In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
Quick apply
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
State Traveler Provider (Nurse Practitioner / Physician Assistant)
Ann Arbor, MI · On-site
$117 - $143/hr
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
State Traveler Provider (Nurse Practitioner / Physician Assistant)
Ann Arbor, MI · On-site
$117 - $143/hr
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare ... Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Ishpeming, MI. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Ishpeming, MI. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Isabella County, Michigan. This unique ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Isabella County, Michigan. This unique ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Muskegon, MI. This unique opportunity adapts to your ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Muskegon, MI. This unique opportunity adapts to your ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Kalamazoo County, Michigan. This unique opportunity ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Kalamazoo County, Michigan. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Muskegon County, Michigan. This unique ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Muskegon County, Michigan. This unique ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Grand Rapids, MI. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Grand Rapids, MI. This unique opportunity ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around East Tawas, MI. This unique opportunity adapts to your ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around East Tawas, MI. This unique opportunity adapts to your ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Muskegon County, Michigan. This unique opportunity ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Muskegon County, Michigan. This unique opportunity ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Ishpeming, MI. This unique opportunity adapts to your ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Ishpeming, MI. This unique opportunity adapts to your ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around East Tawas, MI. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around East Tawas, MI. This unique opportunity ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bay County, Michigan. This unique opportunity adapts ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bay County, Michigan. This unique opportunity adapts ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bay County, Michigan. This unique ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bay County, Michigan. This unique ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$100/hr
About the Role Advantmed is seeking a licensed, dependable Nurse Practitioner (NP) or Physician Assistant (PA) to conduct structured, in-home wellness and risk adjustment assessments for Medicare ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$100/hr
About the Role Advantmed is seeking a licensed, dependable Nurse Practitioner (NP) or Physician Assistant (PA) to conduct structured, in-home wellness and risk adjustment assessments for Medicare ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$100/hr
About the Role Advantmed is seeking a licensed, dependable Nurse Practitioner (NP) or Physician Assistant (PA) to conduct structured, in-home wellness and risk adjustment assessments for Medicare ...
Quick apply
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$100/hr
About the Role Advantmed is seeking a licensed, dependable Nurse Practitioner (NP) or Physician Assistant (PA) to conduct structured, in-home wellness and risk adjustment assessments for Medicare ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Kalamazoo County, Michigan. This unique ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Kalamazoo County, Michigan. This unique ...
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?
| Aspect | Nurse Risk Adjustment | Nurse Case Manager |
|---|---|---|
| Certifications | RN license, risk adjustment training | RN license, case management certification |
| Work Environment | Insurance companies, healthcare analytics | Hospitals, clinics, patient homes |
| Employer & Industry | Health plans, insurance providers | Healthcare 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 are popular job titles related to Nurse Risk Adjustment jobs in Michigan?
For Nurse Risk Adjustment jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Nurse Risk Adjustment jobs in Michigan look for?
The top searched job categories for Nurse Risk Adjustment jobs in Michigan are:
What cities in Michigan are hiring for Nurse Risk Adjustment jobs?
Cities in Michigan with the most Nurse Risk Adjustment job openings:
State Traveler Provider (Nurse Practitioner / Physician Assistant)
Ann Arbor, MI • On-site
Advantmed •
Health Care and Social Assistance • 201 - 500 employees201 - 500 employees
$130K/yr
Full-time
Medical, Dental, Vision, PTO
Posted 19 days ago
Job description
About Advantmed
Advantmed is a leading healthcare solutions company focused on improving healthcare outcomes through comprehensive risk adjustment, quality improvement, and patient engagement programs. We are seeking a dedicated and compassionate Nurse Practitioner (NP) or Physician Assistant (PA) to join our full-time provider network and support members across Southern Michigan.
In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare and other eligible patient populations. Your work will contribute to accurate clinical documentation, identification of care gaps, and delivery of high-quality, value-based healthcare.
Primary Purpose
The State Traveler Provider is responsible for conducting comprehensive in-home health assessments, Annual Wellness Visits, and preventive screenings while traveling throughout Southern Michigan. This role supports quality improvement initiatives, risk adjustment documentation, and patient education to enhance overall healthcare outcomes.
Key Responsibilities
In-Home Clinical Assessments
- Travel to members' homes and conduct comprehensive health evaluations.
- Perform Annual Wellness Visits and health assessments for members with chronic conditions.
- Complete:
- Comprehensive medical history review
- Physical examinations
- Review of systems
- Vital signs collection
- Medication review and reconciliation
- Preventive health screenings, as applicable, including:
- Hemoglobin A1C
- Spirometry
- Kidney Health Evaluation (KED)
- Diabetic Retinal Exam (DRE)
- Fecal Immunochemical Test (FIT)
- Bone Mineral Density (BMD) Screening
Patient Education & Engagement
- Deliver preventive health education and counseling.
- Educate patients on disease prevention, medication adherence, and chronic condition management.
- Encourage informed healthcare decisions and obtain appropriate consent.
- Conduct goals-of-care discussions when appropriate.
- Promote patient engagement and participation in healthcare programs.
Care Coordination & Quality Support
- Identify clinically relevant conditions and diagnoses for risk adjustment and care management.
- Document findings accurately and communicate information for post-visit summaries.
- Assist in identifying and closing quality care gaps, including preventive screenings, laboratory testing, and follow-up care.
- Collaborate with interdisciplinary teams to improve clinical quality measures and patient outcomes.
Travel Requirements
- This position supports members throughout Southern Michigan.
- Approximately 75% travel is required.
- Overnight travel may be necessary based on assignment locations and member scheduling.
- Hotel accommodations, meals, and mileage reimbursement are provided for eligible business travel.
- Travel schedules will be coordinated in advance whenever possible.
Compliance & Professional Standards
- Adhere to HIPAA regulations and maintain confidentiality of Protected Health Information (PHI).
- Complete accurate, compliant, and timely EMR documentation.
- Follow organizational policies, clinical protocols, and regulatory requirements.
- Maintain professional licensure and certifications.
- Perform additional duties as assigned in support of organizational objectives.
Requirements
Required
- Active and unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in Michigan.
- National board certification applicable to NP or PA specialty.
- Minimum of 3 years of direct patient care experience.
- Experience in primary care, family practice, internal medicine, geriatrics, urgent care, or related settings.
- Valid driver's license and reliable transportation.
- Ability and willingness to travel extensively throughout Southern Michigan.
Preferred
- Experience with Medicare populations.
- Prior experience conducting in-home assessments or risk adjustment visits.
- EMR proficiency.
- Bilingual language skills.
- Familiarity with value-based care and quality gap closure initiatives.
Physical Requirements
- Ability to travel frequently by automobile throughout assigned territories.
- Ability to enter and work within patient homes.
- Ability to lift and carry clinical equipment as needed.
- Ability to sit, stand, bend, and walk for extended periods during patient visits.
Benefits
Advantmed offers a comprehensive benefits package including:
- Competitive Salary: $130,000 annually
- Performance Incentives
- Sign-On Bonus
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Paid Time Off (PTO)
- Flexible Work Schedule
- Mileage Reimbursement
- Hotel Accommodations for Business Travel
- Meal Reimbursement During Travel
- Professional Growth Opportunities
Join Advantmed and make a meaningful impact by bringing quality healthcare directly to patients across Southern Michigan while supporting value-based care initiatives and improving health outcomes.
About Advantmed
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Santa Ana, CA, US
Year founded
2005