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Nurse Risk Adjustment Jobs in Texas (NOW HIRING)

Centene

Quality Practice Advisor

Corpus Christi, TX · On-site +1

$27.02 - $48.55/hr

  • Medical

  • Retirement

  • PTO

Bachelor's Degree or equivalent required 3+ years in HEDIS record collection and risk adjustment (coding) required Licenses/Certifications: One of the following required: CCS, LPN, LCSW, LMHC, LMSW ...

Centene Corporation

Quality Practice Advisor

Corpus Christi, TX · On-site

$27.02 - $48.55/hr

  • Medical

  • Retirement

  • PTO

Bachelor's Degree or equivalent required 3+ years in HEDIS record collection and risk adjustment (coding) required Licenses/Certifications: One of the following required: CCS, LPN, LCSW, LMHC, LMSW ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

... nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

... nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical ...

Palm Medical Centers

Primary Care Physician

Azle, TX · On-site

$230 - $270/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collaborate closely with care teams including nurse practitioners, medical assistants, case ... Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures

Millennium Physician Group

Primary Care Physician

Bastrop, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Supported by 24/7 nurse triage line, dedicated case managers, social workers, hospitalists, and ... risk adjustment Compensation * Competitive compensation with shared-savings bonuses and equity ...

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

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

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

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

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

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

Nurse Risk Adjustment jobs near you
Infographic showing various Nurse Risk Adjustment job openings in Texas as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 82% In-person, and 18% Remote job distribution.

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Canton, TX

Contractor

Re-posted 6 days ago

Job description

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Canton, TX.

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 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 to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home.  

Nurse Practitioner 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 Qualifications and Experience Requirements:  

  • Master’s Degree OR commensurate experience and satisfactory completion of NP license 
  • Active State NP 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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