Advanced Practice Provider - Medicare Wellness / Preventive Care
29 days ago
Birmingham
Job Description Advanced Practice Provider – Medicare Wellness and Preventive Care Reports to the Chief Executive Officer and Chief Medical Officer Background: Cahaba Medical Care Foundation is a community health center organization providing medical, pharmacy, dental, and behavioral health services to diverse underserved communities in Jefferson, Bibb, Perry, and Chilton counties. We are a Level 3 Patient-Centered Medical Home and Joint Commission accredited organization, committed to increasing integration and coordination of behavioral health and primary care. This is an exciting, fast paced practice with a strong mission and commitment to providing high quality care. Position Summary This position requires a mission-driven and detail-oriented Advanced Practice Provider (APP) to serve as our lead clinician for Medicare Annual Wellness Visits (AWVs), preventive care services, and related quality initiatives. This is a high-impact position designed to help our organization improve preventive care rates and quality outcomes across all 28 Cahaba Medical Care clinics. The ideal candidate will have a passion for health promotion, quality improvement, and rural health equity. This provider will perform in-person wellness visits across our locations, follow up on necessary documentation (including insurer-specific requirements), and support training for other staff and providers in performing high-quality, compliant AWVs. This position reports directly to the Chief Executive Officer (CEO), Chief Medical Officer (CMO), and works in close coordination with the Quality Improvement Officer. Responsibilities & Duties * Perform in-person Medicare Annual Wellness Visits and other preventive care visits across Cahaba Medical Care sites. * Ensure all required elements of AWVs are accurately completed, documented, and submitted per payer and CMS guidelines. * Submit insurer-specific forms and documentation in payer portals (e.g., closing care gaps, diagnosis attestation, HCC coding updates, etc.) to ensure loop closure. * Collaborate with the Quality Team to ensure visits meet internal quality standards without additional remediation. * Serve as a clinical resource and subject matter expert for AWVs, helping to train Medical Assistants, front-desk staff, and fellow providers on workflow best practices. * Identify system barriers to completion of AWVs and work collaboratively to improve clinic workflows and efficiency. * Support Cahaba Medical Care’s system-wide goal of achieving a defined percentage of Medicare AWV completion prior to the calendar year’s end (goal to be determined annually). * Provide occasional care for acute, walk-in visits if clinically appropriate and needed on-site. * Participate in organizational quality and training initiatives, special projects, and data-driven improvement work related to population health. Required Skills/Abilities: * Excellent communication and interpersonal skills. * Strong clinical judgment and problem-solving abilities. * Cultural competency and sensitivity to the needs of diverse populations. * Ability to work independently and within a multidisciplinary team. * Excellent attention to detail and ability to balance competing priorities. Preferred Skills/Abilities * Experience with value-based care, quality metrics (e.g., HEDIS, STAR ratings), and population health initiatives. * Familiarity with payer-specific documentation or HCC coding workflows. * Training or teaching experience (e.g., MA or provider education) strongly valued. * Spanish language proficiency is a plus but not required. Qualifications: * Certified Nurse Practitioner or Physician Assistant with active Alabama license. * At least 2 years of experience preferred, particularly in outpatient primary care, geriatrics, or quality improvement. * Strong understanding of Medicare Annual Wellness Visit components and CMS documentation requirements. * Exceptional attention to detail and follow-through. * Willingness and ability to travel to multiple clinic locations across Central Alabama (reliable transportation required). * Demonstrated commitment to underserved populations and mission-driven care. * Comfortable working independently while coordinating with a multidisciplinary team. Location * Six-County Region (including Bibb, Perry, Chilton, Jefferson, Dallas, and Wilcox Counties) * Travel is required with mileage reimbursement. This position involves driving to multiple Cahaba Medical Care sites across Central Alabama.