NP Clinical Reviewer

POSITION SUMMARY:

This is a 1099 contractor position. We need a Nurse Practitioner, licensed in at least 3 states who can provide a minimum of 20 hours per week of consulting services. Work schedule is flexible and at your discretion.

Our current need is an NP licensed in at least 3 of the following states: SC, NE, WV, DC and MA.

***Do not apply if you are not a licensed Nurse Practitioner in at least 3 of these states.***

The NP Clinical reviewer role, reviews monthly summation reports generated by Artificial intelligence to optimize chronic care management for nursing home patients. The role of the NP is to review these reports and to make sure that the Care Plan generated by AI is appropriate and accurate

PRIMARY RESPONSIBILITIES

Review all 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, develop care plans for the treating providers to implement

Review progress 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 capacity, and resource requirements, facility and/ or provider feedback.

Meet established standards for productivity, quality, timeliness, and customer satisfaction

Performs all duties and responsibilities and adheres to the Nurse Practice Act.

Protects patient information and adheres to standard of confidentiality with all patient information

All other duties as assigned.

MINIMUM REQUIREMENTS

Advanced Practice Nurse practitioner education and certification.

Licensed as an Nurse Practitioner in at least 4 states

Active and non-restricted license

Knowledge and Skill in chronic care management and remote patient monitoring management preferred.

Proficient with Adobe, Microsoft Word, Excel, and video conferencing platforms and Dashboard type platforms.

Strong verbal/written communication and presentation skills

Experience in working with team members to promote ideas, issues, and initiatives within a constructive group framework

Must always represent the organization in a positive and professional manner

Ability to organize and prioritize tasks

Ability to work independently, be attentive to detail and maintain a positive attitude.

We kindly request that candidates refrain from contacting the company or HR directly regarding the status of their application. Our team will reach out to qualified candidates directly should there be a fit for the position. We appreciate your interest!