NewAdvanced Practice Clinician (Bilingual Chinese required) VNS HealthAdvanced Practice Clinician (Bilingual Chinese required)Brooklyn, NY$109,900–$146,500Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options.
Primary Care Provider: Nurse Practitioner or Physician Assistant Fast Pace HealthPrimary Care Provider: Nurse Practitioner or Physician AssistantSpringfield, TNLicense and DEA must be active, in good standing, and verifiable with the proper regulatory agency; Primary Care Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification required to be obtained within 120 days of employment and maintained during employment. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere.
NewLicensed 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.
NewNurse Practitioner / Physician Assistant CenterWell Senior Primary CareNurse Practitioner / Physician AssistantMorrow, GAor Physician Assistant program with Board Certification Active, unrestricted Nurse Practitioner or Physician Assistant license in state of practice location Excellent communication skills; written and verbal, demonstrate a high level of skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of “Integrated team based care”. Become a part of our caring community Humana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva.
NewIntegrated Care Coordinator HEALTH CONNECT AMERICA, INCIntegrated Care CoordinatorWinchester, TN0104 . a MH/SU license (including associate-level), or are certified by the NC Substance Abuse Board or, a RN AND have four years of full-time experience working with the MH/SU/IDD population or, a master’s degree in a human service field AND at least one year of full-time experience working with the MH/SU/IDD population or, a bachelor’s degree in a human service field AND at least two years of full-time experience working with the MH/SU/IDD population or, a bachelor’s degree in a non-human service field AND at least four years of full-time experience working with the MH/SU/IDD population. Responsible to the following when based in a clinic: Facilitate on-site clinic operations including but not limited to maintaining office clinic schedule, complete clinic reminder calls, taking and documenting client vitals, completing clinic chart documentation, and integrated care services for all clinic clients, especially integrated care clients only in med management program.
NewNurse Quality Management University HealthNurse Quality ManagementSeguin, TXCoordinates and collaborates with Community First Health Plans, Inc. (Community First), various departments to ensure that contractual, regulatory, and accreditation requirements, including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) are met as it pertains to the Quality Management Department. Provides ongoing management of data collection systems and the development of procedures for monitoring, validating, and reconciling data for accuracy.
Licensed 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.
NewAdvanced Practice Clinician VNS HealthAdvanced Practice ClinicianNew York, NY$58.30–$77.72License and current registration to practice as a Registered Professional Nurse in New York State requiredCertificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology requiredValid driver's license, as determined by operational/regional needs may be requiredMaintains credentialed status with VNS Health Medical Care at Home and associated managed care plans requiredMaintains NPI, Medicaid and Medicare provider numbers preferredMaintains a collaborative practice agreement with a physician in compliance with New York State regulations preferredMust be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements requiredFor Psychiatric Nurse Practitioners only:Current PMHNP-BC certification required. Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferredClinical home care experience or two years managerial experience preferredDemonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services requiredBilingual skills, as determined by operational needs requiredFor Psychiatric Nurse Practitioners only:Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required.
NewAdvanced Practice Clinician, Per Diem (Bilingual Cantonese/Mandarin preferred) VNS HealthAdvanced Practice Clinician, Per Diem (Bilingual Cantonese/Mandarin preferred)New York, NY$58.30–$77.72Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education.
NewPhysician Lead, Geriatric Primary Care in Fulton County, GA -$50k Retention Bonus HarmonyCaresPhysician Lead, Geriatric Primary Care in Fulton County, GA -$50k Retention BonusAtlanta, GAThe 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. Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.).
Associate Clinical Director, Integrated Care Quality (NP/MD) - Remote Included HealthAssociate Clinical Director, Integrated Care Quality (NP/MD) - RemoteAtlanta, GARemoteAt Included Health, the Associate Clinical Director, Integrated Care Quality (NP/MD) is responsible for the strategy, external representation, and program leadership needed to ensure our clinical services perform credibly in high-stakes client, consultant, and audit-facing settings. The Director will represent Included Health in consequential meetings with clients, consultants, health plans, and internal leaders; shape the vision for external-facing clinical quality work; build trusted relationships; and translate audit and quality findings into durable operational improvement strategies.
Regional Manager, Ambulatory Pharmacist ChenMedRegional Manager, Ambulatory PharmacistMiami, FL$128,686–$183,837Operating under a collaborative practice agreement, this role focuses on reducing polypharmacy, enhancing medication adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. Medication Management & Optimization : Collaborates with healthcare providers to adjust medication therapies, interpret lab results, and support clinical decision-making within a protocol-driven framework.
Ambulatory Pharmacist ChenMedAmbulatory PharmacistPhiladelphia, PA$118,062–$168,658Operating under a collaborative practice agreement, this role focuses on reducing polypharmacy, enhancing medication adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The ambulatory pharmacist partners closely with patients, physicians, advanced practice providers, nurses, and care teams to deliver evidence-based, individualized care that promotes safety, efficacy, and cost-effectiveness.
Physician Leader Home Visits- Cleveland Ohio HarmonyCaresPhysician Leader Home Visits- Cleveland OhioElyria, OHThe 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. Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.).
HEDIS Medical Record Review Project Nurse Elevance HealthHEDIS Medical Record Review Project NurseTampa, FloridaEducates providers on HEDIS specifications and medical record documentation via various mediums such as HEDIS Encounter Portal Submission Tool, Hybrid Review Tool, HEDIS reference material development, and any other educational pieces for Provider relations, etc. 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.
HEDIS RN or LPN Pyramid, IncHEDIS RN or LPNMt. Laurel, NJFull timeResponsibilities include: Visit physicians' offices to retrieve and review specific requested documentation from medical records Scan relevant components of the medical record to support reviews performed Upload all scanned medical records daily Maintain lines of communication with the assigned clinical lead, project coordinator and project manager Successfully complete required training, testing and quality assessment Communicate effectively and professionally with office managers, health systems and any other facility or care provider Schedule and confirm all appointments based on your independent assignment for efficiency Must be willing to travel, have a reliable means of transportation, valid driver's license and auto insurance Abide by all HIPAA and Independence patient confidentiality requirements Availability of at least 8 hours a day, 5 days per week. Business attire required This contract is project based employment and is not considered full time permanent employment Interviewing immediately, Training (paid) is Required for ~2 weeks, beginning in January: Jan 7th thru 11th - candidates will expect to be in Philadelphia M-F from 8:30am to 5pm Jan 15th thru 18th and Jan 25th - training on measures - candidates will expect to be in Philly M-F from 8:30am to 5pm (unless otherwise specified)
LPN / RN Hedis Project Coordinator Integrated Resources, IncLPN / RN Hedis Project CoordinatorJohnson City, TennesseeFull timeHEDIS or supplemental data project experience is preferred, but not required Experience in medical record review required Some travel involved Must be able to work independently or in a team environment and have excellent organizational skills Excellent telephone and communication skills required Working knowledge of Windows and Microsoft Office, specifically Excel, is required Must successfully complete the training program offered, and meet & maintain acceptable performance goals Job DescriptionResponsibilities: Under supervision from project managers, this position is responsible for scheduling and oversight of retrieval, review, and abstraction of medical record data performed by team members on their regional team.
NewRegistered Nurse HEDIS Performance Improvement Specialist Ascension Health AllianceRegistered Nurse HEDIS Performance Improvement SpecialistAustin, TXRemote$75,295–$110,834.59 / yearOversees 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.
HEDIS RN / LPN Integrated Resources, IncHEDIS RN / LPNBrentwood, TennesseeFull timeHEDIS or supplemental data project experience is preferred, but not required• Experience in medical record review preferred• Some travel involved• Must be able to work independently and have excellent organizational skills• Excellent telephone and communication skills required• Working knowledge of Windows and Microsoft Office, specifically Excel, is required• Must successfully complete the training program offered, and meet & maintain acceptable performance goals Job LocationsMemphis, TNBrentwood, TNKnoxville, TNNashville, TNQualifications• Must have active RN / LPN license in the state of Tennessee or compact state• Knowledge and experience of HEDIS or supplemental data project abstraction methods preferred.•
Registered Nurse HEDIS Performance Improvement Specialist AscensionRegistered Nurse HEDIS 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.
Registered Nurse HEDIS Integrated Resources, IncRegistered Nurse HEDISChattanooga, TennesseeFull timeRegistered Nurse HEDISTitle: Registered Nurse HEDISLocation: Chattanooga, TN 37402Duration: 7+ Months (Possible Extension)Responsibilities:The contract nurse is responsible for retrieval, review, and abstraction of medical record data, required for multiple and complex STARS and HEDIS measures as well as entering the data into quality program tool. Qualifications:Must have active RN license in the state of Tennessee or compact stateKnowledge and experience of HEDIS or supplemental data project abstraction methods preferred.
HEDIS AUDITOR RN/ LPN Integrated Resources, IncHEDIS AUDITOR RN/ LPNNewark, New JerseyFull timeHedis Auditor Rn/LpnIntegrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. Job DescriptionThis request is for the 2018 HEDIS audit, Position is responsible for performing medical record reviews and data extraction for the HEDIS audit.
Registered Nurse /HEDIS Integrated Resources, IncRegistered Nurse /HEDISNewark, New JerseyFull timeJob DescriptionPosition: RN/LPN HEDISDuration: 4-6 monthsMid-January 2016 - mid-May 2016Location: Newark, NJSkills Required:Must have prior experience working on a HEDIS auditMust have an active RN or LPN license (any state).Position is responsible for performing medical record reviews and data extraction for the HEDIS audit. Registered Nurse /HEDISA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms.
HEDIS Registered Nurse Integrated Resources, IncHEDIS Registered NurseJacksonville, FloridaContractorHedis Registered NurseIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields.
HEDIS Nurse Integrated Resources, IncHEDIS NurseJacksonville, FloridaContractorWe deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields.
HEDIS Abstractor (NorCal Region) Astrana Health, Inc.HEDIS Abstractor (NorCal Region)San Francisco, CA$27–$33 / hourThe HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits. The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps.
HEDIS Abstractor Astrana Health, Inc.HEDIS AbstractorMonterey Park, California$27–$33 / hourThe HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
HEDIS Abstractor (LA Region) Astrana Health, Inc.HEDIS Abstractor (LA Region)Monterey Park, CA$27–$33 / hourThe HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
QI 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 Specialist Integrated Resources, IncHEDIS SpecialistSpringfield, IllinoisContractorDescription: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. Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing, review of records submitted by providers and the annual HEDIS medical record review.
Provider Quality Review Nurse, RN Inland Empire Health PlanProvider Quality Review Nurse, RNRancho Cucamonga, CAThree (3) or more years of any individual or combined healthcare experience in quality assurance, quality management, quality improvement, utilization management, discharge planning, and/or case management. Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or Clinical certification in area specialty) preferred.
HEDIS RN/LPN Integrated Resources, IncHEDIS RN/LPNNewark, New JerseyContractorPosition: HEDIS RN/LPNDuration: 4-6 Months contractLocation: Newark, NJDirect client: Immediate interviewNEED 30 HEDIS RN/LPNRequired skills:Must have prior experience working on a HEDIS auditMust have an active RN or LPN license (any state).Position is responsible for performing medical record reviews and data extraction for the HEDIS auditThe new contract nurses will be this is 100% on site for training at Newark, NJ (4-5 weeks)Training period depends on how quickly the candidates come up to the speed. HEDIS RN/LPNIntegrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms.
NewManager, Risk Adjustment & HEDIS Education Strive Health, LLCManager, Risk Adjustment & HEDIS EducationDenver, CO$85,500–$104,000 / yearLead the development and delivery of provider education programs focused on risk adjustment, HCC documentation, ICD-10-CM coding principles, HEDIS quality measures, and documentation best practices for employed and contracted provider groups. Strong presentation, facilitation, communication, and relationship-building skills with the ability to work effectively across providers, operational leaders, network partners, and cross-functional teams.
NewManager HEDIS, Stars, & ACO Data Analytics #0714 CINQCAREManager HEDIS, Stars, & ACO Data Analytics #0714WASHINGTON, DCRemote$95,000–$120,000 / yearThis role ensures technical excellence, regulatory compliance, audit readiness, and timely submissions in accordance with the National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), and the Executive Office of Health and Human Services (EOHHS). The Manager drives quality performance improvement, optimizes pay-for-performance outcomes (e.g., Medicare Stars and Quality Withhold), oversees electronic clinical data integration, and works in a matrix environment with a multidisciplinary analytics team.
NewManager, Risk Adjustment & Hedis Education Strive HealthManager, Risk Adjustment & Hedis EducationDenver, CO$85,500–$104,000 / yearLead the development and delivery of provider education programs focused on risk adjustment, HCC documentation, ICD-10-CM coding principles, HEDIS quality measures, and documentation best practices for employed and contracted provider groups. Strong presentation, facilitation, communication, and relationship-building skills with the ability to work effectively across providers, operational leaders, network partners, and cross-functional teams.
Facility Site Review Nurse UCLA Health SystemFacility Site Review NurseLos Angeles, CA$37.60–$78.35 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. The Facility Site Review Nurse serves as a key liaison between provider sites, clinic leadership, office staff, contracted health plans, and other stakeholders to ensure compliance and support performance improvement initiatives.
NewBusiness Information Analyst II - Hedis Quality Analytics Elevance HealthBusiness Information Analyst II - Hedis Quality AnalyticsTopeka, KSMay require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. 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.
HEDIS 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.
Sr. Quality of Care Review Nurse Oscar HealthSr. Quality of Care Review NurseDallas, TXRemote$83,628–$109,761.75 / yearClinical Quality programs are designed to enhance clinical outcomes and concierge-level service to our members, through review of services provided to members from network healthcare providers, facilities and Oscar employees. Experience in healthcare quality assurance, including experience auditing medical records and evaluating clinical information and internal documentation to determine the quality of care and service provided to members.
Business Information Analyst II - HEDIS Quality Analytics Elevance Health IncBusiness Information Analyst II - HEDIS Quality AnalyticsIndianapolis, INMay require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. 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.
Facility Site Review Nurse University of CaliforniaFacility Site Review NurseLos Angeles, CA$37.60–$78.35 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. The Facility Site Review Nurse serves as a key liaison between provider sites, clinic leadership, office staff, contracted health plans, and other stakeholders to ensure compliance and support performance improvement initiatives.
Sr. Quality of Care Review Nurse Oscar Health IncSr. Quality of Care Review NurseNew York, NYRemote$83,628–$109,761.75 / yearAbout the role: Clinical Quality programs are designed to enhance clinical outcomes and concierge-level service to our members, through review of services provided to members from network healthcare providers, facilities and Oscar employees. The Clinical Quality Nurse serves as a peer mentor and a consultant, working collaboratively with team members to implement audit programs that reflect department goals and key performance indicators, meeting all regulatory and organizational requirements.
Supplemental Data Collection/HEDIS Integrated Resources, IncSupplemental Data Collection/HEDISNashville, TennesseeContractorQualificationsMust have active LPN/RN license in the state of Tennessee or compact stateHEDIS or Supplemental Data Collection experience is preferredExperience in medical record review preferredSome travel involvedMust be able to work independently and have excellent organizational skillsExcellent telephone and communication skills requiredWorking knowledge of Windows and Microsoft Office, specifically Excel, is requiredMust successfully complete the training program offered, and meet & maintain acceptable performance goals Supplemental Data Collection/HEDISThe contract nurse is responsible for retrieval, review, and abstraction of medical record data, required for a non-complex sub-set of STARS and HEDIS measures as well as entering the data quality program tool.
Remote Complex Care Registered Nurse - California Residents Only (Active California RN License Required | Bilingual English/Spanish Preferred) Alignment HealthcareRemote Complex Care Registered Nurse - California Residents Only (Active California RN License Required | Bilingual English/Spanish Preferred)Stockton, CaliforniaRemoteCross-Disciplinary Communication and Pod Collaboration (Advanced): Ability to serve as the central coordination hub of a multi-disciplinary care pod — communicating clearly and proactively with APCs, Health Coaches, Care Coordinators, Social Workers, and the RMO to ensure cohesive, accountable care delivery for every assigned member. Athena EMR and Clinical Documentation (Advanced): Advanced proficiency in Athena documentation — ensuring all care coordination activities, medication reconciliations, escalations, and care plan changes are documented accurately, completely, and within required timeframes to support HCC coding, care continuity, and compliance.
Remote Complex Care Registered Nurse – Arizona Residents Only (Active AZ RN License Required | Bilingual English/Spanish) Alignment HealthcareRemote Complex Care Registered Nurse – Arizona Residents Only (Active AZ RN License Required | Bilingual English/Spanish)ArizonaRemoteCross-Disciplinary Communication and Pod Collaboration (Advanced): Ability to serve as the central coordination hub of a multi-disciplinary care pod — communicating clearly and proactively with APCs, Health Coaches, Care Coordinators, Social Workers, and the RMO to ensure cohesive, accountable care delivery for every assigned member. Athena EMR and Clinical Documentation (Advanced): Advanced proficiency in Athena documentation — ensuring all care coordination activities, medication reconciliations, escalations, and care plan changes are documented accurately, completely, and within required timeframes to support HCC coding, care continuity, and compliance.
Remote Complex Care Registered Nurse- South Bay San Diego Residents Only (Active CA RN License Required | Bilingual English/Spanish Required) Alignment HealthcareRemote Complex Care Registered Nurse- South Bay San Diego Residents Only (Active CA RN License Required | Bilingual English/Spanish Required)San Diego, CaliforniaRemoteCross-Disciplinary Communication and Pod Collaboration (Advanced): Ability to serve as the central coordination hub of a multi-disciplinary care pod — communicating clearly and proactively with APCs, Health Coaches, Care Coordinators, Social Workers, and the RMO to ensure cohesive, accountable care delivery for every assigned member. Athena EMR and Clinical Documentation (Advanced): Advanced proficiency in Athena documentation — ensuring all care coordination activities, medication reconciliations, escalations, and care plan changes are documented accurately, completely, and within required timeframes to support HCC coding, care continuity, and compliance.
Remote Complex Care Registered Nurse - Arizona Residents Only (Active AZ RN License Required | Bilingual English/Spanish) Alignment Healthcare IncRemote Complex Care Registered Nurse - Arizona Residents Only (Active AZ RN License Required | Bilingual English/Spanish)AZRemote$79,697–$119,545 / yearSpecialized Skills: Required: Complex Care Coordination and Member Journey Management (Advanced): Ability to own and manage the full care journey for high-acuity Medicare Advantage members - maintaining consistent engagement, coordinating across disciplines, and proactively addressing clinical and social needs before they escalate. Cross-Disciplinary Communication and Pod Collaboration (Advanced): Ability to serve as the central coordination hub of a multi-disciplinary care pod - communicating clearly and proactively with APCs, Health Coaches, Care Coordinators, Social Workers, and the RMO to ensure cohesive, accountable care delivery for every assigned member.