Nurse Practitioner (Per Diem)

Founded as Enhanced Care Initiatives in New York, our company began with a focus on care management, employing a team of registered nurses, social workers, and dietitians to support members every three months. Our approach included assessing social determinants of health through regular evaluations, which helped us determine appropriate care plans based on recent hospitalizations and co-morbidities. As we evolved, we expanded our services to include risk management, collecting and sharing data with health plans to meet various client needs, offering both care management and assessment options. Our operations eventually expanded nationwide with a mission to support health plans in reducing hospitalization costs for high-risk patients. Our primary objective has always been to improve patient care while highlighting the benefits of preventive strategies to health plans. Today, we offer both in-home and telehealth consultations with our team of nurse practitioners, and member engagement services like encounter-facilitation, continuity of care, health risk assessment and point of care testing solutions encouraging proactive patient engagement to ensure community health. We are now proud to service 45 states across the United States and its territories.

Nurse Practitioner Per Diem This position covers Pima County,AZ 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. Pay Range: In-Home Assessment: $120 Telehealth Assessment: $85

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-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