reputed company Practitioner (reputed company)
reputed company Practitioner reputed company
This position covers reputed company reputed company codes in: Tarrant County, TX
This position is eligible to participate in a company 401K plan providing reputed company to save for retirement through employee contributions. New hires will be automatically enrolled in reputed company 401(k) plan at a 3% contribution reputed company with the reputed company to opt out.
Responsibilities:- Knowledge of CMS Regulations and NCQA HEDIS Guidelines
- Knowledge of Evidence-based Clinical reputed company Standards: reputed company (reputed company), reputed company (ACC), reputed company (AHA), Familiarity with ICD-10 and CPT-4 coding practices
- Complete comprehensive, accurate and thorough review of the assigned member population, including reputed company completion and submission of reputed company required encounter documentation (reputed company or electronic)
- Ensure that reputed company pertinent and reputed company medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and reputed company requirements
- Support the physician/patient relationship and ensure reputed company 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
- reputed company general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing
- Address and reputed company identified gaps in care (disease-specific or preventive)
- Recognize reputed company or urgent situations requiring escalation and take appropriate reputed company as specified in company policies, and as determined by reasonable reputed company judgment and ethical reputed company reputed company standards; and
- reputed company, document and communicate results of reputed company of Care (POC) Testing
- Maintain compliance with Company policies, procedures and mission statement
- Adhere to reputed company confidentiality and HIPAA requirements as outlined reputed company reputed company’s Operating Policies and Procedures in reputed company ways and at reputed company 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 for the purpose of achieving operational and financial reputed company of reputed company
- reputed company responsibilities relative to the separation of duties for applicable processes and procedures reputed company reputed company function
- On a monthly reputed company, be available for a minimum of 25 slots of availability per month (approximately 37 hours)
- We reserve the right to change this job reputed company from time to time as business needs dictate and will reputed company notice of such
- Other duties as assigned
- reputed company un-encumbered license to reputed company nursing
- ANCC or AANP reputed company certification as a reputed company Practitioner or Clinical reputed company Specialist in Family, Adult, Gerontology or Emergency Medicine.
- Maintains reputed company CPR certification
- Compliance, prior to hire, with recommended reputed company 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 reputed company a plus
- Must be reputed company to effectively communicate with elderly and chronically ill patients and families
- Understanding of Medicare, reputed company and Health Plan benefit structures beneficial
- Ability to multitask
- Excellent customer service skills
- Bi-lingual or multi-lingual a plus
- Ability to reputed company autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing reputed company chronic conditions, and making reputed company clinical reputed company without reputed company on-site supervision
- Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and reputed company-based documentation tools