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.
Telehealth Assessment: $100
Perform in-home annual health assessment of high-risk health plan members leading to comprehensive picture of a member’s medical conditions, prior and current medical history, as well as conduct a medication review.
Provide member education regarding health conditions, medications, and nutrition. Emphasize the importance of consistent monitoring of health needs together with their Primary Care Physician.
Identify opportunities for preventive care, health promotion, home safety, and illness prevention.
Communicate urgent medical needs (including all prescription needs) with the member’s Primary Care Physician. CCS Nurse Practitioners are not permitted to prescribe medication per CCS policy.
Document clinical escalations, i.e., urgent medical or non-urgent care management needs, in accordance CCS policy.
Perform, document, and communicate results of in-home Point of Care (POC) Testing when directed.
Be responsive to CCS managers and directives (policies) and comply with trainings and updates as mandated by CCS.
Knowledge of CMS Regulations and NCQA HEDIS Guidelines;
American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)
Familiarity with ICD-10 and CPT coding practices.
Active un-encumbered license to practice nursing;
Nurse Practitioner Certification from either the ANCC or AANP; in Family, Adult, Gerontology or Emergency Medicine.
Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:
Home Health exp a plus
Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial;
Bi-lingual or multi-lingual a plus.
