Quality & Value Clinical Specialist - LPN-PHSO

A Quality & Value Clinical Specialist (LPN or CMA) role at AdventHealth supporting population health and value-based care operations at their Maitland, Florida office. ### What you'll do - Conduct pre-visit chart reviews to identify open orders, care gaps, HCC coding opportunities, medication needs, and overdue wellness visits - Outreach patients to complete health risk assessments, reconcile medications, assess social determinants of health, and schedule or reschedule appointments - Coordinate transitional care management following ED or hospital discharges, including LACE score calculation, medication reconciliation, and symptom review - Abstract records and notify the health plan of documentation for HEDIS care gap closure and CMS Star measure programs - Connect patients and practices to pharmacy, care management, and external resources to address barriers to care - Monitor staff productivity and quality of output, provide team training, and participate in meetings with payers and cross-functional teams ### What we're looking for - Active Licensed Practical Nurse (LPN) or Certified Medical Assistant (CMA) credential — required - Minimum 3 years of healthcare experience — required - Proficiency with Epic or another EMR platform — required - Knowledge of chronic and acute disease management and value-based care concepts — required - Familiarity with HEDIS, CMS Star ratings, CDI, RAF, and HCC coding — preferred - CPC, CCS, or COC certification — preferred ### What's included - Pay range: $19.22–$35.75/hour (~$39,978–$74,360 annualized) - Medical, dental, vision, life, and disability insurance effective day one - Paid time off from day one - 403(b) retirement plan - Four weeks of 100% paid parental leave - Career development resources and whole-person well-being support ### About the practice AdventHealth is a faith-based, not-for-profit health system operating across multiple states with a mission centered on whole-person care. This role sits within the Population Health Strategy & Operations team, collaborating with primary care practices, health plans, and care management programs to improve quality outcomes and close care gaps across a large patient panel.