NewLicensed Nurse Care Coordinator - Population Health Christus HealthLicensed Nurse Care Coordinator - Population HealthIrving, TXPerform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness.
Licensed Nurse Care Coordinator Senior - Population Health Christus HealthLicensed Nurse Care Coordinator Senior - Population HealthIrving, TXPerform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness.
NewQI SPECIALIST II (HEDIS) Integrated Resources, IncQI SPECIALIST II (HEDIS)Irving, TexasFull timeCollaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters).Delivers provider specific metrics and coach providers on gap closing opportunities. QualificationsCandidate Experience: 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff is required.
HEDIS Performance Improvement Specialist AscensionHEDIS Performance Improvement SpecialistAustin, TexasRemote$75,295–$110,834.59 / yearFull timeOversees complex HEDIS project lifecycles—including data analysis, medical record abstraction, chase logic, thorough knowledge or Performance Improvement Projects (PIPs) and is able to apply that knowledge in PIP writing development, update, and analysis of data in PIPs. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
NewHEDIS Specialist Integrated Resources, IncHEDIS SpecialistEl Paso, TexasFull timeMaintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).QualificationsState Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures.5+ years coding and medical record abstraction experience.5+ years managed care experience. Job DescriptionUnder the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.
NewHEDIS Specialist I Integrated Resources, IncHEDIS Specialist IHouston, TexasFull timeMaintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers. Summary:Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection, and abstraction of medical records and other data in collaboration with other HEDIS staff.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadAustin, TXRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Clinical Quality Consultant NP Elevance Health IncClinical Quality Consultant NPGrand Prairie, TXMinimum Requirements: Requires an MS in Nursing and minimum of 3 years experience in applying appropriate diagnosis in the Medicare HCC model and/or CMS Risk Adjustment Model; or any combination of education and experience, which would provide an equivalent background. 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 (Nurse Practitioner/Physician Assistant) Elevance Health IncManager Clinical Performance & Quality (Nurse Practitioner/Physician Assistant)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.
NewTelehealth Nurse Practitioner UrrlyTelehealth Nurse PractitionerAustin, TXRemote$600–$720 / yearPreferred Availability: We are looking for providers who can consistently work weekday/daytime hours , with Thursday and Friday availability strongly preferred . Ability to consistently work weekday/daytime hours , with Thursday and Friday availability preferred .
NewNurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Dallas, Texas$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
QI Stars Clinical RN Harris Health SystemQI Stars Clinical RNHouston, TXThrough its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: ' Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women. ' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Clinical Quality Consultant NP Elevance HealthClinical Quality Consultant NPGrand Prairie, 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. Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy.
Bilingual (Spanish) Primary Care Advanced Practice Provider (NP OR PA) Devoted Health IncBilingual (Spanish) Primary Care Advanced Practice Provider (NP OR PA)TXRemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Bilingual (Spanish) Primary Care Advanced Practice Provider (NP OR PA) Devoted Health ServicesBilingual (Spanish) Primary Care Advanced Practice Provider (NP OR PA)TexasRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Coding Educator University HealthCoding EducatorSan Antonio, TXAccrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC). Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission.
Practice Performance Manager (Houston, TX) Apex Health SolutionsPractice Performance Manager (Houston, TX)Houston, TXThe PPM functions as both a trusted clinical partner and a skilled change management professional, delivering direct practice support—on-site and remotely—to drive improvement across key performance domains including HEDIS/Stars quality measures, HCC capture rates, Annual Wellness Visit (AWV) completion, care gap closure, and EHR workflow optimization. The ideal candidate combines deep clinical or quality improvement expertise with strong interpersonal influence skills—capable of coaching frontline staff, engaging physicians, and presenting data-driven strategies to practice leadership.
Physician Lead Humana IncPhysician LeadHouston, TX$321,200–$375,650 / yearEnsure clinicians effectively co-manage high-risk episodes of care and patients with partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization. Personally deliver high-quality primary care and demonstrate a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management.
Physician Lead CenterWellPhysician LeadHouston, TexasEnsure clinicians effectively co-manage high-risk episodes of care and patients with partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization. Personally deliver high-quality primary care and demonstrate a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management.
Associate Medical Director CenterWellAssociate Medical DirectorHouston, TexasEnsure clinicians effectively co-manage high risk episodes of care and patients with partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization. Personally deliver high-quality primary care and demonstrating a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management.
Physician Leader (MD / DO) Primary Care HarmonyCares.Physician Leader (MD / DO) Primary CareHouston, TXThe Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members - to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Our value-based care model brings clinical teams closer to those we serve, fostering a deeper connection, enhancing outcomes, and creating more meaningful moments for families to share at home.
Physician Leader - Value Based Geriatric Primary Care HarmonyCaresPhysician Leader - Value Based Geriatric Primary CareMcAllen, TXThe Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members - to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Our value-based care model brings clinical teams closer to those we serve, fostering a deeper connection, enhancing outcomes, and creating more meaningful moments for families to share at home.
Physician Leader (MD / DO) Primary Care HarmonyCaresPhysician Leader (MD / DO) Primary CareHouston, TexasResponsibilities: The Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members – to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Our value-based care model brings clinical teams closer to those we serve, fostering a deeper connection, enhancing outcomes, and creating more meaningful moments for families to share at home.
Physician Leader (MD /DO) Primary Care HarmonyCaresPhysician Leader (MD /DO) Primary CareMcAllen, TexasResponsibilities: The Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members – to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Our value-based care model brings clinical teams closer to those we serve, fostering a deeper connection, enhancing outcomes, and creating more meaningful moments for families to share at home.
Physician Leader (MD /DO) Primary Care HarmonyCares.Physician Leader (MD /DO) Primary CareMcAllen, TXThe Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members - to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Our value-based care model brings clinical teams closer to those we serve, fostering a deeper connection, enhancing outcomes, and creating more meaningful moments for families to share at home.
Primary Care Physician Palm Medical CentersPrimary Care PhysicianMansfield, TXFull timeCollaborate closely with care teams including nurse practitioners, medical assistants, case managers and specialists to insure seamless patient care. Maintain ongoing communication with patients and their families, providing education on disease prevention, medication management and health lifestyle choices.
Primary Care Physician CenterWellPrimary Care PhysicianHouston, TexasAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.
Associate Director, Advanced Practice Provider Humana IncAssociate Director, Advanced Practice ProviderTXRemote$115,200–$158,400 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.