Complex Care Solutions Collaborative Physician (MD or DO) - Chart Reviewer in Greenville, South Carolina

ComplexCare Solutions delivers home assessment services for health plans nationwide utilizing Nurse Practitioners and Physician Assistants.

Many of our NP or PA employees require a collaborative agreement with a physician in order to complete their home assessments. The MD collaborator works with these individuals to provide oversight applicable to licensing requirements. This is a remote position.

  • Enter into Written Collaborative Practice Agreements and/or a Collaborate Relationship with the CCS Practitioners, depending on state specific requirements;

  • Provide supervision and collaborative oversight for CCS Practitioners who provide CCS Practitioner Services in the Service Area, consistent with the Collaborative Practice Agreements and any applicable Protocols, and in accordance with applicable state and federal law;

  • Review a representative sample of CCS Practitioner Service records at least once every three months, or more often as required by law or by CCS, to evaluate whether the CCS Practitioner Services were provided congruent with applicable Protocols; provide results of such review to CCS and the applicable CCS Practitioner; and maintain copies on site for possible regulatory agency review;

  • Be available to the CCS Practitioner for consultation, as needed, either on site or by electronic access, including but not limited to, telephone, facsimile and email, during normal business hours;

  • Attend trainings and orientations arranged and required by CCS, if applicable, such events not to exceed once per month, and be available to participate in conference calls with CCS’s Medical Director as may be requested from time to time;

  • Maintain such records and furnish such reports regarding provision of the CCS Practitioner Services, including monthly time records appropriately describing the Services rendered, in the form and at such times as required by CCS; and

  • Engage in a minimum time commitment of one (1) hour per week in provision of the Services.

  • MD or DO with unrestricted license in the State where providers perform assessments

  • Board certification in family practice, general practice, internal medicine or geriatrics preferred

  • Strong clinical background in evaluation and management of chronic diseases commonly seen in the Medicare and/or Medicaid population

ID: 2018-2060

External Company Name: Complex Care Solutions

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