ABOUT  ADVANTMED

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers.   We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.  Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations.   

JOB SUMMARY

This role will involve day-to-day management of our nurse practitioner network for Annual Health Assessments. 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES of Clinical Coordinator Manage team of Nurse Practitioners that will perform in-home and telehealth assessments on Medicare Advantage and ACA members Provide Feedback to Nurse Practitioner (NP) based on all findings including quality of documentation and clinical decision making Assist in pilots for new process ideas to improve the NP and member experience Assist in innovating and training on ways to improve recapture of known diagnoses during assessments Collaboration with Coding Account Managers (Risk Adj) and PHA Training Team on items for new NP training or retraining Participate in PHA quality taskforce team in performing GAP closure efforts Outreach to assigned Provider Network Obtain NP availability – based on company’s needs and membership Provide membership numbers/details in provider’s area Facilitate completion and tracking for outstanding trainings when non-responsive to training team Reduction of provider cancellation for In-home or Telehealth appointments Coaching and identification of corrective action for Complaints from client/patients