Full-Time

Nurse Practitioner

Home Visits, Per Diem

Posted on 5/16/2024

Complex Care

Complex Care

201-500 employees

High-touch in-home health care management


Mid

Orange County, FL, USA

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 and escalate emergent situations
  • Perform and communicate results of Point of Care Testing
  • Maintain compliance with company policies
  • Adhere to confidentiality and HIPAA requirements
  • Fulfill assigned responsibilities for operational success
  • Uphold separation of duties within job function
  • Other duties as assigned

ComplexCare Solutions excels in providing high-touch, high-value care management programs that connect with members directly in their homes, enhancing their health outcomes. With a focus on in-home health risk assessments, annual wellness visits, and health screenings, the company ensures comprehensive care that integrates smoothly with existing health plan operations. This approach not only positions them as leaders in home-based health care services but also fosters a supportive and impactful work environment for its employees.

Company Stage

M&A

Total Funding

$40M

Headquarters

New York, New York

Founded

2010

Growth & Insights
Headcount

6 month growth

21%

1 year growth

43%

2 year growth

61%