Risk Adjustment Nurse Practitioner, VBC California (Finance)
USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.
SUMMARY
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
Primary duties include:
Completion of Chronic Disease Management Visits (CDMVs), whether standalone or integrated within another VBC clinical pathway
ESKD rounding, including limited and comprehensive visits, under the guidance of practice nephrologists
ESKD holistic patient care management including but not limited to patient activation, depression, high risk of hospitalization, transition of care and co-morbid medical issue oversight
Care collaboration with nephrologists, dialysis center IDT, Kidneylink IDT, hospital discharge care coordination team, PCPs and sub-specialists as clinically indicated
CKD clinical care and kidney disease education
Other duties and tasks as assigned
Functions performed during above duties:
Perform physical examinations of patients to evaluate health and diagnose illnesses
Order and assess diagnostic tests, such as x-rays and laboratory tests
Determine, plan, and initiate appropriate treatment, and adjust treatment if necessary
Prescribe medications
Document medical information of patients and maintain electronic medical records
Educate, instruct, and counsel patients and families on presenting health problems, treatment plans, and home care, and encourage and promote preventative health care and positive health behaviors
Request consultation or referral with other health care providers, such as physicians and clinics, collaborate with Kidneylink RN Care Manager
Actively promotes GUEST customer service standards; develops effective relationships at all levels of the organization.
Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures.
Regular and reliable attendance is required for the job.