Annual Medicare Wellness Nurse

Job Description

Job Description

Employer Paid Benefits : $0 for employee only coverage

Medical / Dental / Vision / STD / LTD / Life / AD & D

HealthPoint is investing in employee's wellbeing! The Virgin Pulse wellbeing program gives you the tools to get active, get healthy and get rewarded! This resource is offered at no cost to ALL HealthPoint employees.

HealthPoint is bringing HOPE, HEALTH and HAPPINESS to our communities through

Positive Disruption, Unleashing Joy & Putting People First. To be the best place to work, practice medicine

and receive care.... With an attitude of gratitude!

Click Here to see how we are shaping our culture with Orange Frog!

BASIC FUNCTION

Performs selective medical services such as examinations, formulation of care plans, under the direction of the physicians.

Provides professional nursing care to patients following established standards, practices, and healthcare techniques. Demonstrates competence in making professional judgments pertaining to patient care.

Assists providers in patient care and education. Actively participates as a member of the healthcare team to engage patients, families, and caregivers in the coordination of patient care.

PRIMARY RESPONSIBILITIES AND DUTIES

1) Performs Medicare Annual Wellness Visits for patients who qualify for the services, per Medicare guidelines, under supervision of a provider.

2) Maintains acceptable patient volumes as per corporation’s benchmarks.

3) Follows guidelines, as defined by the US Preventative Services Task Force, and make recommendations of wellness screening tests and vaccinations based on those guiding principles.

4) Performs different screening exams such as PHQ2 / 9, Snellen vision screen, and whisper test along with screening for fall risk, urinary incontinence, tobacco, drugs, and alcohol.

5) Alerts physicians and / or APCs when concerns are identified during the annual wellness visit to ensure that patients receive the most appropriate level of care that matches their need at the time.

6) Travels to multiple primary care locations, depending on patient volumes, to perform Annual Wellness exams.

7) Provides patient with written plan of care immediately following each visit.

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8) Provides general nursing care to patients. Administer prescribed medications, vaccines, and treatments in accordance with nursing standards, US Preventative Services Task Force recommendations, and Standing Orders.

9) Screens patients for appropriate information and observes, records and reports patient’s condition and reaction to drugs and treatments to the provider.

Instructs patients in collection of samples and tests.

10) Provides appropriate education and instructions to the patient and family regarding medication and treatment protocol.

11) Advises patients regarding health and illness prevention and recommend community resources to meet patient and family needs if applicable.

12) Contacts patients to provide education on the importance of the annual wellness visit and schedules the appointment for the patient.

13) Coordinates with staff who may be assisting in the scheduling process for annual wellness visits, which includes developing and adjusting scripting that is used.

14) Maintains and monitors data base of patients who qualify for the annual wellness visit, including attempted contacts, refusals, and scheduled appointments.

15) Performs and documents various tests and procedures as directed by the provider. Documents patient information, test and examination results and care provided in the patient’s paper or electronic health record.

16) Evaluates and responds appropriately to urgent or emergency situations.

17) Provides timely, accurate, and complete documentation of care provided in the patient’s medical record to ensure timely billing of services.

18) Participates in quality improvement activities and processes.

19) Contacts patients to relate test results and care instructions, according to provider instructions.

20) Reviews laboratory results and other patient information.

21) Coordinates patient referrals, appointments, testing and admissions to other facilities.

22) Obtains proper insurance company referral or authorization for required visits or testing.

23) Fosters effective communication and collaboration among staff, providers, colleagues, and other organizational team members to achieve desired department performance

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24) Performs other duties as assigned. Effectively carries out tasks and responsibilities beyond core job duties and primary role.

The additional duties may vary from time to time and encompass a wide range of activities that contribute to the overall success of the organization (floating, schedule variations, assisting co-workers, patients, visitors, customers, leaders, and other stakeholders in support of the organization.)

QUALIFICATIONS :

GENERAL PROFESSIONAL DEVELOPMENT This position requires a high level of professionalism, strong communication and interpersonal skills, and the ability to handle sensitive and confidential information with discretion.

1) Organizational Skills - Displays more advanced organizational skills, in order to organize projects or the work of others.

2) Problem Solving Skills - Devises effective solutions to situations encountered which include general goals and objectives of the IPC / Employee Health function

3) Communication Skills - Able to effectively communicate opinions drawn from conclusions using inference and logic. 4) Critical Thinking Skills Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

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5) Problem Resolution - Resolves conflicts that may arise because of disagreements between employees, between employees and customers / clients, or with the public, other legal entities, or governmental authorities.

PROFESSIONAL / TECHNICAL KNOWLEDGE, SKILLS & ABILITIES

1) Possesses advanced general skills, including written and verbal communications skills, computational and computer skills, and mathematical knowledge frequently acquired through completion of a general bachelor’s degree program or associate degree with acquired clinical or healthcare administrative experience.

2) Preferred : Possesses the equivalent of formal training in clinical or administration in a healthcare setting with a Bachelor of Science Degree in Nursing (BSN).

3) Preferred : Minimum of 1 year of clinical experience in a primary care or ambulatory care setting.

LICENSES & CERTIFICATIONS

1) Required :

a) Up to date CPR Completion

b) Current licensure as a Registered Nurse (RN) in the state of Texas

c) Valid Driver’s License with reliable transportation.

TECHNICAL SKILLS

1) Word Processing Skills - Prepares more complex documents in Microsoft Word including creating tables, charts, graphs, and other elements.

2) Spreadsheet Skills - Uses Microsoft Excel to analyze data, including the use of formulas, functions, lookup tables and other standard spreadsheet elements.

3) Graphics / Presentation Skills - Creates basic presentations in Microsoft PowerPoint.

4) Other Software Skills

a) Uses HRIS to manage HR employee record keeping, workforce reporting, talent management, time & attendance, and benefits administration

b) Uses CRM or like software to manage and evaluate customer / patient information for development of process improvement opportunities

5) Electronic Medical Record Skills - Demonstrates necessary proficiency with all electronic clinical systems, including EHR and scheduling systems, in use at the health center.

6) Knowledge of nursing principles and skills needed to provide quality patient care and treatment including examination, diagnostic and treatment procedures, medications effects on patients and patient education principles

7) Knowledge of ICD-10 and CPT coding guidelines.

Mission : To provide evidence-based healthcare utilizing a patient empowered team approach resulting in individual wellness.

Vision : Best place for patients to receive care. Best place for providers to practice medicine. Best place for employees to work.

Values : Integrity, Respect, Empathy, Ethics, Excellence, Diversity, Safety, Professional.