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 Quality Risk Adjustment (QRA) Nurse Practitioner - WellMed - Tampa, FL - TAMPA, Florida, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Nursing - Nurse Practitioner/Advanced
 
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 880605 / Latpro-3745320 
Date posted: Jun-27-2020
State, Zip: Florida, 33601

Description

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

The Quality Risk Adjustment (QRA) Nurse Practitioner in the Practice Support Unit works in the contracted primary care markets to support quality risk adjustment coding and screening needs. Patients may be seen in a clinic, long term care facility or in the patient’s home as part of a collaborative team that may include, but is not limited to, Family Practice and/or Internal Medicine Physicians, RN Case Managers, and clinic staff. The purpose of this collaborative team is to provide a comprehensive, coordinated model of care to a mostly Medicare-aged population in either the outpatient and/or inpatient setting. The nurse practitioner may assist with new PCP onboarding and training to the QRA medical model as well as provide insight into trending the support needs of the practice thereafter. The NP performance will be tracked and comparatively reported using metrics related to the strategic direction and operational needs of the organization.

Primary Responsibilities:

  • The NP is expected to be able to provide care consistent with their licensure and/or certification
  • Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The NP will also treat acute conditions such as minor injuries and other acute medical conditions such as infections or exacerbations of chronic diseases
  • Orders and interprets diagnostic lab work, x-rays, EKG
  • Prescribes medications and other modalities of treatment as needed to treat those conditions listed above
  • Counsels patients on various disease conditions they may be treating to ensure that the patient is educated to their disease process, treatment, and expected outcomes
  • Works as an integral part of a comprehensive and collaborative team in order to provide quality evidenced-based care to our patients
  • Identify barriers to accessing care and medication adherence and utilize available resources to assist patient compliance
  • Participate in wellness launches and community events
  • Provide coverage in WellMed owned primary care clinics when necessary
  • Performs all other related duties as assigned
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Requirements

Required Qualifications:

  • Master’s of Science in Nursing 
  • Current Licensure through the Florida Board of Nurse Examiners 
  • 12+ months of clinical experience as a Nurse Practitioner 
  • Comfortable managing a primarily Medicare-aged patient population
  • Reliable transportation and maintain insurance on the vehicle

Preferred Qualifications:

  • Bilingual (English/Spanish) proficiency
  • Risk Adjustment coding experience within the healthcare industry
  • Preferred basic knowledge of HEDIS and FOC measures

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

  

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


Job Keywords: Nurse Practitioner, NP, FL, Florida


 

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