AdventHealth

Value Based Care Specialist Licensed Practical Nurse

Posted on: 11 Mar 2021

Maitland, FL

Job Description

Job Description

Description
Value Based Care Specialist Licensed Practical Nurse - AdventHealth Medical Group

Location Address: 2600 Westhall, Maitland, FL

Top Reasons to work at AdventHealth Medical Group

* $2000 Sign-on Bonus Available
* Faith based & mission driven organization
* Central Floridas premier multi-specialty medical group
* Comprehensive Employee Benefits such as Educational Reimbursement
* CREATION Health employee wellness and lifestyle programs
* Positive working climate to support a work life balance

Work Hours/Shift: FT/Days

You Will Be Responsible For:

Identifies value-based patients overdue for visits, labs, or referrals and arranging for follow-up services as appropriate to assist with care gap closure

Conducts pre-visit chart review of patients including identification of all needed preventive health maintenance and immunizations,

Initiates orders before the patient sees a provider to increase care gap closure

Fills out pre-visit forms or initiates office visits forms to communicate the review to the provider

Participates in monthly meetings with payers.

Process Quality reports and communicate current successes and shortfalls to the providers of the practice.

Assists with organizing the practice patient outreach by working attribution list provided by payers, the AHPN, and our quality team.

Develops front line practice strategies to address and close identified care gaps.

Assists with Medication adherence.

Assists office team/providers with RAF documentation and recommendations.

Tracks CDI, HQPAF and Appointment Agenda forms for accuracy and completion

Works with the office providers to assure suspect conditions are addressed as needed for patients.

Occasionally participates in health fairs which may involve direct patient care such as taking vitals, administering immunizations, and performing eye exam

Qualifications
What You Will Need:

* Graduate of an accredited school of nursing
* Florida LPN license
* Understanding of care gap closure and value-based care
* Strong computer skills including previous experience with an EMR and Microsoft Office

Job Summary:

The Value Based Care Specialists will focus all their work with the Primary Care practices and providers on value-based members. They will outreach to patients for care gap closure, assist with RAF/HCC proposals, medication adherence and annual wellness visits for Medicare Advantage patients.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

AdventHealth

Altamonte Springs, FL

We are one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.

AdventHealth is comprised of more than 82,000 employees and physicians nationwide who share a common purpose, are united in mission and deliver whole person care – care that treats the body, mind and spirit. Our health care system finds its roots in the heritage and continuing ministry of the Seventh-day Adventist Church, which has a 150-year legacy of innovative health care services.

Throughout the United States, our system has more than 40 outstanding hospital-anchored markets in nine states, and our team delivers care to about 25,000 people a day.

Each of our employees is a valued member of our team. They play an important role in ensuring every person we serve is treated with uncommon compassion, feels connected throughout their experience, receives exceptional care, trusts us as reliable, and ultimately, feels whole because of their engagement with us. Everyone deserves this kind of experience and this is our promise – it’s how we live out our mission.
 

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