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. CCS is seeking Advanced Practice Providers passionate about helping their local communities in Le Flore County, OK.

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. This per diem position offers flexibility and the opportunity to make a meaningful impact on the lives of elderly and chronically ill patients.

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 communication, documentation of assessment findings, recommendations, need for additional services, emergency services, 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 aimed at achieving 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.

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, Pertussis (Tdap), Varicella, and Tuberculosis.
• Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, and managing complex chronic conditions.
• Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools.
• Ability to effectively communicate with elderly and chronically ill patients and families.
• Understanding of Medicare, Medicaid, and Health Plan benefit structures (beneficial).
• Home health experience (a plus).
• Bi-lingual or multi-lingual abilities (a plus).

Skills

• 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.
• Excellent customer service and multitasking skills.

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 (opt-out option available).