A

Advantmed

Risk adjustment and quality analytics provider

Nurse Practitioner

Advanced Practice ProvidersConfirmed live in the last 24 hours
Full-timeIllinois, USA

About the Job

Requirements

  • An active and unrestricted Illinois Nurse Practitioner license is required.
  • National board certification applicable to the Nurse Practitioner specialty is required.
  • At least 3 years of direct patient care experience is required.
  • Experience in primary care, family practice, internal medicine, geriatrics, urgent care, or a related setting is required.
  • A valid driver's license and reliable transportation are required.
  • Ability and willingness to travel extensively throughout Southern Michigan is required.
  • Ability to travel frequently by personal vehicle throughout assigned territories is required.
  • Ability to enter and work within patient homes is required.
  • Ability to lift and carry clinical equipment as needed is required.
  • Ability to sit, stand, bend, and walk for extended periods during patient visits is required.

Responsibilities

  • Travel to members' homes and conduct comprehensive health evaluations.
  • Perform Annual Wellness Visits and health assessments for members with chronic conditions.
  • Review comprehensive medical histories, perform physical examinations and reviews of systems, collect vital signs, and review and reconcile medications.
  • Perform applicable preventive health screenings, including Hemoglobin A1C, spirometry, Kidney Health Evaluation, Diabetic Retinal Exam, Fecal Immunochemical Test, and Bone Mineral Density screening.
  • Deliver preventive health education and counseling.
  • Educate patients on disease prevention, medication adherence, and chronic condition management.
  • Encourage informed healthcare decisions and obtain appropriate consent.
  • Conduct goals-of-care discussions when appropriate.
  • Promote patient engagement and participation in healthcare programs.
  • Identify clinically relevant conditions and diagnoses for risk adjustment and care management.
  • Document findings accurately and communicate information for post-visit summaries.
  • Help identify and close quality care gaps, including preventive screenings, laboratory testing, and follow-up care.
  • Collaborate with interdisciplinary teams to improve clinical quality measures and patient outcomes.
  • Adhere to HIPAA regulations and maintain confidentiality of Protected Health Information.
  • Complete accurate, compliant, and timely electronic medical record documentation.
  • Follow organizational policies, clinical protocols, and regulatory requirements.
  • Maintain professional licensure and certifications.
  • Perform additional duties as assigned in support of organizational objectives.

Desired Qualifications

  • Experience with Medicare populations is preferred.
  • Prior experience conducting in-home assessments or risk adjustment visits is preferred.
  • Electronic medical record proficiency is preferred.
  • Bilingual language skills are preferred.
  • Familiarity with value-based care and quality gap closure initiatives is preferred.

About the Company

Advantmed

Risk adjustment and quality analytics provider

Advantmed provides healthcare solutions focused on risk adjustment and quality improvement for health plans and providers. It helps clients improve risk scores and quality metrics by ensuring complete documentation of patient encounters to support accurate reimbursement and regulatory compliance. Its ELEVATE! Risk Adjustment platform uses analytics to identify patients needing health assessments and retrieves medical records to substantiate diagnoses, with in-home, telehealth, and in-office assessment options. Its goal is to improve health outcomes and revenue integrity by ensuring accurate risk adjustment scores and better quality ratings across Medicare Advantage, Commercial, and Medicaid programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Santa Ana, CA
Founded
2005

Recently Posted Jobs

Explore more opportunities at Advantmed

See more jobs