Licensed Practical Nurse Annual Wellness

Position Highlights

• Department: MHPC Population Health
• Hours: 40.00 per week

Position Summary

The LPN – Medicare Annual Wellness Visit Coordinator is responsible for participating in conducting Medicare Annual Wellness Visits (AWVs) at all Middlesex Health Primary Care (MHPC) practice locations, in collaboration with a licensed provider. This role focuses on preventive care, health risk assessments, patient education, care gap identification, and accurate documentation to support high-quality, compliant Medicare services. The nurse works under established protocols and in coordination with providers to ensure comprehensive, patient-centered care.

Essential Duties & Responsibilities

Clinical and Patient Care:

• Perform Medicare Annual Wellness Visit components as directed by provider and in accordance with CMS guidelines
• Conduct and document Health Risk Assessments (HRA)
• Collect and document in health system electronic medical record (EMR) the required patient information, including:
• Medical, surgical, family, and social history
• Medication lists
• Allergies
• Providers Care Team participants and suppliers involved in the care of the patient

Required Screenings and Assessments:

• Obtain and document vital signs and other required clinical data
• Perform standardized screenings, including but not limited to:
• Depression screening
• Cognitive impairment assessment support
• Fall risk and safety assessment
• Functional ability and activities of daily living (ADL/IADL) screening
• Identify health risks and report findings to the provider for clinical decision-making

Preventive Care and Care Coordination:

• Identify preventive care gaps (e.g., immunizations, screenings, labs)
• Provide patient education related to preventive services, screenings, immunizations, and lifestyle risk factors
• Coordinate follow-up appointments, referrals, and orders as directed by the provider

Documentation, Billing Support and Compliance:

• Accurately document all AWV components in the EMR
• Ensure documentation supports Medicare billing and compliance requirements:
• Follow established clinical protocols, workflows, and standing orders
• Maintain patient confidentiality and comply with HIPAA and organizational policies

Collaboration and Quality Support:

• Communicate findings, concerns, and care gaps to the applicable primary care provider in a timely manner
• Work collaboratively with providers, care teams, and administrative staff to support AWV scheduling and completion
• Participate in training, quality improvement initiatives, and workflow optimization related to AWVs

Minimum Qualifications

• Active, unrestricted LPN license in Connecticut
• Graduate of an accredited nursing program
• BLS certification
• 2 years experience in an ambulatory or primary care setting
• Proficiency with electronic medical records (EMR) and standardized documentation tools

Preferred Qualifications

• Experience performing or supporting Medicare Annual Wellness Visits
• Knowledge of CMS guidelines and preventive care measures
• Experience with population health or quality-based care models
• EPIC experience

Comprehensive Benefits Offered

• Competitive and affordable benefits package
• Shift Differentials
• Continuing Education assistance
• Tuition reimbursement
• Student Loan relief through Fiducius
• Quick commute access from I-84, Route 9 and surrounding areas

About Middlesex Health

The Smarter Choice for your Career!

Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.