Nurse Practitioner - Clinical Quality & HCC/Risk Adjustment

Elevance Health, Inc.

Elevance Health, Inc. seeks a Nurse Practitioner Clinical Quality Consultant to ensure accurate documentation, coding and value capture across Medicare HCC programs. The role emphasizes chart reviews, ICD-10 coding optimization, and collaboration with the coding team to improve HEDIS performance. The position supports a hybrid/remote work setup with required in-person training sessions and occasional travel to office locations, including Ohio sites. #J-18808-Ljbffr

Apply

Vacancy posted 11 hours ago

Similar jobs that could be interesting for youBased on the Nurse Practitioner - Clinical Quality & HCC/Risk Adjustment in Nashville, TN vacancy

Nurse Practitioner Clinical Quality Consultant
$120.64k - $180.96k
...Nurse Practitioner Clinical Quality ConsultantLocation: This role enables associates to work virtually full-time, except for required in-person... ...diagnosis codes.Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture initiatives...
Quality
Risk
Full time
Work at office
Local area
ANTHEM INSURANCE COMPANIES INC
Nashville, TN
5 days ago
Nurse Practitioner
$130k - $140k
...Nurse Practitioner Opportunity We are recruiting Nurse Practitioners for a fully... ...company launching its first clinical teams across multiple states. The... ...and families. They support HCC coding, risk adjustment, and HEDIS and STAR quality gap closure through their documentation...
Quality
Risk
Full time
Live in
Remote work
Monday to Friday
ATC Healthcare
Nashville, TN
5 days ago
Consulting Actuary - ACA Risk Adjustment
$143.62k - $229.79k
...Description As a Consulting Actuary - ACA Risk Adjustment, you will serve as a strategic partner... ...projects, ensuring timeliness, compliance, and quality of work Provide proactive and strategic... ...ACA Risk Adjustment , including HHS-HCC model methodology, risk score...
Quality
Risk
Work at office
Local area
Remote work
Flexible hours
2 days per week
Blue Cross and Blue Shield of North Carolina
Nashville, TN
3 days ago
Nurse Practitioner (M-F only)
...We are looking for a Nurse Practitioner (hybrid) to care for our... ...by providing high-quality care. In this role, the... ...Practitioner will demonstrate clinical competency by... ...patient confidentiality and risk management; ensures... ...healthcare professionals Adjusts to fluctuating peaks...
Quality
Risk
Local area
Complete Health Partners
Whites Creek, TN
3 days ago
Nurse Practitioner - Alante' Telehealth Arizona - Remote FT
$110k - $130k
...Nurse Practitioner Opportunity At Alanté HealthAlanté Health... ...care. If the rush of clinic appointments leaves you... ...é Health?Focus on Quality, Not Quantity: With a... ...including medication adjustments.Order and interpret diagnostic... ...of etiologies, risk factors,...
Quality
Risk
Full time
Contract work
Part time
Remote work
Flexible hours
Shift work
Alumus
Nashville, TN
4 days ago
Nurse Practitioner - Alante' Telehealth Arizona - Remote FT
$110k - $130k
...Nurse Practitioner Opportunity At Alant Health Alant Health... ...care. If the rush of clinic appointments leaves... ...Alant Health? Focus on Quality, Not Quantity: With a... ...including medication adjustments. Order and... ...knowledge of etiologies, risk factors, pathophysiology...
Quality
Risk
Remote job
Full time
Contract work
Part time
Flexible hours
Shift work
Alumus
Nashville, TN
2 days ago
Head of Risk, Audit and Continuous Improvement
$127.34k - $216.47k
...Director, Risk AdjustmentWe use cookies to make the safest and... ...and help our members access quality, affordable care!***PacificSource... ....The Director of Risk Adjustment, reporting to the Vice President... ...with providers, vendors, and clinical leaders to enhance documentation...
Quality
Risk
Full time
Work experience placement
Work at office
Work from home
PacificSource
Nashville, TN
3 days ago
Statewide Nurse Practitioner or PA - Optum HouseCalls - Tennessee
$89.9k - $160.6k
...Overview Statewide Nurse Practitioner or PA – Optum HouseCalls – Tennessee... ...provides annual in‑home clinical assessments to patients across... ...preventive care, identifying health risks, coordinating follow-up care... ..., with an emphasis on high‑quality medical service,...
Quality
Risk
Full time
Work experience placement
Local area
Trial period
Flexible hours
Weekend work
Optum
Nashville, TN
5 days ago
Nurse Practitioner Clinical Quality Consultant
$120.64k - $180.96k
...accommodation is granted as required by law. The Nurse Practitioner Clinical Quality Consultant is responsible for quality documentation,... ...appropriate diagnosis codes. Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture...
Quality
Risk
Full time
Temporary work
Work experience placement
Work at office
Local area
1 day per week
Elevance Health
Nashville, TN
5 days ago
Nurse Practitioner/Physician Assistant - Kidney Transplant (Inpatient)
...eight hospitals and over 180 clinics, we are the region's largest... ...the delivery of high-quality, evidence-based medical services... ...more patients, including high-risk patients who may not be candidates... ...-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse...
Quality
Risk
Full time
Live out
10 hours per week
Shift work
Day shift
Vanderbilt Health
Nashville, TN
1 day ago
Per Diem Nurse Practitioner Home Health | Rock Island, Tennessee
$80 - $90 per hour
...Per Diem Nurse Practitioner Home Health | Rock Island, Tennessee Deliver impactful home health care by conducting comprehensive risk assessments for Medicare Advantage plan members throughout... ...empowering patients through high-quality assessment and education, apply...
Quality
Risk
Hourly pay
Daily paid
Local area
Flexible hours
SC Works Trident
Nashville, TN
2 days ago
Nurse Practitioner, APRN, FNP
$120k - $130k
...Estimated Starting Salary Range for Nurse Practitioner: $120k- $130k Pay... ...peer reviews and continuous quality improvement initiatives, ensuring... ...patient care.Assist with risk management and contribute to... ...documentation systems is a plus.Strong clinical judgment, decision-making...
Quality
Risk
Full time
Local area
Cherokee Federal
Nashville, TN
5 days ago
Pediatric Nurse Practitioner/Physician Assistant - Perioperative Risk Assessment
...developed RN perioperative risk assessment team to... ...:Provide advanced clinical assessment of pediatric... ...concerns.Partner with nursing and physician leadership... ...program.Participate in quality improvement... ...Requirements:Pediatric Nurse Practitioner - Primary Care (CPNP-PC...
Quality
Risk
Temporary work
Shift work
Night shift
Rotating shift
Vanderbilt University Medical Center
Nashville, TN
4 days ago
Psychiatric Nurse Practitioner (PMHNP) or Psychiatric Physician Assistant | Inpatient | 7 On / 7 Off | Nashville, TN
$125k
...Psychiatric Nurse Practitioner (PMHNP) or Physician Assistant... ...opportunity to apply your clinical judgment, support... ...for accessible, high-quality behavioral healthcare... ...status examinations, and risk assessments. Provide... ...treatment response, and adjust care within your scope...
Quality
Risk
Full time
River Region Psychiatry Associates dba Ally Psychiatry
Nashville, TN
19 hours ago
Travel Nurse RN - Case Manager - $1,778 to $1,975 per week in Nashville, TN
$1,778 - $1,975 per week
...Registered Nurse (RN) | Case Manager Location: Nashville, TN... ...effective, outcome oriented, quality care in the appropriate health... ...coordinating patient care for high-risk patients across the healthcare... ...therapy, allied health, and clinical laboratory professionals from...
Quality
Risk
Weekly pay
Full time
Contract work
Locum
Immediate start
All Medical Personnel
Nashville, TN
2 days ago
Travel Nurse RN - Case Manager - $1,778 to $1,975 per week in Nashville, TN
$1,778 - $1,975 per week
...Registered Nurse (RN) | Case Manager Location: Nashville, TN... ...effective, outcome oriented, quality care in the appropriate health... ...coordinating patient care for high-risk patients across the healthcare... ...therapy, allied health, and clinical laboratory professionals from...
Quality
Risk
Weekly pay
Full time
Contract work
Locum
Immediate start
TravelNurseSource
Nashville, TN
2 days ago
Workers' Compensation Claim Adjuster
$60k - $85k
Workers' Compensation Claim Adjuster Location: Nashville, TN (Hybrid or Remote, depending on... ...clients to solve their most complex risk management challenges, delivering measurable... ...and stakeholders, and consistently deliver quality claim outcomes. Responsibilities When we...
Quality
Risk
Work at office
Remote work
Monday to Friday
2 days per week
CCMSI
Nashville, TN
4 days ago
Perinatal Nurse Manager: High-Risk L&D Leader
...comprehensive operational authority for designated clinical area(s) including fiscal accountability, quality and regulatory compliance, patient/family-centered... ...relevant leadership experience, RN licensure (Master's in Nursing preferred), and the ability to coach teams, manage...
Quality
Risk
Vanderbilt University Medical Center
Nashville, TN
2 days ago
Travel Nurse RN - Cardiovascular Intensive Care Unit - $1,688 per week in Nashville, TN
$1,688 per week
...Registered Nurse (RN) | Cardiovascular Intensive Care Unit Location... ...to protocols. Monitor and adjust invasive monitoring devices... ...environment for patients, reducing the risk of hospital-acquired... ...committed to providing the best Quality, Care, Service and Support to...
Quality
Risk
Full time
Contract work
Immediate start
Flexible hours
Shift work
TravelNurseSource
Nashville, TN
2 days ago
Travel Nurse RN - Progressive Care Unit - $1,587 per week in Nashville, TN
$1,587 per week
...Registered Nurse (RN) | Progressive Care Unit... ...Identify potential risks and complications, such... ...continuous monitoring devices, adjusting care as necessary.... ...with physicians, nurse practitioners, and other healthcare... ...training initiatives. Quality and Compliance:...
Quality
Risk
Full time
Contract work
Shift work
Magnet Medical
Nashville, TN
2 days ago
Travel Nurse RN - Progressive Care Unit - $2,022 per week in Hermitage, TN
$2,022 per week
...Registered Nurse (RN) | Progressive Care Unit... ...Identify potential risks and complications, such... ...continuous monitoring devices, adjusting care as necessary.... ...with physicians, nurse practitioners, and other healthcare... ...training initiatives. Quality and Compliance:...
Quality
Risk
Full time
Contract work
Immediate start
Flexible hours
Shift work
TravelNurseSource
Hermitage, TN
2 days ago
Manager III, Risk Intelligence & Investigations, North American Surface Transportation Compliance
$119.9k - $162.3k
...standards.Within this organization, the Risk Intelligence & Investigations team reviews... ...analytical priorities, own detection and case-quality mechanisms, and present findings to... ...disability and need a workplace accommodation or adjustment during the application and hiring process...
Quality
Risk
Flexible hours
Day shift
Amazon
Nashville, TN
2 days ago
Director of Nursing
...Job Description: Director of Nursing (DON) Position Title: Director... ...ensures the delivery of high-quality resident care in compliance with... ..., and ongoing training Clinical Oversight Ensure delivery of... ...documentation standards, and risk management Effective problem...
Quality
Risk
Local area
Dickson Health and Rehab
Nashville, TN
3 days ago
Associate Director - Third Party Risk Management
$118.7k - $197.8k
...Associate Director to help lead its Third Party Risk Management (TPRM) Program. This leader... ...skillsMeticulous attention to detail and quality of work productAbility to build and... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...
Quality
Risk
Work at office
Remote work
Night shift
Deloitte
Nashville, TN
3 days ago
Industrial Sector Workstream Lead
$110.7k - $218.3k
...Advise government leaders on supply chain risk management.Coordinate across headquarters... ...skillsMeticulous attention to detail and quality of work productAbility to build and... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...
Quality
Risk
Contract work
For contractors
Local area
Deloitte
Nashville, TN
1 day ago
Docebo Manager
$141.2k - $278.3k
...scope, budget, resources, timelines, and risk management.Manage and develop analysts, consultants... ...apply delivery standards, templates, and quality checkpoints to support consistent... ...disclosed range estimate has not been adjusted for the applicable geographic differential...
Quality
Risk
Local area
Deloitte
Nashville, TN
5 days ago
Associate Director, Scheduling
$115.7k - $161.97k
...management.Support Project Managers with quality project schedules at appropriate levels... ...progress of work.Develop and maintain project risk assessments, qualitative and... ...Experience with estimate validation and adjustments and comparative cost analyses. Knowledge...
Quality
Risk
Full time
For contractors
Local area
Cumming
Nashville, TN
3 days ago
Associate Director, Technology Controls Advisory
$118.7k - $197.8k
...technology leaders, and help improve how risks are identified and managed. This role is... ...skillsMeticulous attention to detail and quality of work productAbility to build and sustain... ...disclosed range estimate has not been adjusted for the applicable geographic differential...
Quality
Risk
Deloitte
Hermitage, TN
1 day ago
Relationship Manager
...portfolio, driving relationship profitability, revenue growth, and risk-adjusted returns. Develop, cultivate, and deepen client... ...share through tailored banking solutions. Generate a high-quality, self-sourced sales pipeline through disciplined prospecting,...
Quality
Risk
Full time
Temporary work
Korn Ferry
Nashville, TN
3 hours ago
Dialysis Nurse Manager
$95k - $117.67k
...Description Overview Dialysis Clinic, Inc. is recruiting top... ...providers. The Dialysis Nurse Manager is responsible for dialysis... ..., regulatory agencies, DCI’s Quality Assessment Performance... ...educator Coordinate DCI, QAPI and risk management program...
Quality
Risk
For contractors
Dialysis Clinic, Inc.
Nashville, TN
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Nurse Practitioner - Clinical Quality & HCC/Risk Adjustment. Be the first to apply!