NewLabor and Delivery Registered Nurse Medical City PlanoLabor and Delivery Registered NursePlano, TXAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills.
Clinical Review Nurse Lead Elevance Health IncClinical Review Nurse LeadGrand Prairie, TXThe Clinical Review Nurse Lead is responsible for serving as a team lead for nursing staff who collaborate with healthcare providers and members to promote quality member outcomes to optimize member benefits, and to promote effective use of resources for the most complex or elevated medical issues. Preferred Skills, Capabilities, and Experiences: Leadership experience in overseeing clinical review operations, guiding staff on clinical review, driving quality initiatives, and ensuring compliance with CMS requirements.
NewClinical Review Nurse Lead Elevance HealthClinical Review Nurse LeadGrand Prairie, TXThe Clinical Review Nurse Lead is responsible for serving as a team lead for nursing staff who collaborate with healthcare providers and members to promote quality member outcomes to optimize member benefits, and to promote effective use of resources for the most complex or elevated medical issues. Preferred Skills, Capabilities, and Experiences: Leadership experience in overseeing clinical review operations, guiding staff on clinical review, driving quality initiatives, and ensuring compliance with CMS requirements.
NewRN Navigator Home Health Review Sigma IncRN Navigator Home Health ReviewIrving, TXThis role focuses on reviewing Home Health services, CMS requirements, medical necessity, and patient progress to help ensure patients receive appropriate care while meeting applicable payer guidelines. Sigma Inc. is seeking an experienced RN Navigator – Home Health Review to support post-acute patient care in Irving, TX.
Utilization Review Nurse Oscar HealthUtilization Review NurseDallas, TXRemote$35–$45.94 / hourWork Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).
Itemization Review Nurse II CorVel CorpItemization Review Nurse IIFort Worth, TXRemote$61,053–$98,334 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
NewItemization Review Nurse I CorVel CorpItemization Review Nurse IFort Worth, TXRemote$52,999–$85,473 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
NewItemization Review Nurse I CorVel Healthcare CorporationItemization Review Nurse IFort Worth, TXRemote$52,999–$85,473 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
NewItemization Review Nurse II CorVel Healthcare CorporationItemization Review Nurse IIFort Worth, TXRemote$61,053–$98,334 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Nurse Case Manager - Utilization Review - Nights (Fri-Sun, 7p-7a) JPS Health NetworkNurse Case Manager - Utilization Review - Nights (Fri-Sun, 7p-7a)Fort Worth, TXDescription: The Nurse Case Manager - Inpatient is responsible for coordinating the care and service of assigned patients with physicians, nurses, social workers and other members of the healthcare team to facilitate the progression of care from hospital admission through discharge. The Nurse Case Manager- Inpatient is also responsible for ensuring that the patient is placed in the appropriate level of care while monitoring the utilization of healthcare resources and discharge planning to achieve the desired clinical, financial, and resource utilization outcomes.
Nurse Case Manager - Utilization Review - Mon, Tue, Sat, Sun JPS Health NetworkNurse Case Manager - Utilization Review - Mon, Tue, Sat, SunFort Worth, TXDescription: The Nurse Case Manager - Inpatient is responsible for coordinating the care and service of assigned patients with physicians, nurses, social workers and other members of the healthcare team to facilitate the progression of care from hospital admission through discharge. The Nurse Case Manager- Inpatient is also responsible for ensuring that the patient is placed in the appropriate level of care while monitoring the utilization of healthcare resources and discharge planning to achieve the desired clinical, financial, and resource utilization outcomes.
RN Utilization Review Coordinator, Full-time Methodist Hospital for SurgeryRN Utilization Review Coordinator, Full-timeAddison, TXFull timeMonitor, track, and analyze avoidable days and extended lengths of stay; identify contributing factors related to utilization, payer processes, discharge barriers, and system delays, and collaborate with Case Management, physicians, and interdisciplinary teams to support timely resolution. The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post‑discharge utilization reviews to ensure appropriate patient status, medical necessity, and compliance with hospital policy, payer requirements, and applicable local, state and federal regulations, including Centers for Medicare & Medicaid Services (CMS) guidelines.
NewRegistered Nurse Navigator Home Health Review \ 1377 IMCS Group IncRegistered Nurse Navigator Home Health Review \ 1377Irving, TXCompany Description: IMCS Group is one of the fastest growing MWBE (Minority Woman Owned Enterprise) staffing firms in the U.S. We focus on bringing a Diversity Recruitment approach to Fortune 500 companies within North America and EMEA region contingent labor programs. IMCS Group is committed to maintaining an inclusive workforce, where employees are hired, retained, compensated, and promoted based on their contributions to our Company.
Clinical Review Auditor I CorVel Healthcare CorporationClinical Review Auditor IFort Worth, TXRemote$70,143–$107,253 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Manager, Clinical Case Review Edwards LifesciencesManager, Clinical Case ReviewDallas, TXThe Case Review Manager leads the patient screening analysis and evaluation of baseline medical history and clinical imaging reports (e.g EDC screening records including clinic notes, lab results, cardiology assessments, CT and/or echocardiogram reports) to confirm protocol compliance and provide patient screening and case review support to clinical trial sites for Clinical Research Trials within THV Clinical Affairs. + Previous related experience working a clinical setting or equivalent work experience based on Edwards criteria Preferred and Experience working in the setting of a clinical trial or equivalent work experience based on Edwards criteria Preferred.
Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX) ProHealth Home Health & HospicePre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX)Addison, TexasReviews each Medicare patient episode to verify that all necessary components are present and coordinates with team members to resolve concerns that would lead to non-affirmation, claim rejection, or claim ADR. Graduate of a state approved school of practical (vocational) nursing and current state license, or a multi-state license issued by a Nurse Licensure Compact (NLC) member state.
System Director, Utilization Review Baylor Scott & White HealthSystem Director, Utilization ReviewTXPartners closely with Physician Advisors and regional leadership to identify opportunities to enhance operational effectiveness, patient outcomes, and resource utilization through the development and implementation of strategic projects and process improvements. The Director partners closely with clinical, operational, and revenue cycle leadership to drive system-wide performance improvement initiatives, reduce payer denials, optimize the appeal process, and strengthen financial and regulatory outcomes.
Spine Telecommute Medical Review Stream Physician Concentra Inc.Spine Telecommute Medical Review Stream PhysicianDallas, TXMust be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Hand Surgeon Medical Review Stream Physician ConcentraHand Surgeon Medical Review Stream PhysicianDallas, TexasCurrent, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.
NewItemization Review Team Lead CorVel Healthcare CorporationItemization Review Team LeadFort Worth, TXRemote$66,941–$101,258 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Clinical Nurse Manager LiquidAgents Healthcare, LLCClinical Nurse ManagerPlano, TXOur employees enjoy awesome perks including both traditional and non-traditional benefits; work in a state-of-the-art office located in one of the most vibrant places to live and play near Shops of Legacy and Legacy West; and get to be a part of a rewarding organization dedicated to making a positive difference in people's lives. Our people use proven identification and selection methods to recruit healthcare talent, including nurses and allied health professionals, and place them in public and private facilities looking to secure travel and direct-hire healthcare personnel.
Manager Nurse Practitioners 100% Virtual, Carebridge Elevance HealthManager Nurse Practitioners 100% Virtual, CarebridgeGrand Prairie, TXSeeking Experienced Nurse Practitioner People Leaders that Have an active, unrestricted Family Or Adult Nurse Practitioner license in either of the following states: AZ, IN, IA, KS or TX AND Must Have a Current, Active RN Compact license. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Temp - Registered Nurse (RN) - Compliance Auditor (Days) Dallas, TX IMCS Group IncTemp - Registered Nurse (RN) - Compliance Auditor (Days) Dallas, TXDallas, TXProvides detailed reports and develops corrective action plans to correct discrepancies identified during theaudit process. Detail-oriented with strong organizational and time management skills and the ability to effectively prioritize daily tasks.
Nurse Reviewer 1 Elevance HealthNurse Reviewer 1Grand Prairie, TexasRequires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization requests to assess the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment.
Nurse Scientist - Nursing Research & Education- Onsite Baylor Scott & White HealthNurse Scientist - Nursing Research & Education- OnsiteDallas, TXThis position is instrumental in engaging nursing leaders and frontline staff, building research capabilities, promoting professional development, and translating research into meaningful improvements in patient outcomes and nursing practice. The Nurse Scientist mentors and educates nurses throughout the research process-from identifying clinical questions and developing research studies to disseminating findings and implementing evidence-based practice changes.
Clinical Educator (RN) Dallas Behavioral Healthcare HospitalClinical Educator (RN)DeSoto, TXWith or without reasonable accommodations, must be able to stoop, kneel, crouch, reach, stand for sustained period of time, walk, pull, lift, raise and move objects from position to position (up to 50 lbs), finger grasp; feel sizes, shapes, temperatures, and textures; express or exchange ideas orally and potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands, or fingers. Basic knowledge of abnormal psychology as typically found in the child or adolescent psychiatric population, application of this knowledge to child, adolescent or adult knowledge of medical terminology, especially those terms associated with child, adolescent, or adult psychiatric care; thorough familiarity of psychopharmacy and the use of psychotropic medications with child, adolescent or adult psychiatric population, Ability to communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy.
Manager, Clinical Nurse UNIVERSITY OF NORTH TEXAS SYSTEMManager, Clinical NurseFort Worth, TXSupervision: Ensures compliance with all HSC Health policies and procedures; Responsible for hiring, discipline, conflict resolution, and evaluations for clinical staff and associated human resources functions; Assists providers and senior management in establishing, implementing, productivity, and performance goals for all employees directly supervised, as requested; Clearly communicates with staff daily. Physicians, nurse practitioners, physician assistants, physical therapists, pharmacists, social workers, psychologists, specialized technicians, and nurses work together while intentionally integrating health care students, residents, and fellows to deliver care to our community.
Registered Nurse OR Circulator Dallas Regional Medical CenterRegistered Nurse OR CirculatorMesquite, TexasFull timeOR RNs prepare patients for surgery, which includes reviewing medical history, conducting assessments, educating patients and families about the procedure, and administering pre-operative medications. . A ssist in preparing the patient for surgery, which may involve verifying the patient's identity and surgical site, helping to position the patient on the operating table, and ensuring that all necessary pre-operative procedures are completed .
Bilingual Nurse Practitioner 100% Virtual, CareBridge Elevance HealthBilingual Nurse Practitioner 100% Virtual, CareBridgeGrand Prairie, TexasProvides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. The Bilingual Advanced Practice Provider, Nurse Practitioner is responsible for collaborating with company providers and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values.
Nurse Case Manager 1 100% Virtual, Carebridge Elevance HealthNurse Case Manager 1 100% Virtual, CarebridgeGrand Prairie, TexasThe Nurse Case Manager I 100% virtual, CareBridge is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
RN Pre-Op or Post-Op PRN TEC/MFERN Pre-Op or Post-Op PRNMidlothian, TXThe ideal candidate will provide high-quality care to patients before and after surgical procedures, ensuring their comfort, safety, and well-being. We are seeking a dedicated and skilled PRN Preop and PACU Registered Nurse (RN) to join our dynamic team.
Registered Nurse (PRN) – Paragon Infusion Centers Elevance HealthRegistered Nurse (PRN) – Paragon Infusion CentersCoppell, TexasWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. On-site: This role requires associates to work from the posted location full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement.
Wound Care Utilization Management RN Elevance HealthWound Care Utilization Management RNGrand Prairie, TX$39.34–$56.20 / hourThe Wound Care Utilization Management RN will be responsible for performing pre-certification and/or authorization activities for Home Health Services for members with wound care needs included as contracted services that meet eligibility and benefits coverage. For the Wound Care Connect program, in addition to Wound Care Certification requirements above, Ostomy training through accredited programs such as WOCN or ABWM and Ostomy experience is also required.
Registered Nurse (RN), per diem - Women's Health Ageless Mens HealthRegistered Nurse (RN), per diem - Women's HealthBedford, TXPart timeKeywords: Registered Nurse, RN, Women’s Health Nurse, Hormone Replacement Therapy, HRT, Medical Weight Loss, GLP-1, Wellness Clinic, IV Therapy, Phlebotomy, Injections, Concierge Medicine, Preventive Health, Pap Smear, Lab Work, Blood Testing, Birth Control, Common Illness Management, STD Testing, UTI Testing, Primary Care, Patient Care, Health and Wellness, Nursing Careers. Providing care within our concierge medicine offerings , including Pap smears, birth control management, lab work and blood testing, preventive health screenings, common illness management, STD/STI testing, and UTI testing .
NewRegistered Nurse Fountain Life Holdings LLCRegistered NurseFrisco, TXFollow-Up: Document the day's interactions, ensure physician notes are updated, and communicate any emotional or physical concerns noticed during the day to the Care Coordinator and Nurse Practitioner. Follow-Up: Complete post-treatment documentation, alert the team to any necessary follow-ups, and ensure the member has clear instructions and a sense of confidence moving forward.
Bilingual Nurse Practitioner 100% Virtual, Carebridge Elevance HealthBilingual Nurse Practitioner 100% Virtual, CarebridgeGrand Prairie, TXHow you will make an impact: Provides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. The Bilingual Advanced Practice Provider, Nurse Practitioner is responsible for collaborating with company providers and their family members to develop complex plans of care in accordance with the patient's health status and overall goals and values.
Registered Nurse OR Dallas Regional Medical CenterRegistered Nurse ORMesquite, TexasPer diemOR RNs prepare patients for surgery, which includes reviewing medical history, conducting assessments, educating patients and families about the procedure, and administering pre-operative medications. . A ssist in preparing the patient for surgery, which may involve verifying the patient's identity and surgical site, helping to position the patient on the operating table, and ensuring that all necessary pre-operative procedures are completed .
Wellness Nurse Part Time PRN Restore Hyper WellnessWellness Nurse Part Time PRNPlano, TXAddress and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love.
Registered Nurse (Prn) - Paragon Infusion Centers Elevance HealthRegistered Nurse (Prn) - Paragon Infusion CentersCoppell, TXWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. On-site: This role requires associates to work from the posted location full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement.
Nurse Practitioner, Bilingual, 100% Virtual, Carebridge Elevance HealthNurse Practitioner, Bilingual, 100% Virtual, CarebridgeGrand Prairie, TXHow you will make an impact: Provides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. The Advance Practice Provider, Nurse Practitioner Bilingual is responsible for collaborating with company physicians, the patient's other physicians and providers, and their family members to develop complex plans of care in accordance with the patient's health status and overall goals and values.
Wellness Nurse Part Time PRN Restore Hyper Wellness - RHWS021Wellness Nurse Part Time PRNPlano, TXPart timeAddress and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love.
NewLicensed Vocational Nurse IQVIALicensed Vocational NurseIrving, TexasEssential and other important responsibilities and duties may include but are not limited to the following: Obtains, monitors, and documents vital signs to include pulse, blood pressure, temperature, respiratory rate, height, and weight. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
NewOR Circulator RN Dallas Regional Medical CenterOR Circulator RNMesquite, TexasOR RNs prepare patients for surgery, which includes reviewing medical history, conducting assessments, educating patients and families about the procedure, and administering pre-operative medications. . A ssist in preparing the patient for surgery, which may involve verifying the patient's identity and surgical site, helping to position the patient on the operating table, and ensuring that all necessary pre-operative procedures are completed .
NewCareBridge Advance Practice Provider, Nurse Practitioner Elevance HealthCareBridge Advance Practice Provider, Nurse PractitionerGrand Prairie, TexasPrimary duties may include but are not limited to: Provides primary and urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. The Advance Practice Provider, Nurse Practitioner is responsible for collaborating with company physicians, the patient’s other physicians and providers, and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values.
NewNurse Case Manager I Elevance HealthNurse Case Manager IGrand Prairie, TexasThe Nurse Case Manager I will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewNurse Practitioner 100% Virtual, Carebridge Elevance HealthNurse Practitioner 100% Virtual, CarebridgeGrand Prairie, TXHow you will make an impact: Provides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. The Advance Practice Provider, Nurse Practitioner is responsible for collaborating with company physicians, the patient's other physicians and providers, and their family members to develop complex plans of care in accordance with the patient's health status and overall goals and values.
NewCarebridge Advance Practice Provider, Nurse Practitioner Elevance HealthCarebridge Advance Practice Provider, Nurse PractitionerGrand Prairie, TXPrimary duties may include but are not limited to: Provides primary and urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. The Advance Practice Provider, Nurse Practitioner is responsible for collaborating with company physicians, the patient's other physicians and providers, and their family members to develop complex plans of care in accordance with the patient's health status and overall goals and values.
Manager Nurse Practitioners 100% Virtual, CareBridge Elevance Health IncManager Nurse Practitioners 100% Virtual, CareBridgeGrand Prairie, TXSeeking Experienced Nurse Practitioner People Leaders that Have an active, unrestricted Family Or Adult Nurse Practitioner license in either of the following states: AZ, IN, IA, KS or TX AND Must Have a Current, Active RN Compact license. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Manager Clinical Performance & Quality Coding (Nurse Practitioner Or PA) Elevance HealthManager Clinical Performance & Quality Coding (Nurse Practitioner Or PA)Grand Prairie, TXDevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Nurse Practitioner/Physician Assistant - Float Monogram HealthNurse Practitioner/Physician Assistant - FloatRichardson, TexasMonogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver highâquality inâhome care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs.