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Trinity Health Population Health AWV Specialist (LPN/CMA) in Sioux City, Iowa

Employment Type:Full timeShift:Day Shift

Description:This position will work remotely

PHSO Population Health AWV Specialist (LPN/CMA)

Mission Statement: MercyOne serves with fidelity to the Gospel as a compassionate healing ministry of Jesus Christ to transform the health of our communities.

MercyOne Vision Statement:

MercyOne will set the standard for a personalized and radically convenient system of health services.

MercyOne Cultural Beliefs:


I benefit from and strengthen MercyOne.

Personalize Care

Your experience. My responsibility.

Own It!

I own my actions to deliver our key results.

Improve Daily

I make improvements every day for those we serve including each other.


I imagine and embrace bold new ideas to revolutionize health.

Job Summary: The Population Health Annual Wellness Visit Specialist works as an integral part of an interdisciplinary team to conduct, coordinate and complete the non-provider portions of preventive wellness services such as Medicare’s Annual Wellness Visits.

Essential Position Expectations:

  • Utilizes standardized tools and scripting to conduct the non-provider components of AWVs with identified patients. Conducts patient assessments, such as depression screenings, in support of AWVs.

  • Conducts the non-provider portion of Advance Care Planning services either as a part of an AWV or independently.

  • Assists in coordination of appropriate follow-up health care services and follows through to ensure completion.

  • Practices motivational interviewing to support health behavior change and in completing recommended health care services

  • Answers patient questions regarding appointments and/or testing. Addresses potential barriers to care and collaborates with Provider to answer patient questions and concerns that fall outside of scope.

  • Identifies and refers high risk patients to the PHSO ambulatory care management team for care coordination services.

  • Accepts referrals from care management team members to coordinate AWVs.

  • Documents all patient interactions in the patient’s health record and care management documentation system immediately after the call or meeting is completed. The maximum allowable time from interaction to documentation is one business day.

  • Supports and participates in PHSO quality improvement activities at the direction of the quality manager.

Knowledge & Skills:

Ability to deal with confidential and sensitive information, requiring ongoing discretion and management of secure information. Strong communication (verbal/written) and organizational skills and ability to interact effectively with providers, clinic staff, and care management team members across the care continuum. Demonstrated capacity to problem solve and prioritize in complex situations. Adaptability to performing a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. Ability to function effectively in a team based environment. Basic Excel and Word skills. Ability to understand and apply guidelines, policies and procedures. Obtain Certificate of Competency in Population Health Care Management within 12 months of hire. Proof of completion of Mandatory Reporter within three months of hire.

Education: Associates degree preferred.

Experience: Minimum of 3 years health care experience. Varied clinical experience preferred.

Certifications & Licenses: Iowa state licensure as a Licensed Practical Nurse (LPN) or Certified Medical Assistant (CMA). Basic Life Support (BLS) required.

The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities or requirements.

Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.