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General Summary

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

Essential Functions:

+ Review office schedules and identify patients appropriate and due for Medicare AWV.

+ Work collaboratively with clinical teams to accomplish AWV in an efficient manner for patient and team.

+ Follow AWV protocols and standing orders including completion of preventive services that may result from AWV.

+ Develop and share knowledge of AWV eligibility and documentation requirements.

+ Develop knowledge of Medicare preventive services and clinical guideline recommendations for those serves.

+ Address open quality gaps with patients and works collaboratively with patient towards closure of those gaps.

+ Utilize appropriate protocols and standing orders in delivering patient care.

+ Participate in regular team meetings, huddles, staff meeting and quality improvement projects to improve patient care.

+ Maintain annual competencies for role.

+ Document all communication with patient in electronic medical record.

Common Expectations:

+ Travel to primary locations within assigned county.

+ Ability to work independently and exercise clinical judgment in interactions with physicians, payers, patients and their families.

+ Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.

+ Aware of scope of practice boundaries, comfortable seeking direction and assistance from appropriate resources.

+ Ability to think innovatively to find different ways of doing the work

+ Ability to communicate effectively both verbally and in writing.

+ Proficient ability to use a computer and electronic medical record.

+ Friendly, cheerful and helpful to patients and others. Ability to meet patients and others needs while following office policies and procedures.

+ Ability to make critical decisions while following organizational policies and procedures.

+ Ability to adapt easily to changing conditions and work responsibilities

+ Display a positive attitude and be a positive agent for change

+ Ability to organize and direct a project to completion.

+ Work as part of a team and collaborate with co-workers.

+ Ability to meet deadlines and collect and present data.

+ Responsible for the care and maintenance of clinical equipment and supplies.

+ Enters and/or retrieves data from established computer files using knowledge of various computer software applications.

Required for All Jobs:

+ Performs other related duties as identified.

+ WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.

+ WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

+ Standing - Frequently

+ Walking - Frequently

+ Sitting - Occasionally

+ Carrying/Lifting - Occasionally (50lbs)

+ Pushing/Pulling - Occasionally (50lbs)

+ Kneeling/Crouching - Occasionally

+ Reaching - Occasionally

+ Talking - Frequently

+ Hearing - Frequently

+ Repetitive Motions - Occasionally

+ Eye/Hand/Foot Coordination - Occasionally

Working Environment:

+ Occupational Hazards - Occasionally

+ Bloodborne Pathogen - Exposure

Qualifications

Minimum Education:

+ Certificate Program Completion of LPN program. Required

Work Experience:

+ 1 year Relevant experience. Required

Licenses:

+ Licensed Practical Nurse Upon Hire Required or

+ Licensed Practical Nurse Multi State License Upon Hire Required and

+ Basic Life Support Upon Hire Required

Knowledge, Skills, and Abilities:

+ Excellent interpersonal/communications skills.

+ Models team work.

+ Self-motivated and dependable.

+ Able to work independently.

Quality of Life

Formed in 1813, Lebanon is a quaint city of 25,700 residents. The area, rich in heritage and the small-town charm of yesteryear, features sites on the National Register of Historic Places, museums, scenic parks and recreation facilities, performing arts theaters, artists' studios, a farmers market and dining establishments for all tastes.

Life in Lebanon County offers affordable housing and options for pursuing higher education. Residents can find local employment in manufacturing, retail, arts and entertainment, healthcare and service sectors. Located in Central Pennsylvania, Lebanon is within an easy driving distance of Harrisburg, Lancaster, Reading and York. (Patient population: 140,000)

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.