Licensed Practical Nurse Annual Wellness

Position Highlights Department: MHPC Population Health Hours: 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 & Responsibilities Clinical 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 history Medication lists Allergies Providers 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 data Perform standardized screenings, including but not limited to: Depression screening Cognitive impairment assessment support Fall risk and safety assessment Functional ability and activities of daily living (ADL/IADL) screening Identify 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 factors Coordinate follow-up appointments, referrals, and orders as directed by the provider Documentation, Billing Support and Compliance: Accurately document all AWV components in the EMR Ensure documentation supports Medicare billing and compliance requirements: Follow established clinical protocols, workflows, and standing orders Maintain 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 manner Work collaboratively with providers, care teams, and administrative staff to support AWV scheduling and completion Participate in training, quality improvement initiatives, and workflow optimization related to AWVs Minimum Qualifications Active, unrestricted LPN license in Connecticut Graduate of an accredited nursing program BLS certification 2+ years experience in an ambulatory or primary care setting Proficiency with electronic medical records (EMR) and standardized documentation tools Preferred Qualifications Experience performing or supporting Medicare Annual Wellness Visits Knowledge of CMS guidelines and preventive care measures Experience with population health or quality-based care models EPIC experience Comprehensive Benefits Offered Competitive and affordable benefits package Shift Differentials Continuing Education assistance Tuition reimbursement Student Loan relief through Fiducius Quick commute access from I-84, Route 9 and surrounding areas About Middlesex Health The 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.