Family Nurse Practitioner with 13 years of experience as Registered Nurse in acute care and over 6 year as Nurse Practitioner. Skilled in providing quality care to patients of all ages. Highly dedicated to serving the community at the highest degree with years of experience.
• Complete comprehensive, accurate and thorough review 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 a manner compliant 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 required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required.
• Make general recommendations to members intended to improve members' 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 Inovalon policies, and as determined by reasonable professional judgment and ethical professional practice standards.
• 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 within Inovalon’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.
• Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company.
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.
• 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
Basic Life Support (BLS),Advanced Cardiac Life Support (ACLS), AANP Certification, Nurse Practitioner Certificate & Furnishing, DEA Registration, National Provider Identification, Certified Medical Examiner for DOT physicals.