Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.
Learn more at: https://prominence-health.com/
Job Summary:Performs comprehensive health assessments for Medicare and Commercial Patients ensuring accurate clinical documentation and management of chronic conditions and preventive services
The ideal candidate has experience working in Managed Care /Medicare Advantage sponsored Health Assessments with emphasis on documentation of chronic conditions under the CMS risk adjustment V28 model. The provider has work experience with compliance and documentation of quality measures under HEDIS and Stars
Benefit Highlights:- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries! • More information is available on our Benefits Guest Website: benefits.uhsguest.com
Qualifications Qualifications and Requirements: Regulatory Requirements: - Current Registered Nurse License in the State of Texas.
- Masters Degree from an accredited Nurse Practitioner's Program.
- National Certification as a Nurse Practitioner or certification preferred.
- Current BLS Certification.
Skills: - Experience working in Health Insurance Industry or Managed Care Organizations
- Ability to work on a Electronic Medical Record (EMR)
- ICD- Documentation experience and HCC risk adjustment model
- Competence in Quality Improvement Programs and Measures
- Ability to travel within the State of Texas
- Ability to visit patients home with or without supporting staff
- Ability to communicate in English and Spanish, both verbally and in writing.
