OTHER

FEED

UNKNOWN

Overview: Responsible for processing requests for health information (medical records) in a timely manner, ensuring accuracy in the release of records, and providing customers with the highest quality product and service. Assists patients, processes mail, responds to telephone and e-mail inquiries, and retrieves facsimile (fax) inquiries in a timely and professional manner.

Overview:
Responsible for processing requests for health information (medical records) in a timely manner, ensuring accuracy in the release of records, and providing customers with the highest quality product and service. Specialist must at all times safeguard the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information, and that all releases of information are in compliance with the request, authorization, company policy, and HIPAA regulations.

Responsibilities:
<ol><li> Receives and responds to incoming requests for health information. Assists patients, processes mail, responds to telephone and e-mail inquiries, and retrieves facsimile (fax) inquiries in a timely and professional manner.</li><li> Provides excellent customer service to both internal and external customers.</li><li> Date stamps all requests and highlights pertinent data to facilitate processing.</li><li> Validates requests and authorizations for release of information according to company procedures and HIPAA regulations.</li><li> Documents requests and updates their status in the electronic tracking system as required by established procedures. Ensures that requests and authorizations are scanned into the electronic health record system.</li><li> Completes release of information requests accurately and correctly, according to the content of the requests, company procedures and established standards of quality and productivity.</li><li> Performs quality checks on all work to assure confidentiality, accuracy of the release of information, and proper invoicing.</li><li> Organizes workload and prioritizes work tasks to meet management’s production goals.</li><li> Maintains working knowledge of the current state and federal laws and regulations related to patient privacy, as well as facility policies and procedures in regards to release of information.</li><li> Performs other duties as required or assigned.</li></ol>

Qualifications:
<ul><li> High school diploma or equivalent.</li><li> Familiarity with all aspects of medical records, including electronic medical records.</li><li> Knowledge of medical terminology and/or coding desired</li><li> Excellent communication (both written and verbal), interpersonal and organization skills.</li><li> The ability to work as a team and the capability to use sound judgment in decision-making.</li></ul>

Required Licensure/Certifications:
<ul><li> None</li></ul>

Dartmouth-Hitchcock Health

Release of Information Specialist - Hybrid

Billing

Communication Skills

Corporate Policies

Customer Support/Service

Electronic Medical Records

Establish Priorities

Federal Laws and Regulations

HIPAA (Health Insurance Portability and Accountability Act)

High School Diploma

Interpersonal Skills

Mail Processing

Medical Coding

Medical Record System

Medical Records

Medical Terminology

Medical Treatment

Organizational Skills

Procedure Development

Regulations

Request for Information (RFI)

State Laws and Regulations

Team Player

Time Management

[AW]-iCims

Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.

YEAR

Overview:
Nurse Practitioner Per DiemThis position covers all zip codes in:  Grafton County, New Hampshire ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital. <div class="x_x_elementToProof">Compensation:<ul><li style="margin:0in">Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income</li><li style="margin:0in">In-home visit rate: $120 - $140 depending on state of residence</li><li style="margin:0in">If available, our telehealth rate is $85 per completed assessment</li></ul></div>Benefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities:
<ul><li>Knowledge of CMS Regulations and NCQA HEDIS Guidelines</li><li>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</li><li>Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)</li><li>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</li><li>Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required</li><li>Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing</li><li>Address and close identified gaps in care (disease-specific or preventive)</li><li>Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and</li><li>Perform, document and communicate results of Point of Care (POC) Testing</li><li>Maintain compliance with Company policies, procedures and mission statement</li><li>Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position</li><li>Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company</li><li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function</li><li>On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)</li><li>We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such</li><li>Other duties as assigned</li></ul>

Qualifications:
<ul style="margin-top:0in"><li>Active un-encumbered license to practice nursing</li><li>ANCC or AANP board certification as a Nurse Practitioner, Adult, Gerontology or Emergency Medicine. </li><li>Maintains current CPR certification</li><li>Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:</li><li><ul style="margin-top:0in"><li>Hepatitis B</li><li>Influenza</li><li>MMR: Measles, Mumps and Rubella</li><li>Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)</li><li>Varicella</li><li>Tuberculosis</li></ul></li><li>Home Health exp a plus </li><li>Must be able to effectively communicate with elderly and chronically ill patients and families</li><li>Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial</li><li>Ability to multitask</li><li>Excellent customer service skills</li><li>Bi-lingual or multi-lingual a plus</li><li>Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision</li><li>Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools</li></ul>This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

ComplexCare Solutions

Nurse Practitioner (Per Diem)

Adult Nurse Practitioner (ANP)

American Nurses Credentialing Center (ANCC)

CPR Certification

Cardiology

Centers for Medicare and Medicaid Services (CMS)

Certified Coding Specialist (CCS)

Clinical Outcomes

Clinical Practices/Protocols

Cloud Computing

Computer Skills

Computer Systems

Content Management Systems (CMS)

Current Procedural Terminology (CPT)

Department of Health and Human Services

Diabetes

Disease

Diversity

Documentation

Emergency Medicine

Emergency Services

Equal Employment Opportunity (EEO)

Health Plan

Healthcare

Healthcare Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Home Care

Hospital

ICD-10

Maintain Compliance

Medicaid

Medical Conditions

Medicare

Messaging Technology

Multilingual

Multitasking

National Committee for Quality Assurance (NCQA)

Nurse Practitioner

Nursing Credentials

Operations Processes

Patient Assessment

Primary Care

Risk Management

Staff Requirements

Telehealth

Treatment Plan

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Release of Information Specialist - HybridDartmouth-Hitchcock Health

Nurse Practitioner (Per Diem)ComplexCare Solutions

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