Nurse Practitioner - Managed Care & Home Visits (TX)

Prominence Health; McAllen (TX); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Competitive Compensation

Excellent Medical, Dental, Vision

Job summary

Prominence Health is seeking a Nurse Practitioner to perform comprehensive health assessments for Medicare and Commercial patients in Texas. You will document chronic conditions, coordinate preventive services, and work within a value-based care framework.

The ideal candidate has NP certification, TX RN license, and experience with CMS risk adjustment and HEDIS/Stars metrics. Travel within Texas and collaboration with care teams are essential.

Qualifications

• Current Registered Nurse License in the State of Texas.
• Masters Degree from an accredited Nurse Practitioner's Program.
• National Certification as a Nurse Practitioner or certification preferred.

Responsibilities

• Performs comprehensive health assessments for Medicare and Commercial Patients ensuring accurate clinical documentation and management of chronic conditions and preventive services.
• Experience with Managed Care/Medicare Advantage health assessments and CMS risk adjustment documentation (V28); familiarity with HEDIS and Stars quality measures.

Skills

Health insurance industry experience

EMR experience

HCC risk adjustment knowledge

Quality improvement

Texas travel

Bilingual English/Spanish

Education

Masters in NP program

National NP certification (preferred)

TX RN license

Tools

EMR system

Job description

Prominence Health is seeking a Nurse Practitioner to perform comprehensive health assessments for Medicare and Commercial patients in Texas. You will document chronic conditions, coordinate preventive services, and work within a value-based care framework.

The ideal candidate has NP certification, TX RN license, and experience with CMS risk adjustment and HEDIS/Stars metrics. Travel within Texas and collaboration with care teams are essential.