Nurse Practitioner

ID: 23747454
Location: Chittenden County, VT - US
Duration: Locum Tenens - Part Time
Company: Inovalon
Contact: Matthew Lange    Call: 8477361367
Posted: 11/28/2023

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.



This Physician Assistant job opening last updated on 05/01/2023. Contact the employer using the Apply Online button or the information on this posting and mention you saw this job posting on PAJobSite.com.

  • 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

Inovalon Profile

About Inovalon Empowering data-driven healthcare with industry-leading, cloud-based solutions. Our Purpose Inovalon is dedicated to delivering solutions that empower our customers to use data to improve healthcare outcomes and efficiencies. Data has a story to tell. We give it a voice.® Inovalon is a leading provider of cloud-based solutions empowering data-driven healthcare. The Inovalon ONE® Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to enable improved clinical outcomes and economics across the healthcare ecosystem. From payers and providers to pharmacy organizations and life sciences companies, anyone in healthcare can benefit from the powerful capabilities of the Inovalon ...

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