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Nurse Risk Adjustment Jobs in Minnesota (NOW HIRING)

Pride Health

Medical Coder

Minneapolis, MN · Remote

Perform CMS-HCC/Risk Adjustment coding and medical record review when applicable. * Apply ICD-10-CM ... This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky ...

New

Allina Health

$65.83/hr

Refers situations to Patient Representative, Risk Management, Employee Health, Nursing Leaders as ... Works with unit charge nurse and physicians to place patient admissions and transfers. * Informs ...

Corvel

Vocational Case Manager I

Minneapolis, MN · On-site

$63K - $95K/yr

Knowledge of Managed Care or Workers' Compensation preferred * RN license or bilingual (Spanish) a ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Vocational Case Manager I

Minneapolis, MN

$63K - $95K/yr

Knowledge of Managed Care or Workers' Compensation preferred * RN license or bilingual (Spanish) a ... The level may impact the salary range and these adjustments would be clarified during the offer ...

All JobsNurse Risk Adjustment JobsNurse Risk Adjustment Jobs in Minnesota

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 are popular job titles related to Nurse Risk Adjustment jobs in Minnesota?

For Nurse Risk Adjustment jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Nurse Risk Adjustment jobs in Minnesota look for?

The top searched job categories for Nurse Risk Adjustment jobs in Minnesota are:

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

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

Nurse Risk Adjustment jobs near you
Infographic showing various Nurse Risk Adjustment job openings in Minnesota as of August 2026, with employment types broken down into 75% Full Time, 8% Part Time, and 17% Contract. Highlights an 75% In-person, and 25% Remote job distribution.

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Sauk Centre, MN • On-site

Other

Posted 21 days ago

Job description

Description
Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Sauk Centre, MN.
This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic.
Benefits include:
  • Competitive compensation and travel reimbursement
  • Flexible schedule
  • Comprehensive home assessment training
  • Dedicated patient scheduling assistance
  • Liability insurance options
Position Summary
Qualified Nurse Practitioners and Physician Assistants interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs and PAs to connect with patients on a more personal and effective level. Nurse Practitioners and Physician Assistants performing HRAs are not required to treat or prescribe in the home.
Nurse Practitioner/Physician Assistant Responsibilities
  • Travel to and from patients' homes.
  • Perform comprehensive, non-invasive physical assessments.
  • Review medical history and ensure accurate and timely documentation.
  • Conduct medical reconciliation to ensure patient safety and compliance.
  • Provide basic patient education on wellness and preventative healthcare measures.
Nurse Practitioner/Physician Assistant Qualifications and Experience Requirements:
  • Master's Degree OR commensurate experience and satisfactory completion of NP/PA license
  • Active State NP/PA license
  • Active National board certification
  • Current BLS certification
  • 12 months of experience as a paid advanced clinical provider is preferred but not required

To learn more about this position, please use this link to schedule a call with a member of our recruitment team.
About Hueman
At Hueman, we're dedicated to guiding you toward fulfilling career opportunities.
We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position!
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