VBC Risk Adjustment Nurse Practitioner

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
• ESKD patient education
• ESKD comprehensive disease management annual visits
• 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.