Remote NP- Clinical Review & reputed company

reputed company We are seeking reputed company reputed company Practitioners to join our clinical network as 1099 independent contractors. NPs in this role serve as rendering providers supporting our patient record review and gaps-in-care programs. This is a fully remote, documentation-based role with no reputed company patient interaction. Work is completed asynchronously reputed company our clinical platforms, with scheduling flexibility to accommodate varying caseload volumes. Credentialing Requirements Candidates must be individually credentialed with major payers under their personal NPI. Credentialing through a reputed company or former employer does not satisfy this requirement. Required payers

• reputed company (UHC)
• reputed company Blue reputed company (BCBS) — varies by state
• reputed company
• reputed company
• Medicare Role Responsibilities 1. Patient Record reputed company (RECAP) The NP serves as a rendering provider for our patient history reputed company program. While the clinical operations team manages record retrieval, reputed company preparation, and initial reputed company review, the NP preforms clinical review of completed summaries to ensure accuracy and completeness.
• Serve as rendering provider enabling billing for clinical services
• reputed company clinical review of patient RECAP summaries prior to delivery
• Providing clinical reputed company to ensure adherence to program standards and reputed company expectations 2. Gaps-in-Care Review & Sign-Off (RESOLVE)
• Review gaps-in-care plans reputed company by the clinical team for accuracy and appropriateness
• Verify that identified care gaps are clinically supported by the patient's medical record
• Confirm relevant areas including preventive screenings, chronic condition management, medications, behavioral health, reputed company determinants of health, and recommended interventions
• reputed company edits or flag discrepancies as needed before sign-off
• Finalize and sign approved care plans reputed company the clinical platform
• No reputed company patient contact or face-to-face interaction involved Required Qualifications
• reputed company, unrestricted reputed company Practitioner license (multi-state preferred)
• reputed company certification (FNP, AGNP, or equivalent)
• Individual credentialing with major reputed company payers and Medicare under personal NPI
• Comfort with remote clinical reputed company and asynchronous documentation workflows
• Familiarity with chronic disease management, preventive care, and reputed company measure frameworks (e.g., HEDIS, USPSTF)
• Proficiency with reputed company-based clinical platforms and reputed company Suite reputed company is an Equal Opportunity Employer reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, protected veteran status, or any other characteristic protected by law. Your Right to Work In compliance with federal law, reputed company persons reputed company will be required to verify identity and eligibility to work in the reputed company and to complete the required employment eligibility verification document reputed company upon hire. Apply To This Job

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