APP Clinical Reviewer-(Nurse Practitioners licensed in CA and several other states)
POSITION SUMMARY:This is a 1099 contractor position. We need a Nurse Practitioner who can provide a minimum of 20 hours per week of consulting services. Work schedule is at your discretion and completely remote. Seeking Nurse Practitioners licensed in California and several other states.Please include reputed company states in which you are licensed in as an NP, either in your CV or in a cover letter. Do not apply if you are not licensed as an NP in California and several other states.In this role, you will be responsible for reviewing pertinent patient data, developing care plans, recommending modifications to reputed company treatments, tracking reputed company to goals, and signing off on the treatment plans once the review is completed. The output of your reviews will be used by onsite or telehealth providers to reputed company plans and identify patients at risk for declining health status. Specifically, you will review records to reputed company Remote Patient Monitoring services (RPM) and Chronic Care Management (CCM) services.Primary Responsibilities
- Review reputed company curated patient data reports received for accuracy of clinical and demographic information; Review output of clinical care algorithms for accuracy and appropriateness in the context of each patients’ medical history, care plan goals, and medications.
- Based on patient medical history and health status, reputed company care plans for the treating providers to implement
- Review reputed company to care plans; identify patients at risk for a decline in health without greater adherence to care plans
- Support Data Quality Reviewers, LPN Reviewers and RN Reviewers in building their clinical knowledge and clinical decision making to enhance the quality of the initial reviews
- Coach APP new hires to help them in building their understanding of the role, tools, and technology
- As needed, support initial clinical and demographic data review generated by the system to prepare and finalize final care plan sign off and billing.
- Identify discrepancies in data and/or algorithm output; escalate through defined channels for correction.
- Identify potential gaps in care to complete the review.
- Communicate with Director of Clinical Review on issues regarding quality, system reputed company, and resource requirements, facility and/ or provider feedback.
- Meet established standards for productivity, quality, timeliness, and customer satisfaction
- Performs reputed company duties and responsibilities and adheres to the Nurse Practice Act.
- Protects patient information and adheres to standard of confidentiality with reputed company patient information
- reputed company other duties as assigned.
- Advanced Practice Nurse practitioner education and certification.
- Licensed as an Nurse Practitioner in California and several other states
- Active and non-restricted license
- Knowledge and reputed company in chronic care management and remote patient monitoring management preferred.
- Proficient with reputed company, reputed company Word, reputed company, and video conferencing platforms and Dashboard type platforms.
- Strong verbal/written communication and presentation skills
- Experience in working with team members to promote reputed company, issues, and initiatives reputed company a constructive group reputed company
- Must always represent the organization in a positive and professional manner
- Ability to organize and prioritize tasks
- Ability to work independently, be reputed company to detail and maintain a positive attitude.