Wellness Nurse

JOB SUMMARY:

Responsible for providing professional nursing care while conducting annual wellness visits to our clinic patients under the general policies and procedures established by SouthCoast Health. Will participate in providing health promotion, health maintenance and management of illnesses for patients.

ESSENTIAL JOB RESPONSIBILITIES:

• Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at SouthCoast.
• Conducts Annual Wellness Visits (AWV) according to guidelines set forth by Medicare and ensure they are within insurance plans timeline.
• Document Annual Wellness Visits in the patient’s electronic medical record.
• Develops patient preventive reports in line with the Annual Wellness Visits guidelines and discusses preventive recommendations with patient.
• Conduct depression screening and brings any outliers to physician’s attention.
• Conduct Time and Go test and document in electronic medical record.
• Conduct the functional assessment to evaluate patient basic life skills and documents in electronic medical record.
• Conduct mini cognitive screening on patients as directed by the primary care physician.
• Use EMR messaging to communicate cases that may require further care coordination to the Patient Care Coordinator (PCC) program or Chronic Care Management (CCM) program.
• Use motivational interviewing strategies to initiate advance care planning. Discuss end of life and/or hospice. Assist patient with completing Advance Directive form.
• Be knowledgeable on how to obtain patient lists from the AWV registry.
• Maintain knowledge and skills in use of EMR to document elements of the AWV and communicate with Physician on critical findings.
• Maintains confidentiality in matters regarding the clinic, its patients and employees
• Promotes wellness by providing patient education materials, communicating physicians’ advice and instructions on how to self-manage care.
• Performs clinical and non-clinical duties assigned by Supervisor. Assists in other physician areas as assigned by Supervisor.
• Reports to work on a regular and consistent basis.

SouthCoast Health is an Equal Opportunity Employer and Drug-Free Workplace. Applicants selected for employment will be subject to pre-employment drug testing.