Nurse Practitioner
4 weeks ago
We are seeking a highly skilled Nurse Practitioner to join our team at Regal Medical Group. As a HEDIS and Risk Adjustment Nurse Practitioner, you will be responsible for performing clinical and administrative tasks, including reviewing medical records, analyzing data, and providing education to office staff and providers.
Key Responsibilities- Review medical records to flag diagnoses and consider suspected diagnoses for physicians to document
- Input suggested diagnoses into databases in a timely manner
- Highlight needed quality measures as outlined by HEDIS for STAR/AMP
- Review and complete post-discharge medication reconciliations for hospitalized patients
- Contact patients who were recently evaluated in an emergency room and document progress notes
- Reach out to patients with uncontrolled blood pressure to discuss medication management and disease education
- Review lab and radiology results ordered by Medical Directors
- Interface with physicians, vendors, members, and internal staff telephonically or in person to obtain data
- Provide education on Risk Adjustment and HEDIS to office staff and providers
- Credentialed and Licensed Nurse Practitioner
- Minimum of five years experience in a clinical setting as either Family Practice or Internal Medicine
- Familiarity with managed care, commercial, and point-of-service medical care preferred
- Computer literate with knowledge and experience with specific software such as Word, Excel, and Access
We offer a comprehensive benefits package, including employer-paid comprehensive medical, pharmacy, and dental insurance, vision insurance, flexible spending account, employer-paid life insurance, employee assistance program, behavioral health services, 401(k) retirement savings plan, income protection insurance, vacation time, company celebrations, employee assistance program, employee referral bonus, tuition reimbursement, license renewal CEU cost reimbursement program, business-casual working environment, sick days, paid holidays, and mileage reimbursement.
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