Nurse Practitioner/APRN

63857 Kennett, Missouri EasyHealth

Posted 3 days ago

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Job Description

The Mission:

Join us on our mission to redefine health care and improve millions of lives through the power of technology and compassion. At EasyHealth, we believe in advancing healthcare with a member-first approach. We're shaping the future of healthcare, one Annual Wellness Visit at a time.

About Us:

EasyHealth is a leader in proactive and comprehensive healthcare, dedicated to providing thorough health assessments and preventive care solutions. Our services are designed to ensure patients achieve and maintain optimal health. To deliver better health outcomes and member experiences, EasyHealth partners with health plans and risk-bearing entities to enable value-based care.
About the Role:

We are looking for a Nurse Practitioner to join our Clinical team. The Nurse Practitioner will conduct Health Risk Assessments for Medicare, Medicaid, and Commercial Marketplace members/patients of primary care physicians, medical groups, and the health plans we serve. The Nurse Practitioner will perform comprehensive assessments that are compliant with the annual wellness visit in the patient's home.

Location:

The position is based in Kennett, Missouri, and surrounding counties, and will require the applicant to have reliable transportation to travel to the patient's home.

What We Offer
  • Independent Contractor
  • Flexible schedule & part-time positions available
  • 1-hour session per visit
  • Compensation: $120 per completed visit
What You'll Do:
  • Complete a detailed evaluation of the medical and social assessment of the beneficiary members.
  • Identify and refer members/patients for routine, urgent, and emergent case management.
  • Make recommendations for member's follow-up with their primary care physician.
  • Not required to prescribe or alter the member's current treatment plans.
  • Complete comprehensive assessment face to face in-home setting.
Who You Are:
  • 2 years of hands-on experience as a Nurse Practitioner
  • Must be registered with Medicare and/or Medicaid
  • Current, unrestricted license in the state of assignment
  • Must have license/certification: APRN, Certified Nurse Practitioner
  • Knowledge of the HCC model, HEDIS, and STAR quality measures
  • Effectively communicate with elderly and chronically ill members
  • Proficient in the use of computer, tablet, and mobile technology
  • Ability to document within available EMR.
  • Experience in any of the following medical specialties:
    • Geriatrics
    • Internal Medicine
    • Primary Care
Why EasyHealth?

  • Join an organization that values boldness, ambition, collaboration, and a customer-centric approach.
  • Work in a dynamic, entrepreneurial environment with a strong team spirit.
  • We are committed to your growth and potential.
  • Enjoy competitive compensation.

At EasyHealth, diversity enriches our performance and products. We are committed to providing an environment of mutual respect and equal employment opportunities. We encourage applications from all backgrounds.
Ready to transform healthcare with us? Apply today!
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RHC Nurse Practitioner - PRN position

63857 Kennett, Missouri FCC Behavioral Health

Posted 3 days ago

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Job Description

Job Purpose

Under clinical supervision of a physician, the Nurse Practitioner provides primary and preventive healthcare services to patients in a rural health clinic, diagnosing and treating acute and chronic conditions, promoting wellness, and improving access to quality care.

Qualifications

Master's Degree in Nursing with appropriate license to practice.

Core Job Duties
  • Gather and maintain patient information and records, including social and medical history obtained from patients, relatives, and other professionals.
  • Prescribe and administer psychotherapeutic treatments/medications to treat behavioral health disorders and/or substance use disorders at assigned program/sites.
  • Advise and inform guardians, relatives, and significant others of the patient's conditions and treatment.
  • Examine or conduct laboratory or diagnostic tests on patients, as necessary
  • Attend Quarterly Prescriber Meetings and any other assigned meetings.
  • Adherence to all applicable evidence-based practice models.
  • Demonstrate a working knowledge of diagnostic criteria sets for substance use and/or behavioral health disorders.
  • Orally communicate information effectively and accurately.
  • Assure program operates within the constraints of the agency's certification (CARF, DMH) standards and strategic plan related to clinical care.
  • Abide by program and agency policies and procedures.
  • Other job duties and special projects as assigned.
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Nurse Practitioner - NP/PA Primary Care

37343 Ridgely, Tennessee CVS Health

Posted 5 days ago

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Job Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

This is a full-time, float provider position supporting the Hixson, TN and surrounding region clinics. This provider will work 30-40 hours/week and working every-other weekend.

Position Summary:

As the largest retail health care provider in the nation, and an industry leading Fortune top 10 Company, MinuteClinic offers the unique opportunity to deliver affordable, accessible comprehensive high-quality care that meets the needs of our patients, their families, and our communities. You'll be empowered to provide holistic patient care to your community with support, guidance, collaboration and a "one store, one team mindset." Minute Clinic has also been awarded the American Nurses Credentialing Center (ANCC) Pathway to Excellence premier designation for healthy work environments which recognizes health care organizations that demonstrate a commitment to establishing the foundation of a healthy workplace for staff. This includes a focus on Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development.

Our Providers Enjoy :

  • Autonomy to run your own practice with refreshing collaborator and organizational support

  • Flexibility with scheduling

  • Work life balance

  • Exceptional tools, training, and resources

  • Evidence-based guidelines and access to assessment and treatment planning tools to elevate and support the continuity of care for patients

  • Practicing at the top of your clinical license with the support of our clinical care team

  • Unparalleled Career growth opportunities and development

  • Patient charting and follow up completed in the clinic during the shift, no taking work home

You will:

  • Provide Primary and Family evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients.

  • Provide administrative duties to include but not limited to opening/closing the clinic, inventory, patient follow up, verifying insurance and collecting payment, maintaining a clean environment.

  • Be responsible for handling patient appointments and performing routing examinations to ensure positive patient health outcomes

  • Perform duties including speaking with patients about healthy lifestyle choices, completing diagnostic tests to help diagnose and treat patients for injuries or illnesses?and coordinating with other healthcare professionals to maintain a comprehensive plan of care

  • Encourage patients to become active participants in their own healthcare and well-being through services such as health screenings, behavioral health and wellness, chronic condition management

Required Qualifications:

  • A minimum of one year experience as a Nurse Practitioner is required. Experience in Family medicine or primary care practice preferred.

  • Active Family Nurse practitioner license in good standing

  • Provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients. This includes education and treatment for pregnancy prevention, sexually transmitted infection (STI) Prevention and safer sex practices.

  • Order and administer immunizations and injections (to include but not limited to COVID19, influenza, TB, Depo) and provides evidence-based patient/parent vaccine counseling and education.

  • Minimum of two years of medically relevant experience or equivalent

  • Complete the DOT certification exam within 30 days of employment

  • Depending on the market, the ability to be proficient in both speaking and writing in additional languages not limited to but including Spanish

  • Basic Life Support (BLS) certification, including but not limited to performing CPR and operating an Automated External Defibrillator (AED).

  • Pass a FIT test and wear the provided respirator mask when protocol requires.

Education:

  • Master's Degree level Family Nurse Practitioner program with current National Board Certification and State of Employment license to practice in the Advanced Practice Nurse role

Preferred Qualifications:

  • EPIC experience preferred

Pay Range

The typical pay range for this role is:

$37.66 - $81.11

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on: 09/19/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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Nurse Practitioner - NP/PA Primary Care

37343 Ridgely, Tennessee CVS Health

Posted 11 days ago

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Job Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**This is a full-time, float provider position supporting the Hixson, TN and surrounding region clinics. This provider will work 30-40 hours/week and working every-other weekend.**
**Position Summary:**
As the largest retail health care provider in the nation, and an industry leading Fortune top 10 Company, MinuteClinic offers the unique opportunity to deliver affordable, accessible comprehensive high-quality care that meets the needs of our patients, their families, and our communities. You'll be empowered to provide holistic patient care to your community with support, guidance, collaboration and a "one store, one team mindset." Minute Clinic has also been awarded the American Nurses Credentialing Center (ANCC) Pathway to Excellence premier designation for healthy work environments which recognizes health care organizations that demonstrate a commitment to establishing the foundation of a healthy workplace for staff. This includes a focus on Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development.
**Our** **Providers** **Enjoy** **:**
+ Autonomy to run your own practice with refreshing collaborator and organizational support
+ Flexibility with scheduling
+ Work life balance
+ Exceptional tools, training, and resources
+ Evidence-based guidelines and access to assessment and treatment planning tools to elevate and support the continuity of care for patients
+ Practicing at the top of your clinical license with the support of our clinical care team
+ Unparalleled Career growth opportunities and development
+ Patient charting and follow up completed in the clinic during the shift, no taking work home
**You will:**
+ Provide Primary and Family evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients.
+ Provide administrative duties to include but not limited to opening/closing the clinic, inventory, patient follow up, verifying insurance and collecting payment, maintaining a clean environment.
+ Be responsible for handling patient appointments and performing routing examinations to ensure positive patient health outcomes
+ Perform duties including speaking with patients about healthy lifestyle choices, completing diagnostic tests to help diagnose and treat patients for injuries or illnesses?and coordinating with other healthcare professionals to maintain a comprehensive plan of care
+ Encourage patients to become active participants in their own healthcare and well-being through services such as health screenings, behavioral health and wellness, chronic condition management
**Required Qualifications:**
+ A minimum of one year experience as a Nurse Practitioner is required. Experience in Family medicine or primary care practice preferred.
+ Active Family Nurse practitioner license in good standing
+ Provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients. This includes education and treatment for pregnancy prevention, sexually transmitted infection (STI) Prevention and safer sex practices.
+ Order and administer immunizations and injections (to include but not limited to COVID19, influenza, TB, Depo) and provides evidence-based patient/parent vaccine counseling and education.
+ Minimum of two years of medically relevant experience or equivalent
+ Complete the DOT certification exam within 30 days of employment
+ Depending on the market, the ability to be proficient in both speaking and writing in additional languages not limited to but including Spanish
+ Basic Life Support (BLS) certification, including but not limited to performing CPR and operating an Automated External Defibrillator (AED).
+ Pass a FIT test and wear the provided respirator mask when protocol requires.
**Education:**
+ Master's Degree level Family Nurse Practitioner program with current National Board Certification and State of Employment license to practice in the Advanced Practice Nurse role
**Preferred Qualifications:**
+ EPIC experience preferred
**Pay Range**
The typical pay range for this role is:
$37.66 - $81.11
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 09/19/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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Part Time Nurse Practitioner - HouseCalls - Mississippi and New Madrid Counties, MO

63869 New Madrid, Missouri UnitedHealth Group

Posted today

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Job Description

**$20,000 Student Loan Repayment or $0,000 Sign-on Bonus for individuals who have not previously participated in this program.**
**Optum is seeking a** **Nurse Practitioner** **to join our HouseCalls team in Mississippi and New Madrid Counties, MO** **.** **Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.**
**As a member of the broader Home and Community Care team, you'll provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.**
At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.**
In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends and no holidays required.
**Primary Responsibilities:**
+ Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam
+ Perform evidence-based practice screenings including point of care testing (as appropriate)
+ Identify diagnoses to be used in care management and active medical management in the furtherance of treatment
+ Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment
+ Communicate findings in your assessment that will be used to inform member's PCP of potential gaps in care
+ Identify urgent and emergent situations and intervene appropriately
+ Educate members on topics such as disease process, medication, and compliance
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Active NP license or ability to obtain by start date. Licensure must be unencumbered, free of any open/unresolved disciplinary actions including probation or restrictions against privilege to practice
+ NPs: APCs working in jurisdictions that authorize APCs to practice autonomously or without formal supervision must have obtained approval to practice autonomously or without formal supervision from their licensing board, if applicable. New hires who are eligible and have not applied prior to hire date, must apply to practice autonomously or without supervision within 1 month of hire. If not eligible to practice autonomously or without formal supervision at hire, the APC must begin working towards meeting the requirement within 1 month of hire, if applicable, and apply for approval to practice autonomously or without formal supervision within 3 months of becoming eligible; or PAs: Ability to work under a Collaborative Agreement in applicable states
+ Active ANCC or AANP national certification in Family, Geriatrics, Adult, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care certification, or the ability to obtain national certification and/or NP license in state of assignment by start date
+ Ability to complete physical requirements of the job including moving a 30-pound bag in and out of the car, navigating stairs and a variety of dwelling conditions, remain in a stationary position and position self to perform physical assessment
+ Driver's license and access to reliable transportation to complete home visit assessments
**Preferred Qualifications:**
+ 1+ years of clinical experience in their highest level of education, clinical setting
+ May be requested to obtain additional licensure in other geographic areas
+ Experience in gerontology, cardiology, internal medicine, or endocrinology
+ Home Health care or home visit experience
+ Ability to travel throughout the state, beyond your assigned region, up to 5% of the time. Based on business needs with advanced notice, eligible for additional compensation incentives
+ Fluency in Spanish, Cantonese, Korean, Vietnamese, Polish, or other language
_Compensation for this specialty generally ranges from 104,500 - 156,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives._
**_**PLEASE NOTE**_** _Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer._ _If an employee leaves Home and Community, the student loan repayments will cease._ **_The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments._**
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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Flexible Part Time Nurse Practitioner - Home Based Medical Care - Dunklin County, MO

63857 Kennett, Missouri UnitedHealth Group

Posted 10 days ago

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Job Description

**$3,500 Sign On Bonus For External Candidates**
**Providers can work flexible hours between 8AM-8PM, seven days a week**
**Home Base Medical Care, part of the Optum family of businesses, is seeking a Flexible Part Time Nurse Practitioner to join our Home-based Medical Care team in Dunklin County, MO. Optum is a clinician-led care organization that is changing the way clinicians work and live?**
**Home Based Medical Care involves travel to patient residences.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together?**
Works as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population within an assigned geography. Dedicated to improving the health and well- being of patients, this position collaborates with the PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients' goals of care in all phases of the patient journey.
**Primary Responsibilities:**
+ Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants
+ Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable
+ Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable
+ Completes follow-up and post-discharge assessments according to documented standard operating procedure
+ Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions
+ Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc. New hire and annual skills check/training provided
+ Consults with hospital, emergency or post-acute clinical team following notification of patient transfer
+ Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness
+ Provides counsel, support and education to staff as appropriate
+ Actively participates in ongoing meetings pertaining to patient care and clinical excellence
+ Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery
+ Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
+ Perform related duties as necessary and other duties as assigned
Home Base Medical Care, a part of Optum, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to patients. Our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve. At Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities. Together, we're making health care work better for everyone.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Completion of Nurse Practitioner accredited program
+ Current NP license
+ Current state RN license
+ Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
+ Driver's license and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy and Driver's license and access to reliable transportation
**Preferred Qualifications:**
+ 2+ years of clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care
+ Knowledge of CPT, ICD-10 and HCPC codes
+ Knowledge of clinical standards of care
+ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $3.22 to 77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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