Medicare NP: Chronic Care & HEDIS Specialist

Preferred Family Care, Inc.; Florida; On-site; USD 90,000 - 120,000; Full time

Job summary

Preferred Family Care, Inc. in North Miami Beach, FL is seeking a Nurse Practitioner to join our patient-centered team. The ideal candidate has Medicare Advantage experience, HEDIS familiarity, and MRA coding skills to support comprehensive care and risk adjustment efforts.

The role requires an active Florida APRN license, national board certification, and at least 2 years of Medicare experience. Strong documentation, communication, and bilingual abilities (English/Creole) are preferred.

Qualifications

• Active Florida APRN license and national board certification (FNP preferred).
• Minimum 2 years of experience working with Medicare patients.
• Strong understanding of HEDIS measures and MRA coding.
• Experience with chronic care management and preventative screenings.
• Excellent interpersonal, clinical, and documentation skills.
• Bilingual (English/Creole) preferred.

Responsibilities

• Conduct comprehensive patient assessments, focusing on chronic condition management and preventive care.
• Accurately document HCC for MRA coding.
• Ensure compliance with HEDIS performance measures.
• Develop individualized care plans and educate patients on condition management.
• Collaborate with interdisciplinary teams for optimal patient outcomes.
• Utilize EHR systems efficiently to maintain accurate and timely documentation.
• Ensure regulatory and clinical compliance in all aspects of care delivery.

Skills

Medicare experience

HEDIS knowledge

MRA coding

Chronic condition management

Documentation skills

Bilingual English/Creole

Education

Florida APRN license

FNP national board certification

Job description

Preferred Family Care, Inc. in North Miami Beach, FL is seeking a Nurse Practitioner to join our patient-centered team. The ideal candidate has Medicare Advantage experience, HEDIS familiarity, and MRA coding skills to support comprehensive care and risk adjustment efforts.

The role requires an active Florida APRN license, national board certification, and at least 2 years of Medicare experience. Strong documentation, communication, and bilingual abilities (English/Creole) are preferred.