow Providers to spend a full hour with members, capturing a comprehensive picture of their personal needs to keep them in the home and out of the hospital.

This per diem position covers Washington County, WI. We are seeking Nurse Practitioners passionate about helping their local communities and making a difference in the lives of our members.

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 as required.
• Provide 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 as outlined in CCS's Operating Policies and Procedures.
• Fulfill responsibilities and duties reasonably provided by the company to achieve operational and financial success.
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.
• Other duties as assigned.

Requirements

• Active unencumbered license to practice nursing.
• Nurse Practitioner Certification from either the ANCC or AANP in Family, Adult, Gerontology, or Emergency Medicine.
• Board Certified through the AANP or ANCC.
• 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
• 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.
• Home health experience 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 and excellent customer service skills.
• Bilingual or multilingual a plus.

Pay

• In-Home Assessment: $120
• Telehealth Assessment: $85

Benefits

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.