Nurse Practitioner – Medicare Advantage Wellness & Care Lead (Hybrid)

United Physicians; Bingham Farms (MI); Hybrid; USD 90,000 - 120,000; Full time

Job summary

United Physicians seeks a Nurse Practitioner to support providers in a value-based care model, performing Health Risk Assessments for Medicare Advantage patients and conducting AWV-related assessments in the office to ensure compliant chronic condition coding.

Responsibilities include chart reviews for diagnosis codes, developing and adopting clinical guidelines, leading team reviews of high-risk patients, and coordinating preventive screenings and advance care planning with primary care

Qualifications

• Current unrestricted license as a Nurse Practitioner in Michigan.
• Minimum 2 years of NP experience in general medicine or geriatrics.
• Knowledge of HCC model, HEDIS and STAR quality measures.
• Computer literacy and EMR proficiency.

Responsibilities

• Review patient charts for assessment of suggested and suppressed diagnosis codes and update charts accordingly.
• Develop, implement and adopt clinical guidelines across the network.
• Identify Medicare patients suitable for Annual Wellness Visits and complete AWV processes.
• Lead team-based clinical reviews of high-risk and multi-morbidity patients.
• Coordinate follow-up referrals and preventive screenings for patients.

Skills

NP licensure

HCC knowledge

Geriatrics

EMR proficiency

Chronic disease management

Education

Nurse Practitioner license (MI)

Tools

EMR software

Job description

United Physicians seeks a Nurse Practitioner to support providers in a value-based care model, performing Health Risk Assessments for Medicare Advantage patients and conducting AWV-related assessments in the office to ensure compliant chronic condition coding.

Responsibilities include chart reviews for diagnosis codes, developing and adopting clinical guidelines, leading team reviews of high-risk patients, and coordinating preventive screenings and advance care planning with primary care