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Nurse Practitioner (Per Diem) ComplexCare Solutions
Nurse Practitioner (Per Diem)
Job Locations
US-MS-Mccomb
Job ID
2023-3938
Type
Per Diem
Overview
ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in-home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. Our visits give Providers the opportunity to spend a full hour with these members which allows them to capture a comprehensive picture of that individual's personal needs and what is required to keep them in the home and out of the hospital.
CCS is calling on Nurse Practitioners that are passionate about helping their local communities. We care dearly about those we serve and we need your help to make a difference in the lives of our members.
Responsibilities
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-9, ICD-10 and CPT-4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic); Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Inovalon policy, and client requirements; Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required; Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning 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 Inovalon policies, and as determined by reasonable professional judgment and ethical professional practice standards; and Perform, document and communicate results of Point of Care (POC) Testing. Maintain compliance with Inovalon's policies, procedures and mission statement; Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company; Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function; We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such. Other duties as assigned
Qualifications
Active un-encumbered license to practice nursing; Nurse Practitioner Certification from either the ANCC or AANP; in Family, Adult, Gerentology or Emergency Medicine. 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 Home Health exp 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; Excellent customer service skills; Bi-lingual or multi-lingual a plus.
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You will serve as an extension of the brand by exuding our shared values and participating in Company programs that support customer advocacy, store growth, and personal development. Your upbeat and customer-focused personality will help set the stage for a positive, respectful environment that will give you the power to build a rewarding career with performance-based advancement. Eupora, MS, US, 39744Posted a day ago Business Operations Coordinator.American Red Cross As one of the nation's premier humanitarian organizations, the American Red Cross is dedicated to helping people in need throughout the United States and, in association with other Red Cross networks, throughout the world. When you join our team, you have a direct impact on a meaningful mission, and you can help save lives every day. If you share our passion for helping people, join us in this excellent career opportunity. Work where your career is a force for good. Tupelo, MS, US, 38801Posted a day ago ROI Supervisor. CIOX Health The Health Information Operations Supervisor is responsible for client/customer service and serves as a knowledge expert for the HIS staff. The role focuses on front line People management and training, as well as ensuring processes are completed in compliance with established guidelines. This role may also assist leadership with planning, developing, and implementing departmental or regional projects. This role provides support to Health Information Operations Manager. The Health Information Operations Supervisor will be responsible for maintaining workflow and productivity of HIS's as well as Handling escalated situations and driving a positive work environment. The Health Information Operations Supervisor will also assist in the new hire process, meeting with clients, and developing staff at multiple sites. Columbus, MS, US, 39701Posted a day ago Paramedic Basic. Global Medical Response Why Choose Lifeguard? Lifeguard Ambulance Service is one of Global Medical Response 's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at Learn how our values are at the core of our services and vital to how we approach care, and check out our comprehensive benefit options at Holly Springs, MS, US, 38635Posted a day ago Driver. Global Medical Response We're hiring Drivers that will respond to emergency and/or non-emergency requests for transportation needs and deliver high-quality care, treatment and customer service to patients. Responsibilities: Drivers will respond to operation and dispatch requests and use the necessary tools, maps and addresses to efficiently transport customers to and from facilities in a timely manner. Clearly document trip information details and adhere to company policies and procedures while maintaining confidentiality and patient rights. Take pride in maintaining a safe and clean vehicle environment for patients, complete the regular mechanical checklist at the start of shifts and report any vehicle issues to the Fleet Manager as needed. Use appropriate communication methods including standard radio transmission codes to effectively respond and route patients and comply with the company's information security standards. Drivers will operate transportation equipment including stretcher, hydraulic lift, wheelchair as well as be able to use protective personal equipment and manage disposal of supplies as necessary. Work collaboratively and in a professional manner with all allied health and public safety personnel as well as your fellow drivers and operations team. 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Aon Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. Starkville, MS, US, 39759Posted a day ago Description
Nurse Practitioner (Per Diem)
Job Locations
US-MS-Mccomb
Job ID
2023-3938
Type
Per Diem
Overview
ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in-home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. Our visits give Providers the opportunity to spend a full hour with these members which allows them to capture a comprehensive picture of that individual's personal needs and what is required to keep them in the home and out of the hospital.
CCS is calling on Nurse Practitioners that are passionate about helping their local communities. We care dearly about those we serve and we need your help to make a difference in the lives of our members.
Responsibilities
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-9, ICD-10 and CPT-4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic); Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Inovalon policy, and client requirements; Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required; Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning 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 Inovalon policies, and as determined by reasonable professional judgment and ethical professional practice standards; and Perform, document and communicate results of Point of Care (POC) Testing. Maintain compliance with Inovalon's policies, procedures and mission statement; Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company; Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function; We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such. Other duties as assigned
Qualifications
Active un-encumbered license to practice nursing; Nurse Practitioner Certification from either the ANCC or AANP; in Family, Adult, Gerentology or Emergency Medicine. 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 Home Health exp 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; Excellent customer service skills; Bi-lingual or multi-lingual a plus.
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