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Nurse Risk Adjustment Jobs in Arizona (NOW HIRING)

Within our over 200 bed, state-of-the-art facility, specially trained nurses, physicians and other ... adjustments to improve clinical condition, patient comfort and to expedite the weaning process. 3. ...

Within our over 200 bed, state-of-the-art facility, specially trained nurses, physicians and other ... adjustments to improve clinical condition, patient comfort and to expedite the weaning process. 3. ...

... Nursing and/or Office Manager * Familiarity with medical treatment interventions for HIV/AIDS ... Demonstrated skills in assisting high-risk individuals to overcome difficulties resulting from ...

... Nursing and/or Office Manager * Familiarity with medical treatment interventions for HIV/AIDS ... Demonstrated skills in assisting high-risk individuals to overcome difficulties resulting from ...

Medical Case Manager

Cottonwood, AZ · On-site

$19 - $22/hr

... Nursing and/or Office Manager * Familiarity with medical treatment interventions for HIV/AIDS ... Demonstrated skills in assisting high-risk individuals to overcome difficulties resulting from ...

... Nursing and/or Office Manager * Familiarity with medical treatment interventions for HIV/AIDS ... Demonstrated skills in assisting high-risk individuals to overcome difficulties resulting from ...

... adjustments and modification to therapy plan based on patient's progress; document results of ... risk management and safety; complies with federal, and state speech therapy certification ...

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... adjustments and modification to therapy plan based on patient's progress; document results of ... risk management and safety; complies with federal, and state speech therapy certification ...

... adjustments and modification to therapy plan based on patient's progress; document results of ... risk management and safety; complies with federal, and state speech therapy certification ...

... adjustments and modification to therapy plan based on patient s progress; document results of ... risk management and safety; complies with federal, and state speech therapy certification ...

Within our over 200 bed, state-of-the-art facility, specially trained nurses, physicians and other ... adjustments as needed during the testing process. 4. Collects and/or reviews pertinent medical ...

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Nurse Risk Adjustment information

What is a nurse risk adjustment?

Nurse risk adjustment nurses are specialized healthcare professionals who review patient medical records to ensure accurate documentation of diagnoses and health conditions. Their work supports the risk adjustment process, which helps health plans and providers receive appropriate compensation based on the health status of their patient populations. These nurses use their clinical expertise to identify missing or undocumented conditions, collaborate with providers to improve documentation accuracy, and help ensure compliance with federal guidelines. By doing so, they play a key role in improving patient care quality and the financial health of healthcare organizations.

What are the key skills and qualifications needed to thrive as a nurse risk adjustment?

To thrive as a Nurse Risk Adjustment, you need a solid background in clinical nursing, comprehensive knowledge of medical coding (especially ICD-10), and familiarity with risk adjustment methodologies, typically supported by RN licensure and experience in case management or chart review. Proficiency with electronic health record (EHR) systems, coding software, and sometimes a Certified Risk Adjustment Coder (CRC) credential is valuable. Attention to detail, analytical thinking, and strong communication skills help nurses accurately review documentation and collaborate with providers. These skills ensure accurate coding and risk stratification, which directly impact healthcare reimbursement and quality reporting.

How does a nurse risk adjustment professional typically collaborate with coding and provider teams to ensure accurate risk scoring?

Nurse Risk Adjustment professionals often work closely with medical coders and healthcare providers to review patient documentation and ensure diagnoses are captured accurately for risk adjustment purposes. They may participate in interdisciplinary meetings, provide education to providers on documentation best practices, and clarify coding queries. This collaborative approach helps optimize the accuracy of risk scores, which impacts reimbursement and quality metrics. Effective communication and teamwork are essential in this role to support compliance and achieve organizational goals.

What is the difference between Nurse Risk Adjustment vs Nurse Case Manager?

AspectNurse Risk AdjustmentNurse Case Manager
CertificationsRN license, risk adjustment trainingRN license, case management certification
Work EnvironmentInsurance companies, healthcare analyticsHospitals, clinics, patient homes
Employer & IndustryHealth plans, insurance providersHealthcare providers, hospitals

While both roles require RN licensure, Nurse Risk Adjustment focuses on analyzing and coding patient data for insurance risk models, whereas Nurse Case Managers coordinate patient care and manage treatment plans. Understanding these differences helps professionals choose the right career path within healthcare and insurance industries.

What cities in Arizona are hiring for Nurse Risk Adjustment jobs?

Cities in Arizona with the most Nurse Risk Adjustment job openings:

Infographic showing various Nurse Risk Adjustment job openings in Arizona as of August 2026, with employment types broken down into 72% Full Time, 14% Part Time, 6% Temporary, and 8% Contract. Highlights an 88% In-person, and 12% Remote job distribution.

Registered Respiratory Therapist

Banner Health

Mesa, AZ • On-site

Full-time

Re-posted 27 days ago


Banner Health rating

7.5

Company rating: 7.5 out of 10

Based on 769 frontline employees who took The Breakroom Quiz

236th of 889 rated healthcare providers


Job description

Primary City/State:
Mesa, Arizona
Department Name:
Respiratory Thrpy-Hosp
Work Shift:
Day
Job Category:
Clinical Care
$10,000 Hire On Incentive Available
Great careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the perfect opportunity for you.
Banner Health was named to Fortune's America's Most Innovative Companies list for the second year in a row for 2024 and named Most Trustworthy Companies in America by Newsweek. We're proud to be recognized for our commitment to the latest health care advancements and excellent patient care.
We are currently looking for a Full-Time Day RRT to join our team! As a Registered Respiratory Therapist at Banner Desert Medical Center you will be part of our team providing care for neonates, pediatrics and adult patients, all while doing so with a happy heart. Being a member of the Respiratory Department here at Banner Desert and Cardon Children's, a level 1 trauma destination, allows you the opportunity to work in the Emergency Department, NICU, PICU, Adult ICU, and to be a part of adult and pediatric cardiac cases. Floating between departments will be expected as needed. We also train our new employees to master our general floor before moving into specialization areas. Once comfortable, we empower our employees to learn multiple areas and provide support as people grow their skills and career!
It is 3 12-hour shifts per week with rotating weekends. The hours are 6:00am-6:30pm. Enjoy a $3 an hour weekend differential.
Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.
Located on an 80-acre campus in Mesa, Arizona, Banner Desert Medical Center is one of Arizona's largest and most comprehensive hospitals and was recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. We provide an abundance of exceptional opportunities with more than 700 licensed beds, including over 100 dedicated to children and 76 dedicated to our NICU. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics and gynecology, pediatrics, cardiology, oncology and emergency medicine. With 33 operating rooms, we offer a full range of surgical specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest Emergency departments in the country.
If you aim to deliver top-tier care to the most vulnerable patients, consider joining Banner Children's Hospital at Desert in Mesa, Arizona. Within our over 200 bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU monitoring and robotic surgery - to provide high quality, child-friendly, family-centered care. Our facilities feature a 76-bed NICU, a 24-bed PICU, six pediatric ORs and a 22-bed ED. We also offer dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this is a place where you can grow in your career as you help our very special patients.
POSITION SUMMARY
This position independently provides respiratory care, pulmonary and cardiology diagnostic testing to patients in a variety of health care settings.
CORE FUNCTIONS
1. Performs all basic modalities of respiratory care as prescribed by physicians and/or licensed independent practitioners in accordance with established department/hospital policies and procedures.
2. Applies and manages mechanical ventilators in collaboration with physicians and/or licensed independent practitioners, recommending adjustments to improve clinical condition, patient comfort and to expedite the weaning process.
3. Assembles, disassembles, operates, maintains, troubleshoots, cleans and performs adjustments in the applications of durable medical equipment and circuitry used in the delivery of respiratory care as prescribed in accordance with established department/hospital policies and procedures.
4. Performs pulmonary and cardiology diagnostic testing as prescribed in accordance with established department/hospital policies and procedures.
5. Performs patient assessments and evaluates patient response to care provided, making recommendations to physicians regarding the plan of care, appropriate use of respiratory therapy and modification of therapy as clinical condition changes. Documents therapy provided in an accurate and complete manner in accordance with established department/hospital policies and procedures.
6. Communicates and collaborates with resource staff in formulating care plans, recommendations for change in therapy and identification/resolution of problems.
7. May supervise department staff.
8. Independently provides respiratory care, pulmonary and cardiology diagnostic testing to patients in a variety of health care settings. May be assigned to a variety of areas throughout the system where respiratory care is needed. Internal customers: All levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies and regulatory agencies.
MINIMUM QUALIFICATIONS
Associate or technical degree.
Proof of having passed the National Board for Respiratory Care (NBRC) as a Registered Respiratory Therapist (RRT). RRT required for all new hires to the position after October 1, 2015. Incumbents in the position as of October 1, 2015 must possess their RRT by October 1, 2017. A current license in state practiced as required by state law. In the state of Nevada, all incumbents must have their Blood Gas Technologist certification.
Banner Registry positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Respiratory Therapist in the specialty area.
Basic Life Support (BLS) required. In Home Care setting, must posses valid drivers license and be eligible for coverage under the company auto insurance policy.
Must be knowledgeable of clinical techniques, applications and equipment as typically obtained through one year of clinical experience. Must possess highly effective human relation skills necessary to interface with patients, families, staff and other healthcare personnel. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
PREFERRED QUALIFICATIONS
Additional related education and/or experience preferred.
EEO Statement:
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Our organization supports a drug-free work environment.
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