Licensed Practical Nurse Annual Wellness

Position HighlightsDepartment: MHPC Population HealthHours: 40.00 per week
Position Summary The LPN – Medicare Annual Wellness Visit Coordinator is responsible for participating in conducting Medicare Annual Wellness Visits (AWVs) at all Middlesex Health Primary Care (MHPC) practice locations, in collaboration with a licensed provider. This role focuses on preventive care, health risk assessments, patient education, care gap identification, and accurate documentation to support high-quality, compliant Medicare services. The nurse works under established protocols and in coordination with providers to ensure comprehensive, patient-centered care.

Essential Duties & ResponsibilitiesClinical and Patient Care: Perform Medicare Annual Wellness Visit components as directed by provider and in accordance with CMS guidelines Conduct and document Health Risk Assessments (HRA)Collect and document in health system electronic medical record (EMR) the required patient information, including:Medical, surgical, family, and social historyMedication listsAllergiesProviders Care Team participants and suppliers involved in the care of the patient Required Screenings and Assessments:Obtain and document vital signs and other required clinical dataPerform standardized screenings, including but not limited to: Depression screeningCognitive impairment assessment supportFall risk and safety assessmentFunctional ability and activities of daily living (ADL/IADL) screeningIdentify health risks and report findings to the provider for clinical decision-making Preventive Care and Care Coordination:Identify preventive care gaps (e.g., immunizations, screenings, labs)Provide patient education related to preventive services, screenings, immunizations, and lifestyle risk factorsCoordinate follow-up appointments, referrals, and orders as directed by the provider Documentation, Billing Support and Compliance:Accurately document all AWV components in the EMREnsure documentation supports Medicare billing and compliance requirements:Follow established clinical protocols, workflows, and standing ordersMaintain patient confidentiality and comply with HIPAA and organizational policies Collaboration and Quality Support:Communicate findings, concerns, and care gaps to the applicable primary care provider in a timely mannerWork collaboratively with providers, care teams, and administrative staff to support AWV scheduling and completionParticipate in training, quality improvement initiatives, and workflow optimization related to AWVs
Minimum Qualifications Active, unrestricted LPN license in ConnecticutGraduate of an accredited nursing programBLS certification2+ years experience in an ambulatory or primary care settingProficiency with electronic medical records (EMR) and standardized documentation toolsPreferred QualificationsExperience performing or supporting Medicare Annual Wellness VisitsKnowledge of CMS guidelines and preventive care measuresExperience with population health or quality-based care modelsEPIC experienceComprehensive Benefits OfferedCompetitive and affordable benefits packageShift DifferentialsContinuing Education assistanceTuition reimbursementStudent Loan relief through FiduciusQuick commute access from I-84, Route 9 and surrounding areas
About Middlesex HealthThe Smarter Choice for your Career!Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.