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Annual Wellness Visit RN - Remote and Part-Time!

Role overview

Qualifications

  • Graduate of an accredited Registered Nursing program
  • Current RN license in the applicable state
  • BLS certification required
  • Experience with value-based care initiatives

Responsibilities

  • Conduct Medicare Initial Preventive Physical Exams and Annual Wellness Visits according to CMS requirements
  • Obtain and document comprehensive patient histories and perform required assessments
  • Collaborate with the interdisciplinary care team for preventive care and care coordination
  • Educate patients on preventive health recommendations and lifestyle modifications

About the company

Physicians East logo

Physicians East

Medical Practices & Clinics

Physicians East, PA is eastern North Carolina’s largest private medical-surgical multi-specialty health care practice with over ninety providers caring for patients in Greenville, Farmville, Winterville, Grifton, Kinston and Beulaville. Physicians East offers Primary Care services at six of their ten locations. Sub-specialists include cardiology, dermatology, endocrinology, gynecology, gynecologic oncology, gastroenterology, hematology, infectious disease, oncology, obstetrics, pulmonary care, rheumatology, sleep medicine, colorectal and general surgery. Physicians East operates its own AAAHC (Accreditation Association of Ambulatory Health Care, Inc.) surgical endoscopy center, a Sleep Center, a Surgical Weight Loss Center, a fully-staffed Urgent Care Center with on-site x-ray and laboratory services for walk-in and after hours care, and provides outreach services in nearby community hospitals. Since 1965, Physicians East’s physicians and staff have worked together to build a reputation of excellence in individualized, comprehensive, patient-focused health care. Through its dedicated and committed staff, Physicians East sets the benchmark for providing the highest quality and most innovative medical care available.

Company details

Company typeSME
IndustryMedical Practices & Clinics
Company size501 - 1000

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Job description

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Job Title: Annual Wellness Visit (AWV) Registered Nurse

Department: Population Health

FLSA Status: Non-exempt

 

About us

Physicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.


Location & commitments

Part Time role based at our Arlington location, Hours are flexible. Option to work from home in HIPAA appropriate setting.


Supervision Received: Reports to Population Health supervisor.


Supervision Exercised: None.


Typical Physical Demands: Requires full range of body motion, manual and dexterity and eye-hand coordination. Requires normal visual acuity and hearing. Requires sitting for extended periods.


Typical Working Conditions:

Office environment or home office setting.


About the role

The Annual Wellness Visit (AWV) Registered Nurse is responsible for coordinating and conducting Medicare Annual Wellness Visits in accordance with CMS guidelines. The RN works collaboratively with primary care providers and the interdisciplinary care team to identify preventive care needs, close quality gaps, promote chronic disease management, and improve patient outcomes while ensuring accurate documentation within the electronic health record (EHR)


Responsibilities: (This list may not include all the duties assigned.)

 Annual Wellness Visits

  • Conduct Medicare Initial Preventive Physical Exams (IPPE), Initial Annual Wellness Visits, and Subsequent Annual Wellness Visits according to CMS requirements.
  • Obtain and document comprehensive patient histories, including:
  • Medical and surgical history
  • Family history
  • Social history
  • Current medications and allergies
  • Perform and document:
  • Health Risk Assessment (HRA)
  • Functional status assessment
  • Fall risk screening
  • Depression screening (PHQ-2/PHQ-9 as appropriate)
  • Cognitive assessment
  • Safety assessment
  • Advance care planning discussions
  • Record vital signs and other required clinical measurements.
  • Develop and update each patient’s Personalized Prevention Plan.

Quality & Preventive Care

  • Identify and close preventive care gaps.
  • Review immunization status and recommend appropriate vaccines.
  • Ensure recommended screenings are ordered or scheduled, including:
  • Mammograms
  • Colon cancer screening
  • Bone density testing
  • Lung cancer screening
  • Abdominal aortic aneurysm screening
  • Hepatitis C screening
  • Coordinate referrals for preventive services when appropriate.

Care Coordination

  • Collaborate with physicians, nurse practitioners, physician assistants, care managers, referral coordinators, and ancillary departments.
  • Identify patients who may benefit from Chronic Care Management (CCM), or other care management programs.
  • Coordinate follow-up appointments for medical conditions identified during the wellness visit.
  • Communicate abnormal findings to the patient’s provider.

Documentation & Compliance

  • Complete all documentation accurately and timely within the EHR.
  • Ensure compliance with CMS, Medicare, payer, and organizational documentation standards.
  • Assist with quality reporting initiatives, including MIPS, ACO, HEDIS, and other value-based care programs.
  • Support accurate coding by documenting required components of the Annual Wellness Visit.

Patient Education

  • Educate patients regarding:
  • Preventive health recommendations
  • Lifestyle modifications
  • Nutrition and exercise
  • Tobacco cessation
  • Fall prevention
  • Medication adherence
  • Advance directives

Population Health

  • Identify eligible Medicare beneficiaries for Annual Wellness Visits.
  • Participate in outreach initiatives to improve AWV completion rates.
  • Monitor quality dashboards and assist in achieving organizational quality goals.

 

Candidate requirements 

  • Graduate of an accredited Registered Nursing program.
  • Current RN license in the applicable state.
  • BLS certification required.
  • Experience with value-based care initiatives.


Affirmative Action/EEO statement

Physicians East, P.A.is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at careers@physicianseast.com


Disclaimer

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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