Temporary Risk Adjustment Auditor Jobs in Indiana

A Specialty Path to Good Health

Upperline Health is the nation’s largest provider group dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. 

Triage is temporary. 
Treatment is transformative.

Upperline Health providers coordinate patients’ care among a team of specialists – physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs.

We put patients at the center of value-based care.

Why join our team?

• Highly competitive salary plus annual bonus opportunity
• Generous benefit options include comprehensive medical, dental & vision, 401K, PTO and parental leave
• Continuing Medical Education reimbursement
• State license reimbursement
• Highly supportive interdisciplinary team
• Work Life Balance – regular weekday schedule
• Rapidly growing company with potential leadership & career growth opportunities

About the Nurse Practitioner (APP) Position
Upperline Health is seeking a Nurse Practitioner to be based primarily in our Columbus, IN clinic and provide support to our Seymour, IN clinic as needed. You will also provide home-based care in the broader Columbus area as needed. In collaboration with Upperline’s local Physician team, APPs develop complex plans of care in accordance with the patient’s health status and overall goals and values; provide medical diagnostics and treatments in the clinic, in the patient's home, or via telehealth, consistent with the APP’s scope of practice and the patient’s medical condition; educate patients and families on medication usage, diet & nutrition, and crisis anticipation & prevention. They will also communicate medical information to patients’ physicians, other providers and Upperline’s Physician team and broader interdisciplinary team.

Ideal candidates will have experience with the following: Primary Care/Internal Medicine, geriatric care and/or home-based care, Palliative or Hospice care and/or previously worked in a value-based care environment. Most importantly, candidates must demonstrate compassion for patient needs, have great attention to detail, and thrive in a collaborative environment with rapid growth.

This is a unique opportunity to make a meaningful impact and meet the needs of at-risk patients in both primary and specialty care, with a regular weekday schedule!

What You'll Do:

• Develop and implement clinical plans of care for adult patients facing chronic conditions (e.g., diabetes, COPD, CHF, debility, dementia).
• Gather patient history, physical exam, and diagnostics within a clinic setting, via telehealth, or within the patient's home.
• Develop and implement treatment plans given patient’s goals of care and current conditions.
• Collaborate with the interdisciplinary team to meet the patient and family’s physical as well as psychosocial needs.
• Provide compassionate care for our complex patients and their families
• Educate patients and families about medication usage, side effects, illness progression, diet & nutrition, medical adherence and crisis anticipation & prevention.
• Communicate with other Upperline clinical team members as well as patient’s community providers, to coordinate optimal care and resources for the patient and their family.
• Communicate with Upperline’s local physician to review patient records and care plans on a timely basis consistent with state regulations and company standards and policy.
• Maintain patient medical records and medical documentation consistent with state regulations and company standards and policy.
• Complete accurate and timely documentation according to risk adjustment standards per education provided.
• Take part in weekly interdisciplinary team meetings and scheduled education sessions.
• Provide telephonic support for escalated calls from triage nurse.
• Participate in continuing education as required by the state Board of Nursing.
• Prescribe medication as permitted by the state Board of Nursing.
• Other related duties as deemed necessary.

Required Skills, Education, and Competencies:

• Master’s degree in nursing required
• Board Certification as an Adult, Adult-Geriatric or Family Nurse Practitioner required
• Current Indiana State Registered Nurse & Nurse Practitioner license required
• Basic Life Support (BLS) certification is required
• 2 + years nurse practitioner experience in Primary Care/Internal Medicine
• Value-based care experience preferred
• Podiatry, orthopedic, wound care and experience with radiologic interpretation, ABIs and injections are a plus
• Possession of DEA registration or eligibility
• Must be comfortable providing care in patients home
• Previous experience managing, supervising, or coaching clinicians highly preferred
• A reliable automobile, valid driver’s license and minimum state required liability auto insurance are required; Mileage reimbursement provided
• Adaptability to thrive is a fast-paced growth-forward environment
• Experience working in an EMR - AthenaHealth EMR is highly preferred
• Proficiency using Microsoft Office products
• Excellent oral and written communication skills to ensure that each of your interactions with patients, family caregivers, clinicians, and team members is effective and meaningful.

Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience

Job Type: Full-time