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 health status, gaps in care, potential health risks, and care management opportunities to drive better clinical outcomes. This per diem position covers all zip codes in Gaston County, NC.

About the role

CCS is seeking Advanced Practice Providers passionate about helping their local communities. Providers spend a full hour with members to capture a comprehensive picture of their personal needs, aiming 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 enrollment at a 3% contribution rate (opt-out option 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 excellent customer service skills
• Bilingual or multilingual 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
• Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools
• On a monthly basis, be available for a minimum of 25 slots of availability (approximately 37 hours)

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 and ensure timely communication and documentation of:
  • Assessment findings
  • Recommendations
  • Need for additional services
  • Emergency services required (if necessary)
  • Need for follow-up and timelines for follow-up to 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 related to the separation of duties for applicable processes and procedures
• Other duties as assigned

Skills

• Knowledge of CMS Regulations and NCQA HEDIS Guidelines
• Knowledge of Evidence-based Clinical Practice Standards (e.g., American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA))
• Familiarity with ICD-10 and CPT-4 coding practices