Value Based Care Specialist Licensed Practical Nurse- AdventHealth Medical Group

Location Address: 2600 Westhall, Maitland, FL 32751

Top Reasons to work at AdventHealth Medical Group

• Up To $2,000 Sign-On Bonus Available
• Healthcare Benefits Day One of Employment
• Comprehensive Employee Benefits such as Tuition Assistance and Student Loan Repayment
• Continual Growth and Professional Development Opportunities
• Central Florida’s premier multi-specialty medical group
• CREATION Health employee wellness and lifestyle programs

Work Hours/Shift: FT/Days

Full Time 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

What You Will Need:

• Graduate of an accredited school of nursing
• 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.