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Nurse Practitioner Per Diem (Chatham County)
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- ComplexCare Solutions (An Inovalon Company) specializes in helping those in need by delivering high value in-home and virtual assessments for health plans nationwide.
- 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-10 and CPT-4 coding practices.
- 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.
- Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in Inovalon policies, and as determined by reasonable professional judgment and ethical professional practice standards; andPerform, document, and communicate results of Point of Care (POC) Testing.
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