Annual Wellness Visit Nurse (LPN)

Location: 147 Gettys Street PO Box 3786 Gettysburg, PA 17325

Schedule: Day/Evening

Job Description:

Under the general supervision of the Clinical Manager and works in collaboration with the primary care providers and all members of the health care team.  Primary responsibilities include identification of Medicare patients appropriate for Annual Wellness Visits (AWV) and execution of the guided processes to complete the AWV.  Assesses healthcare needs that require additional follow up by primary care provider and assists patients in scheduling appropriate follow-up.   This position requires expertise in the nursing process, using critical thinking skills, plan and coordinate care.  Responsible and accountable for direct and indirect patient care for designated patient populations as a member of the clinical team.  Must be an innovative thinker and open to changing the way we deliver care.  Duties may include quality monitoring, patient assessments, direct patient care, and patient/staff education.  Provides safe, therapeutic, efficient quality care and services to all patients served.  Functions as a member of the health care team at licensed nurse level to assist in the planning and implementation of patient care, based upon sound nursing judgment, clinical preparation, knowledge, skills, and experience.

Duties and Responsibilities:

1. Review office schedules and identify patients appropriate and due for Medicare AWV.
2. Work collaboratively with clinical teams to accomplish AWV in an efficient manner for patient and team.
3. Follow AWV protocols and standing orders including completion of preventive services that may result from AWV.
4. Develop and share knowledge of AWV eligibility and documentation requirements.
5. Develop knowledge of Medicare preventive services and clinical guideline recommendations for those serves.
6. Address open quality gaps with patients and works collaboratively with patient towards closure of those gaps.
7. Utilize appropriate protocols and standing orders in delivering patient care.
8. Participate in regular team meetings, huddles, staff meeting and quality improvement projects to improve patient care.
9. Maintain annual competencies for role.
10. Document all communication with patient in electronic medical record.

The following are common expectations: 

11. Travel to primary locations within assigned county.
12. Ability to work independently and exercise clinical judgment in interactions with physicians, payers, patients and their families.
13. Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.
14. Aware of scope of practice boundaries, comfortable seeking direction and assistance from appropriate resources.
15. Ability to think innovative(ly) to find different ways of doing the work
16. Ability to communicate effectively both verbally and in writing.
17. Proficient ability to use a computer and electronic medical record.
18. Friendly, cheerful and helpful to patients and others.  Ability to meet patients and others needs while following office policies and procedures.
19. Ability to make critical decisions while following organizational policies and procedures.
20. Ability to adapt easily to changing conditions and work responsibilities
21. Display a positive attitude and be a positive agent for change
22. Ability to organize and direct a project to completion.
23. Work as part of a team and collaborate with co-workers.
24. Ability to meet deadlines and collect and present data.

Required Experience/Education

• Other combinations of formal education, training and experience may be considered.
• Minimum Education: Completion of LPN program
• Minimum Experience: 1-3 years
• Req Cert/Registration: Registration and current LPN license in PA; BCLS certification