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Full-Time

Nurse Practitioner

Home Visits, Per Diem

Posted on 4/18/2024

Complex Care

Complex Care

201-500 employees

Offers in-home health management and screenings

Healthcare

Mid

Lake Charles, LA, USA

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Communications
Customer Service
Requirements
  • Active un-encumbered license to practice nursing
  • Nurse Practitioner Certification from either the ANCC or AANP
  • Maintains current CPR certification (ACLS, BLS - Provider, CPR - Provider or ATLS)
  • Compliance with recommended Healthcare Personnel Requirements for vaccinations and preventive testing
  • Geriatric or adult medicine specialty 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
  • Excellent customer service skills
  • Bi-lingual or multi-lingual a plus
Responsibilities
  • Knowledge of CMS Regulations and NCQA HEDIS Guidelines
  • Knowledge of Evidence-based Clinical Practice Standards
  • Familiarity with ICD-9, ICD-10, and CPT-4 coding practices
  • Complete comprehensive review of assigned member population
  • Ensure documentation of medical conditions compliant with regulations
  • Support physician/patient relationship and ensure communication
  • Make recommendations to improve members' knowledge of chronic conditions
  • Address and close identified gaps in care
  • Recognize emergent situations and take appropriate action
  • Perform and document Point of Care Testing
  • Maintain compliance with policies and procedures
  • Adhere to confidentiality and HIPAA requirements
  • Fulfill responsibilities for operational and financial success
  • Uphold separation of duties within job function
  • Other duties as assigned

ComplexCare Solutions offers high-touch, high-value care management programs that engage members in their homes to impact their health. The company utilizes in-home health risk assessments, annual wellness visits, health screenings, and support for vaccine adherence, with modular services that seamlessly integrate with health plan operations.

Company Stage

M&A

Total Funding

$40M

Headquarters

New York City, New York

Founded

2010

Growth & Insights
Headcount

6 month growth

13%

1 year growth

35%

2 year growth

57%
INACTIVE