Nurse Practitioner (Per Diem)

ComplexCare Solutions • Torrington, CT

5d • $2,400 - $10,000

About The Position

ComplexCare Solutions (CCS), on behalf of SME Medical Delaware, P.A., seeks a per diem Nurse Practitioner to provide in-home and, when available, virtual health assessments to members throughout Litchfield County, Connecticut. CCS delivers assessments for health plans nationwide, focused on evaluating members’ health status, care gaps, health risks, and care management opportunities. Providers spend up to a full hour with each member to understand individual needs and help support their ability to remain at home and avoid hospitalization.

Compensation is listed as potential monthly income of $2,400 to $10,000, with actual earnings varying according to completed assessments, state of residence, and business needs. There is no guarantee of visits or minimum income. In-home visits pay $120 to $140 depending on state of residence; when available, telehealth assessments pay $85 per completed assessment. The position is eligible for the company 401(k) plan, with new hires automatically enrolled at a 3% contribution rate and the option to opt out.

The Nurse Practitioner must provide comprehensive assessments and documentation, communicate findings and recommendations to primary care providers and health plans, address care gaps, and identify situations requiring escalation. The role requires at least 25 availability slots per month, approximately 37 hours.

Requirements

• Active, unencumbered license to practice nursing.
• ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology, or Emergency Medicine.
• Current CPR certification.
• Compliance before hire with recommended healthcare personnel vaccination and preventive-testing requirements for Hepatitis B, influenza, MMR, Tdap, varicella, and tuberculosis.
• Ability to communicate effectively with elderly and chronically ill patients and their families.
• Ability to multitask.
• Ability to practice autonomously in a remote clinical environment, including conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision.
• Proficiency with computer platforms, electronic health records, secure messaging systems, and cloud-based documentation tools.

Nice To Haves

• Home health experience.
• Understanding of Medicare, Medicaid, and health plan benefit structures.
• Bilingual or multilingual ability.

Responsibilities

• Apply knowledge of CMS regulations and NCQA HEDIS guidelines.
• Use evidence-based clinical practice standards, including those of the ADA, ACC, and AHA, and be familiar with ICD-10 and CPT-4 coding practices.
• Complete comprehensive, accurate reviews of assigned members and submit all required encounter documentation promptly.
• Document all pertinent and active medical conditions in the medical record in accordance with CMS/DHHS requirements, company policies, and client requirements.
• Support the physician-patient relationship through timely communication and documentation of assessment findings, recommendations, additional service needs, emergency services when necessary, and follow-up needs and timelines to the PCP and health plan as required.
• Make general recommendations to help members understand their chronic conditions, including information about recommended testing.
• Address and close identified disease-specific and preventive care gaps.
• Recognize urgent or emergent situations, escalate them appropriately, and take action according to company policies, professional judgment, and ethical practice standards.
• Perform point-of-care testing and document and communicate the results.
• Comply with company policies, procedures, and mission statement.
• Follow confidentiality and HIPAA requirements for all data handled and services rendered.
• Fulfill duties reasonably assigned to support the company’s operational and financial success.
• Uphold separation-of-duties requirements for applicable processes and procedures.
• Be available for a minimum of 25 slots per month, approximately 37 hours.
• Perform other duties as assigned.

Benefits

• Eligible to participate in the company 401(k) plan through employee contributions; new hires are automatically enrolled at a 3% contribution rate and may opt out.

What This Job Offers

• Education Level: No Education Listed