Nurse Practitioner; Per Diem

Nurse Practitioner Per Diem

This position covers all zip codes in:
Miami County, OH.

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 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 members to capture a comprehensive picture of their personal needs and what is required to keep them at 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 need your help to make a difference in the lives of our members.

In‑home visit: $120 per completed assessment. Telehealth rate: $85 per completed assessment (if available).

This position is eligible to participate in the company 401(k) plan. New hires are automatically enrolled at a 3% contribution rate with the option to opt out.

• Knowledge of CMS Regulations and NCQA HEDIS Guidelines.
• Knowledge of evidence‑based clinical practice standards: ADA, ACC, AHA; familiarity with 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.
• Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, company 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 timelines for follow‑up to PCP and health plan as required.
• Make general recommendations to members intended to improve 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 company policies and ethical professional practice standards.
• Perform, document, and communicate results of point‑of‑care testing.
• Maintain compliance with company policies, procedures, and mission statement.
• Adhere to all confidentiality and HIPAA requirements as outlined in the company’s operating policies and procedures.
• Fulfill responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the company.
• Uphold responsibilities related to the separation of duties for applicable processes and procedures within your job function.
• On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours).
• 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.

• Active, unencumbered license to practice nursing.
• ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology, or Emergency Medicine.
• Current CPR certification.
• Compliance, prior to hire, with recommended healthcare personnel requirements for vaccinations and preventive testing:
  • Hepatitis B
  • Influenza
  • MMR:
    Measles, Mumps, and Rubella
  • Pertussis, Tetanus, and diphtheria, and acellular pertussis (Tdap)
  • Varicella
  • Tuberculosis
• Home health experience a plus.
• Ability to effectively communicate with elderly and chronically ill patients and families.
• Understanding of Medicare, Medicaid, and health plan benefit structures advantageous.
• Ability to multitask.
• Excellent customer service skills.
• Bi‑lateral or multi‑lingual a plus.
• Ability to practice autonomously in a remote clinical environment.
• Proficient with computer platforms, electronic health records, secure messaging systems, and cloud‑based documentation tools.

Complex Care Solutions utilizes E‑Verify. Complex Care…