In-Home Risk Adjustment Specialist

We are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network as an In-Home Risk Adjustment Specialist. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations.

Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role offers tremendous flexibility and opportunity for those who are balancing competing priorities.

As an In-Home Risk Adjustment Specialist, you will play a pivotal role in providing individualized quality care to the elderly population in their homes.

• Perform annual in-home wellness visits and risk adjustment health assessments on a population with chronic conditions; Our thorough evaluations include: a comprehensive assessment, physical examination, body system review, vital signs, review of medication history, review of current prescriptions, review of member functional status, pain management, cognitive assessment, review of the home environment, fall risk screening, social assessment, review of daily living activities, mental health screening, documentation and communication.
• You will deliver patient health education on topics such as pain management, medication, etc.
• Build relationships of trust with members through exceptional communication and empathy.
• Assist in closing quality care gaps (i.e. screenings and labs).

• A valid unencumbered NP License for the state you will be working in is required.
• This role requires travel within the assigned job posting county up to a maximum 55-mile radius.
• Previous in-home risk assessment experience is preferred.
• Previous 1099 (PRN) experience is preferred but not required.
• 3 years patient care experience preferred (primary care/adult/geriatric, EMR).
• Access to reliable transportation that will enable you to travel to member's homes within a designated area is required.

• Competitive wages ($110 per completed in-home assessment rate)
• Paid mileage
• Flexible work schedule
• Evening and weekend availability
• Never on-call
• Visits ready to be scheduled immediately
• Appointment confirmation support
• Dedicated coordinator support
• Advanced member scheduling coverage
• State-of-the-art technology