Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Nurse Practitioner (Per Diem) Job Locations US LA Lafayette Job ID 2020 3242 Type Per Diem Overview ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in 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

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Work with the agile team to participate in agile ceremonies like grooming, planning, standup, retrospective, demos Actively contribute to grooming, and standup, create & update tasks estimate and status Design and develop modern data ingestion pipeline utilizing tools like ADF (Azure Data Factory), Databricks, MS SQL Extensively work on Azure Cloud Platform Write complex

Nurse Practitioner (Per Diem) Job Locations US GA Peachtree City Job ID 2020 3606 Type Per Diem Overview ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in 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 he

Accurately and efficiently conduct medical record abstraction services; Scan relevant components of the medical record to support reviews to be performed; Electronically download review assignments to the laptop and data collection tool; daily upload completed assignments and scanned medical records; Complete required training; Complete quality, accuracy and inter rater r

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Develop and maintain an expert level of knowledge regarding products, services, capabilities, infrastructure, and operations of Employer and its affiliates, the marketplace, competition, strategic positioning, threats, and direction to achieve optimal insight and success with respect to Employer's (and those of its affiliates) products, services, capabilities, support, fu

Nurse Practitioner (Per Diem) Job Locations US LA Lake Charles Job ID 2020 3243 Type Per Diem Overview ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in 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 heal