Nurse will perform outreach calls to Medicare members that have been identified as having "care gaps" on their Health Risk Assessment form in order to close the gaps for the member's health benefit and support the health plan in achieving and maintaining a higher Medicare "Star Rating" as defined by The Centers for Medicare and Medicaid Services (CMS).
• Conducts outreach calls to Medicare members of health plan to gather the appropriate/necessary clinical data to "close" identified care gaps.
• Applies clinical/"soft" case management skills to close care gap and complete appropriate documentation.