Annual Wellness Visit Nurse - Family Medicine-PBC

Marshall Health•Huntington, WV

About The Position

The Annual Wellness Visit Nurse conducts detailed health assessments, provides patient education and support, documents patient information, assesses health risks, and assists with preventive care and follow-up. The nurse collaborates with physicians, nurse practitioners, and other healthcare team members to develop individualized care plans and coordinate referrals, appointments, screenings, and tests. The role also supports quality improvement, care coordination, and care management programs, and promotes patient engagement and compliance with applicable laws, regulations, and organizational policies. Other duties may be assigned or requested.

Requirements

  • Graduate of a school of nursing.
  • Current RN license.
  • Minimum of 2 years of nursing experience.

Nice To Haves

  • Nursing experience in primary care, geriatrics, or preventive health services.

Responsibilities

  • Conduct annual wellness visits, reviewing medical histories, evaluating current health conditions, identifying potential health risks, and identifying patients who may benefit from integrated care management or coordination services.
  • Educate patients about preventive health practices, lifestyle modifications, chronic disease management, and their specific conditions and needs.
  • Support and evaluate patient progress toward health goals, revising care plans in collaboration with patients and the healthcare team as needed.
  • Document patient information, including vital signs, health histories, and screening results, accurately and in a timely manner in electronic medical records.
  • Assess potential health risks based on patient data and recommend preventive care and follow-up actions.
  • Collaborate with physicians, nurse practitioners, and other healthcare team members to develop and implement individualized care plans.
  • Participate in regular team and organizational meetings and assist with orienting new personnel in quality improvement and population health.
  • Promote collaboration across the organization and work with the RN Quality Manager to improve quality metrics and care coordination and to assist with enrollment and support of care management programs.
  • Coordinate referrals, follow-up appointments, additional screenings, and tests as necessary.
  • Advocate for patients and help them achieve their maximum level of health.
  • Foster a supportive environment that encourages patients to take an active role in their health and wellness.
  • Ensure activities comply with applicable laws, regulations, and organizational policy.
  • Perform other duties as assigned or requested.
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