Bilingual Risk Adjustment Nurse Practitioner
Southland Care Coordination Partners - Olympia Fields, IL
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Job Title: *Risk Adjustment Nurse Practitioner (Walk-in Clinic)*Job Category: *Clinical*Department/Group: *Medical Management Services / Risk Adjustment*Direct Report: *Manager of Risk Adjustment*Location: On-site/Remote*Job Description*: The Nurse Practitioner is responsible for performing Member health assessments to help improve prospective risk adjustment results and close care gaps.*Role and Responsibilities*:* Perform Walk-in/Telephonic/Telehealth Health Risk Assessments for assigned Health Plan Members.* Complete an accurate and substantiated clinical profile of assessed members.* Provide comprehensive and detailed documentation and notes that support updated clinical profile.* Apply appropriate clinical coding to updated clinical profiles.* Compliant with Performance Goals / Contract Deliverables of Health Plan.* Timely management notification of any critical member issue/concern.* Participates in all SCCP mandatory and CMS regulatory trainings.* Attends all staff meetings - in person or telephonic.* Other duties as assigned by Direct Report.*Qualifications and Education Requirements:** A certified Nurse Practitioner (NP) with considerable clinical experience.* Active State of Illinois Nurse Practitioner license.* Experienced in conducting Risk Adjustments or Health Risk Assessments.* Proficient with Diagnosis, Billing, and Quality Measures.* Understanding of Medicare and Medicaid Health Plans.* Experienced in using an EMR to input assessment data.* Able to work a minimum of twenty (20) hours per week.*Preferred Skills:** Good communication skills.* Ability to interact with health care professionals in a professional manner.* Experienced diagnostician and critical thinking* Experienced with ICD-10 diagnostic codes and HCC codes* Excellent organizational, written, and verbal communication, and interpersonal skills.Job Type: Full-timePay: $110,000.00 - $124,000.00 per yearBenefits:* 401(k)* Dental insurance* Health insurance* Life insurance* Paid time off* Retirement planMedical Specialty:* Primary CareSupplemental Pay:* Bonus opportunitiesExperience:* Health Risk Screenings: 1 year (Required)* EMR systems: 1 year (Required)* Telehealth: 1 year (Preferred)Language:* Spanish (Preferred)License/Certification:* Certified Nurse Practitioner (Required)* Impact (Preferred)Work Location: In person
Created: 2024-10-01