Primary PurposeIn this role, you will perform in-home wellness and risk adjustment assessments for Medicare and other patient populations. Your work will ensure accurate, comprehensive documentation and support high-quality, value-based clinical care across the state.
Key ResponsibilitiesIn-home Clinical Assessments- Travel to members' homes and conduct comprehensive health evaluations
- Conduct Annual Wellness Visits and health assessments for members with chronic conditions.
- Perform:
- Medical history and physical examinations
- Review of systems
- Vital signs collection
- Medication review and reconciliation
- Possible preventive health screenings
- Hemoglobin A1C
- Spirometry
- KED (Kidney Health Evaluation)
- DRE (Diabetic Retinal Exam)
- FIT
- Bone Density
Patient Education & Engagement- Deliver preventive health education and counseling opportunities.
- Educate patients on ongoing health monitoring, medication adherence, and chronic condition management.
- Support informed decision-making and ensure true, informed consent.
- Engage in goals of care discussions when appropriate.
Care Coordination & Quality Support- Identify clinically relevant diagnoses for care management and risk adjustment documentation.
- Communicate findings used to generate post visit summaries for the primary care provider.
- Identify and help close quality care gaps (e.g., screenings, labs, follow-ups).
- Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience.
Travel Requirements- Full-time providers support the entire state of Oregon.
- Daily travel expectations remain within a 55-mile radius of the assigned home location.
- Statewide travel will be scheduled with a minimum of two weeks' notice.
Compliance & Professional Standards- Adhere to HIPAA regulations and safeguard protected health information (PHI).
- Maintain accurate, timely, and compliant EMR documentation.
- Perform additional duties as assigned in alignment with organizational goals.
RequirementsQualifications- Active, unencumbered Nurse Practitioner (NP) license in Oregon.
- Minimum 3 years of direct patient care experience (primary care, adult/geriatric preferred).
- EMR proficiency is desired.
- Prior in-home risk assessment experience is a plus but not required.
- Bilingual proficiency is an advantage.
BenefitsAdvantmed offers:- Competitive salary: ~130k annually
- Sign on Bonus - $15k
- Health benefits
- Dental benefits
- Vision benefits
- Paid time off
- Flexible work schedule
- Paid mileage
