Job description

Per Diem Nurse Practitioner - Morgantown, WV

($5,000 Sign-On Bonus For External Candidates)

MAJOR RESPONSIBILITIES Primary Care Delivery

• Deliver cost-effective, quality care to assigned members.

• Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider.

• Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations.

• Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit.

• The APC is responsible for ensuring that all quality elements are addressed and documented.

• The APC will do an initial medication review, annual medication review and a post-hospitalization medication reconciliation.

• Facilitate agreement and implementation of the member’s plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians.

• Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed.

• Utilizes practice guidelines and protocols established by CCM.

• Must attend and complete all mandatory educational and Learnsource training requirements.

• Travel between care sites mandatory. Care Coordination

• Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers.

• Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members.

• Coordinate care as members transition through different levels of care and care settings.

• Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change.

• Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member’s needs and wishes.

• Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations

Per Diem Nurse Practitioner - Morgantown, WV

Pay: $47.11 - $55.93 per hour

Benefits:

• Flexible schedule

Medical specialties:

• Geriatrics

Physical setting:

• Inpatient
• Nursing home

Schedule:

• Monday to Friday
• No weekends

Supplemental pay types:

• Signing bonus

COVID-19 considerations:
Vaccination requirement

License/Certification:

• Board Certification (Required)
• DEA Certification (Preferred)

Work Location: One location

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