Nurse Practitioner Le Flore County), OK
Job in
Poteau, Le Flore County, Oklahoma, 74953, 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 - (Le Flore 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, identifying gaps in care, assessing potential health risks, and exploring care management opportunities with a focus on improving clinical outcomes. Our visits provide providers the opportunity to spend a full hour with members, capturing a comprehensive picture of their personal needs and what is required to keep them in the home and out of the hospital.
CCS is calling on Nurse Practitioners passionate about helping their local communities. We care deeply 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 reviews 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 compliance 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 with primary care providers (PCP) and health plans.Make general recommendations to members to improve their knowledge of their chronic conditions, such as information about 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 per 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 in Inovalon’s Operating Policies and Procedures.Fulfill responsibilities and duties reasonably assigned 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 based on business needs, with prior notice.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, including MMR, Tdap, and Tuberculosis, prior to hire.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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