Top 1 Wellness nurse Jobs in Laurel, Ms

RN / LPN ANNUAL WELLNESS VISIT - SCC POPULATION HEALTH / ACO
South Central Regional Medical Center —Laurel, MS
- Full-time
- Nursing
- RN License
- Ability to walk for extended periods

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RN / LPN ANNUAL WELLNESS VISIT - SCC POPULATION HEALTH / ACO

South Central Regional Medical Center -
Laurel, MS

Apply Now

Job Details

Full-time

Qualifications

Community health & wellness
Collaborate with healthcare professionals
Patient care outcome improvement
Health screening programs
Nursing
Medicare
Post-session clinical documentation
Electronic health records (EHR) management
RN License
Chronic disease management
Health risk assessments
Disease management patient education
CMS
Primary care
Public health setting experience
HIPAA
Patient advocacy
Care documentation
Mid-level
Healthcare infection prevention and control expertise
Clinical case management
CMS regulatory compliance
Quality performance measurement
Medicare regulations
Clinical performance metrics
Multidisciplinary team collaboration for treatment planning
Patient consultations
Computer skills
LPN
Patient assessment visits

Full Job Description

Job Title:

RN / LPN – Population Health / ACO Annual Wellness Visit Nurse

Department:

Population Health / ACO

Full Time/PRN:

Full Time

Job Summary

Provides nursing care within the Population Health / ACO program, focusing on Annual Wellness Visits (AWVs) for Medicare and Medicare Advantage patients. Acts as patient advocate, supports preventive care initiatives, and facilitates communication between patients, providers, and the interdisciplinary team to improve outcomes and close care gaps.

Minimum Qualifications

Current RN license by the Mississippi Board of Nursing or
Current LPN license by the Mississippi Board of Nursing
Minimum of two (2) years clinical nursing experience
Must be able to read, write, and understand verbal and written communication
Strong organizational, communication, and time management skills

Preferred Qualifications

Experience in population health, primary care, or ACO environment
Familiarity with Medicare Annual Wellness Visit requirements and quality metrics
Experience with electronic health records (Epic preferred)
Certification in Population Health or Case Management preferred

Essential Duties & Responsibilities

Conduct Annual Wellness Visits including health risk assessments and screenings
Identify eligible Medicare patients and coordinate AWV completion
Develop individualized care plans based on patient needs and clinical guidelines
Review and address care gaps and assist with closing quality measures
Document all patient interactions accurately in the electronic health record
Educate patients on disease prevention and self-management strategies
Collaborate with physicians and care team members for coordinated care
Monitor patient populations and support outreach initiatives
Assist with patient messages, prescription refills, and other clinical tasks as needed
Maintain compliance with ACO, CMS, and organizational standards

Professional Responsibilities:

Represent the organization professionally
Maintain patient, team member, and employer confidentiality (HIPAA compliance)
Promote safety, infection control, and quality improvement
Maintain competency and adhere to policies
Demonstrate teamwork, communication, and reliability

Physical Requirements

Ability to sit, stand, and/or walk for extended periods
Frequent computer use and documentation
Occasional bending, reaching, and movement between work areas
Manual dexterity for clinical tasks and computer use; adequate vision, hearing, and speech

All candidates must be able to perform the essential functions of this position. The Americans with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to perform the essential functions of the position.

South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.

Apply Now

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