LPN Review Nurse- Value Based Services

About This Role:

The Value Based Services (VBS) Nurse assesses, plans and coordinates all aspects of medical and supporting services across the continuum of care for assigned members to promote quality and cost-effective care, through the ongoing support of individual patient needs. The VBS Nurse provide the medical care team with patient utilization information, evaluate and addresses potential care gaps.

What You'll Do: 

• Clinical Review and Care Gap Analysis: Conduct comprehensive reviews of assigned patient populations to assess medical complexity, chronic conditions, and social determinants of health. Identify gaps in care using clinical knowledge, internal protocols, and payer guidelines, and determine appropriate medical or non-medical interventions.
• Patient Outreach and Education: Manage an assigned caseload by performing ongoing outreach to patients, promoting preventive care, encouraging healthy behaviors, and providing education to empower patients in making informed healthcare decisions.
• Documentation and Reporting: Maintain accurate and timely documentation of all patient interactions, case notes, and outcome measures within required timeframes (within 24 hours). Track and report on quality metrics, ensuring all required measures are completed and submitted appropriately.
• Team Collaboration and Care Coordination: Work closely with providers, care teams, and program leadership to review cases, align on care plans, and support coordinated, patient-centered care. Participate in regular case reviews and performance discussions with leadership.
• Appointment Coordination and Program Support: Schedule and manage patient appointments related to care reviews and value-based initiatives. Perform plan-specific activities such as Health Risk Assessments, Annual Wellness outreach, and other required engagement efforts.
• Compliance and Confidentiality: Adhere to all organizational policies, regulatory requirements, and confidentiality standards, including HIPAA and value-based care program guidelines, ensuring the protection of patient and organizational information.
• Data-Driven Quality Improvement: Utilize analytics tools, HEDIS measures, and reporting systems to monitor performance, close care gaps, and optimize patient outcomes. Apply knowledge of clinical documentation, billing, and coding practices to support value-based care initiatives.

Education and experience: 

• Graduate of an accredited LPN program 
• Minimum two (2) years of experience as an LPN in healthcare 
• Minimum one (1) year of experience as a Utilization Review Nurse or Case Manager 

Licenses, certification, or registration:    

• Active and unencumbered LPN License in the State of Florida
• Current BLS Certification

• Meaningful Impact: From children to adults, our teams help meet the healthcare needs of communities across Pinellas County, impacting more than 75,000 lives each year. No matter your role, your work contributes to expanding access to care and improving the health of the communities that need us most.
• Career Growth: Whether you’re building your career from an entry-level role through our Pathways training programs or preparing to grow into leadership through the Healthcare Management Academy, we offer development programs designed to support your career journey and help you grow at Evara Health.
• Culture: Join a USA TODAY Top Workplace where people are at the heart of what we do. From theme days and team celebrations to organization-wide events, recognition, and opportunities to share your voice, we work hard to create a culture where you can have fun, feel connected, and know your contributions as a healthcare professional are valued.

Culture & Benefits: 

At Evara Health, our mission-driven work starts with our people. We know that delivering exceptional care to our communities is only possible when our employees feel valued, supported, and connected to the work they do. That commitment comes to life through an employee experience designed to build connection, recognize contributions, and make Evara Health a great place to work—from employee picnics and appreciation events to monthly theme days, celebrations, and opportunities to come together as a team. We build on that culture with competitive compensation and benefits that recognize the important work our employees do while supporting their personal well-being, professional growth, and long-term success.

• Generous Paid Time Off: Enjoy 15 days of paid time off each year, with the option to cash out eligible unused PTO.
• Paid Holidays & Birthday: Enjoy 10 paid holidays each year, plus an additional paid day off to celebrate your birthday.
• Comprehensive Health Benefits: Access medical, dental, and vision coverage designed to support you and your family, plus free healthcare services at Evara Health for eligible employees and dependents. Additional benefits and wellness resources are also available to support your overall health and well-being.
• Retirement Planning: Build toward your future with employer contributions of up to 4% of your salary, along with guidance and resources to help you plan for retirement.
• Professional Development & Education: Eligible employees can receive up to $1,500 per year toward continued education and professional development expenses, including tuition, licensure, certifications, conferences, and other approved learning opportunities.
• Quarterly Incentive Opportunities: Share in our collective success through quarterly incentive programs that recognize eligible employees for helping Evara Health achieve key organizational, team, and performance goals.
• Career Growth & Advancement: Grow your career at an organization committed to developing its people, with opportunities to build new skills, take on greater responsibility, and advance into leadership or other roles across Evara Health

At Evara Health, we are Driven by Purpose. Powered by People. Every role contributes to our mission of improving the health of our communities, and every employee plays a part in making that mission possible.

 If you’re looking for a career where your work matters, your growth is supported, and your contributions make a meaningful difference, we invite you to join Evara Health.

Join Evara Health—Driven by Purpose. Powered by People.

**This position requires a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. For more information about the background screening process, visit https://info.flclearinghouse.com.**