ComplexCare Solutions Nurse Practitioner – (Le Flore County), OK: Job Overview, Location, and Employment Details

The job title is Nurse Practitioner, and this position is located in Le Flore County, Oklahoma. The role involves providing in-home and virtual assessments for health plans.

The salary for this position is $120 per hour. This compensation reflects the part-time nature of the employment.

This position is part-time employment. This allows for flexibility while still providing essential services to the community.

The primary responsibilities include conducting comprehensive reviews of the assigned member population and ensuring timely completion of required documentation. Additionally, the Nurse Practitioner will support the physician/patient relationship and communicate necessary findings and recommendations.

Candidates should have knowledge of CMS Regulations and NCQA HEDIS Guidelines. Familiarity with evidence-based clinical practice standards, such as those from the American Diabetes Association and the American Heart Association, is also essential.

The Nurse Practitioner should be familiar with ICD-9, ICD-10, and CPT-4 coding practices. This knowledge is crucial for accurate documentation and compliance with health regulations.

ComplexCare Solutions focuses on delivering high-value in-home and virtual assessments aimed at evaluating health status and identifying gaps in care. The goal is to drive better clinical outcomes and keep members at home rather than in the hospital.

The Nurse Practitioner is responsible for making general recommendations to members to improve their knowledge of chronic conditions. This includes providing information about recommended testing and other relevant health management strategies.

Documentation is critical in this role as it ensures that all pertinent medical conditions are recorded in compliance with CMS/DHHS and client requirements. Accurate documentation also facilitates effective communication with primary care providers and health plans.