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Nurse Risk Adjustment Jobs in Wisconsin (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Madison, WI · On-site +1

$600 - $720/day

Telehealth Nurse Practitioner * Location/Type: Wisconsin Remote (No travel) * Pay: $600-$720/day ... Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits

CorroHealth Inc

WI · On-site

$70 - $90/hr

Overview CDI Specialists will collaborate extensively with physicians, nursing staff, other patient ... Risk adjustment (e.g., HCCs); Quality measures and medical necessity. * Provide compliant ...

Palm Medical Centers

WI · On-site

$200 - $300/hr

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

Unity Hospice

PRIMARY REGISTERED NURSE

Green Bay, WI · On-site

... work and make adjustments taking into account the needs of patients, Unity and other staff ... In the course of duties there may be a risk of "occupational exposure". An occupational exposure ...

Corvel

RN Field Case Manager I

Waukesha, WI · On-site

$62K - $93K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

RN Field Case Manager I

Waukesha, WI · On-site

$62K - $93K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

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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 Wisconsin?

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

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

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

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

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

Nurse Risk Adjustment jobs near you
Infographic showing various Nurse Risk Adjustment job openings in Wisconsin as of August 2026, with employment types broken down into 75% Full Time, 13% Part Time, 6% Contract, and 6% Nights. Highlights an 87% In-person, and 13% Remote job distribution.

Telehealth Nurse Practitioner

Madison, WI • On-site, Remote

Urrly
See more jobs at Urrlyexternal

$600 - $720/day

Part-time

Re-posted 3 days ago

Job description

Work from home and earn $600-$720 per day delivering telehealth visits on your schedule. Active Wisconsin Nurse Practitioner license required. Multi-state licenses preferred.Role Snapshot
  • Role: Telehealth Nurse Practitioner
  • Location/Type: Wisconsin Remote (No travel)
  • Pay: $600-$720/day (1099 contractor, based on efficiency)
  • Schedule: Minimum 24 hours/week Flexible scheduling

Preferred Availability: We are looking for providers who can consistently work weekday/daytime hours, with Thursday and Friday availability strongly preferred.

Our client is a fast-growing healthcare organization supporting Medicare and Medicaid populations through virtual care.

What You'll Do
  • Conduct Comprehensive Health Assessments via telehealth
  • Document risk adjustment (HCC coding) during patient visits
  • Close HEDIS care gaps during visits
  • Review medical history, medications, and preventive needs
  • Document visits using ICD-10 and CPT II codes
  • Deliver clear care plans and follow-up guidance
  • Maintain accurate visit documentation for quality programs
Must-Haves
  • Active Wisconsin Nurse Practitioner license
  • Multi-state NP licenses preferred
  • 1+ year Family Medicine or Internal Medicine experience
  • Experience with Medicare and Medicaid populations
  • Familiar with HEDIS and risk adjustment workflows
  • Medicare and Medicaid provider enrollment required
  • Comfortable delivering care through telehealth platforms
  • Ability to consistently work weekday/daytime hours, with Thursday and Friday availability preferred
Nice to Have
  • Value-based care model experience
  • Annual Wellness Visit experience
  • HCC risk adjustment documentation experience
Perks & Pay
  • Pay: $600-$720 daily earning potential
  • 1099 contractor flexibility
  • Fully remote work - no commute
  • Consistent visit flow and structured workflows
  • Clear documentation processes
Schedule & Setup
  • Minimum 24 hours weekly
  • Flexible scheduling based on availability
  • Weekday/daytime availability preferred, especially Thursdays and Fridays
  • Fully remote telehealth delivery
  • No on-call and no travel
Impact & Growth

Your work expands preventive care access for Medicare and Medicaid members.

You help close care gaps and improve quality scores across populations.

You like pace and ownership. You start, finish, follow through.

At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experience-not on personal attributes such as gender, race, age, or background. Our goal is to create a more objective, consistent, and equal opportunity hiring process for all applicants.

Apply today to work from home, set your own schedule, and earn strong daily pay delivering telehealth visits across Wisconsin.

Employment Type: PART_TIME

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