This role involves conducting RN-led Medicare Wellness Visits to complete required preventive care assessments, screenings, and other Medicare visit components. The nurse will perform comprehensive patient assessments, including health history, medications, functional status, social determinants of health, safety concerns, and individualized wellness needs. Responsibilities include performing and documenting required screenings (depression, cognitive, fall risk, functional, preventive health), identifying and supporting the closure of preventive care gaps (immunizations, cancer screenings, health maintenance), and providing patient education, health coaching, motivational interviewing, and self-management support. The nurse will develop and reinforce personalized prevention plans, recognize abnormal findings and escalate issues to providers, coordinate referrals and follow-up care, and maintain accurate electronic health record documentation in compliance with Medicare, CMS, coding, audit, and organizational requirements. Participation in quality improvement, documentation optimization, workflow standardization, professional development, and collaborative initiatives is also expected.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree