Nurse Practitioner Carter County), OK
Job in
Ardmore, Carter County, Oklahoma, 73403, USA
Listing for:
ComplexCare Solutions
Full Time
position
Listed on 2026-02-07
Job specializations:
-
Healthcare
Healthcare Nursing
Job Description & How to Apply Below
Position: Nurse Practitioner - (Carter County), OK
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Complex Care 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 at 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, allowing them to capture a comprehensive picture of individual needs and what is required to keep them in the home and out of the hospital.
CCS is calling on Nurse Practitioners who 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 if necessary, and follow-up timelines to primary care providers and health plans as required.Make general recommendations to members to improve their knowledge of their chronic conditions, 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 professional judgment.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 policies in all aspects of data handling and services.Fulfill responsibilities and duties reasonably provided by Inovalon to achieve operational and financial success.Uphold responsibilities related to the separation of duties within your job function.Note that this job description may change over time as business needs evolve, with notice provided.Other duties as assigned.Qualifications
Active, unencumbered nursing license.Nurse Practitioner Certification from ANCC or AANP in Family, Adult, Gerontology, or Emergency Medicine.Board Certified through AANP or ANCC.Current CPR certification.Compliance with healthcare personnel requirements for vaccinations and testing prior to hire, including MMR, Tdap, Tuberculosis.Home health experience is a plus.Effective communication skills with elderly and chronically ill patients and families.Understanding of Medicare, Medicaid, and health plan benefit structures is beneficial.#J-18808-Ljbffr
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