Qureos Mentor

MedCap Health

<div><h1 class="jobSectionHeader"><b>Position Summary</b></h1><p>
The Value-Based Care (VBC) Quality &amp; Coding Nurse is responsible for closing quality gaps across the organization's patient population participating in MSSP, LEAD, and other risk-based arrangements. This role combines clinical judgment, provider engagement, and data analysis to identify open quality measures and coding opportunities, and to drive timely closure through direct provider outreach and workflow coordination. The ideal candidate is comfortable working in large claims and clinical datasets, translating data into action, and holding providers accountable to close-the-gap timelines that directly affect quality scores, benchmark performance, and shared savings/loss outcomes.</p><h1 class="jobSectionHeader"><b>
Key Responsibilities</b></h1><h2 class="jobSectionHeader"><b>
Quality Gap Closure</b></h2><ul><li>
Identify open quality gaps (e.g., HEDIS-aligned ACO quality measures, MIPS measures, Annual Wellness Visit completion, screening and preventive care measures) across beneficiaries using ACO/EHR/claims data.</li><li>
Prioritize outreach based on gap type, time remaining in the performance year, and impact on overall quality score.</li><li>
Direct and coordinate with providers and care teams to close gaps - scheduling outreach, flagging patients due for services, and following up until gaps are documented as closed.</li><li>
Track gap closure progress against internal targets and CMS reporting deadlines; escalate stalled cases to practice leadership.</li></ul><h2 class="jobSectionHeader"><b>
Provider Direction &amp; Engagement</b></h2><ul><li>
Serve as the point of contact between the ACO/VBC program and participating providers/practices on quality performance.</li><li>
Provide point-of-care coaching on documentation requirements needed to satisfy quality measure specifications.</li><li>
Support providers in building repeatable workflows (pre-visit planning, standing orders, registries) so gap closure becomes part of routine care rather than one-off outreach.</li></ul><h2 class="jobSectionHeader"><b>
Data Management &amp; Analysis</b></h2><ul><li>
Manage and interpret large datasets from CCLF/claims feeds, EHR extracts, and quality reporting platforms to identify trends, outliers, and at-risk populations.</li><li>
Maintain gap lists, dashboards, and tracking tools; validate data accuracy against source systems.</li><li>
Partner with analytics/IT to troubleshoot data discrepancies (e.g., attribution mismatches, missing encounters, lag in claims).</li></ul><h2 class="jobSectionHeader"><b>
Risk Adjustment &amp; Coding Opportunity Identification</b></h2><ul><li>
Review clinical documentation and claims history to identify suspected but unreported HCC/risk-adjustment coding opportunities and recapture needs.</li><li>
Flag chronic conditions requiring annual recapture and communicate findings to providers ahead of or during visits.</li><li>
Support coding accuracy education for providers (specificity, documentation linkage, recapture cadence) in partnership with coding/compliance staff.</li><li>
Monitor RAF trends and coding capture rates at the practice and provider level.</li></ul><h2 class="jobSectionHeader"><b>
Compliance &amp; Reporting</b></h2><ul><li>
Ensure all outreach and documentation activities comply with CMS MSSP/ACO REACH/LEAD program requirements and applicable privacy regulations (HIPAA).</li><li>
Support preparation of quality data for CMS submission windows and internal audit readiness.</li><li>
Maintain accurate records of all gap-closure and coding-opportunity activity for audit and performancereporting purposes.</li></ul><h1 class="jobSectionHeader"><b>
Required Qualifications</b></h1><ul><li>
Active nursing license.</li><li>
2+ years of experience in long term care, value-based care, quality improvement, or care management.</li><li>
Demonstrated ability to work with large datasets (claims, EHR extracts, registries) in Excel or reporting/BI tools.</li><li>
Strong provider-facing communication skills; comfortable directing and holding providers accountable to timelines.</li><li>
Excellent organizational skills and ability to manage multiple concurrent gap-closure workstreams.</li></ul><h1 class="jobSectionHeader"><b>
Preferred Qualifications</b></h1><ul><li>
Experience with CCLF data, ACO quality reporting tools, or risk-adjustment/coding software.</li><li>
Certified Risk Adjustment Coder (CRC) or similar coding credential.</li><li>
Familiarity with EHR systems commonly used across a multi-practice network.</li><li>
Prior experience in an ACO, health system population health department, or MSO.</li></ul><h1 class="jobSectionHeader"><b>
Key Performance Indicators</b></h1><ul><li>
Quality gap closure rate (overall and by measure) relative to targets and CMS deadlines.</li><li>
Improvement in HCC recapture/coding capture rate year over year.</li><li>
Provider engagement/response rate.</li></ul></div>

Value-Based Care Quality & Coding Nurse

<div><p><b>MedCap Health</b> is seeking a <b>full-time, </b><b>part-time, flexible schedule Long Term and Post-Acute Care APP</b> to help reshape the future of post-acute care. Are you a compassionate and skilled APP/NP/PA looking for a role that offers flexibility, autonomy, and a true sense of purpose?</p><p>
When you join our team, you will earn a competitive pay along with these benefits:</p><ul><li>
Competitive salary</li><li>
No overnight or weekends</li><li>
Malpractice coverage</li><li>
Administrative support</li></ul><p><b><br>
YOUR ROLE AS A LONG TERM APP:</b></p><p>
As a key member of a multidisciplinary team, you play a central role in patient care. You'll spend your days managing patients with acute and chronic diseases, collaborating directly with the attending physician to provide the highest quality of care. Your expertise is crucial in effectively managing patients with debilitating chronic diseases, improving their quality of life. You are a natural collaborator, communicating and working seamlessly with the Director of Nursing, Social Workers, and other team members to ensure a cohesive and comprehensive approach to care. This dynamic role keeps you engaged and connected as you make a tangible difference in the lives of those you serve.</p><p><b><br>
OUR IDEAL PRACTITIONER</b></p><ul><li>
A board-certified geriatric, family, or adult Nurse Practitioner (ANCC, ACHPN, or AANP)</li><li>
1+ years of experience in post-acute/SNF/LTC</li><li>
Prior post-acute, long-term, and/or skilled nursing facility experience</li></ul><p><b><br>
WHO WE ARE:</b></p><p>
As a physician-led and focused organization, MedCap Health is helping reshape the clinical landscape of post-acute care. We provide a comprehensive approach to medical care, offering a wide range of services from pulmonology and nephrology to psychiatry, internal medicine, and more. Partnering with over 200 skilled nursing facilities across 11 states, we're bridging gaps and ensuring people receive the top-quality healthcare they deserve. We empower our physicians by providing <b>autonomy</b>, <b>schedule flexibility</b> for work/life balance, and <b>opportunities for growth</b>, making this an excellent destination in your career journey. Join a mission-driven team that will provide the support you need to achieve your personal and professional goals!</p><p><b><br>
APPLY TODAY!</b></p><p>
Our initial application can be completed in just about 3 minutes on your mobile device. Don't wait-secure your spot as a Long Term and Post Acute APP!</p></div>

Long Term and Post-Acute Care APP

<div><p>Are you a compassionate and highly skilled Nurse Practitioner with a passion for transforming patient care? Join the <b>MedCap Health</b> family as a <b>full-time APP - Post-Acute Care and Long Term Care</b> in Detroit, MI at our Medilodge of Farmington facility and discover a career that prioritizes your well-being. Apply today!</p><p>
We offer a competitive salary ranging from <b>$150,000 to $200,000 a year on a contract basis</b>, along with a range of benefits including no overnight or weekend shifts, malpractice coverage, and administrative support.</p><p><b><br>
WHAT'S YOUR DAY LIKE</b></p><p>
As an essential member of our team, your days are dynamic and impactful. You'll work closely with the attending physician to provide high-quality care, managing patients with both acute and chronic diseases. Your role is vital in ensuring the effective management of those facing debilitating chronic conditions. Throughout the day, you're in constant communication and collaboration with key members of the multidisciplinary team, including the Director of Nursing, Social Workers, and Administrators, fostering a supportive environment that ensures every patient receives the best care possible.</p><p><b><br>
OUR MISSION:</b></p><p>
At MedCap Health, our physician-led organization is dedicated to transforming the clinical landscape of post-acute care. We take a holistic approach to medical services, offering a diverse array of specialties including pulmonology, nephrology, psychiatry, internal medicine, and more. With partnerships spanning over 200 skilled nursing facilities across 11 states, we are committed to closing gaps in healthcare access and ensuring everyone receives the high-quality care they deserve.</p><p>
We empower our physicians by offering <b>autonomy</b>, <b>flexible scheduling</b> for a better work-life balance, and <b>opportunities for professional growth</b>, making MedCap Health a prime destination for your career development. Join our mission-driven team and gain the support necessary to achieve both your personal and professional aspirations!</p><p><b><br>
WHAT WE NEED FROM YOU:</b></p><p>
We're looking for someone who can work day shifts, Monday to Friday, with no nights while meeting the following qualifications:</p><ul><li>
A board-certified geriatric, family, or adult Nurse Practitioner (ANCC, ACHPN, or AANP)</li><li>
3-5 years of experience as an RN or post-acute role specializing in pulmonary</li><li>
1+ years of post-acute, long-term, and/or skilled nursing facility experience in pulmonary</li></ul><p>
Our initial application process is incredibly easy. Complete our initial 3-minute, mobile-friendly application today and take the first step toward becoming our next APP - Post-Acute Care and Long Term Care!</p></div>

APP - Post-Acute Care and Long Term Care - Pulmonary

Join MedCap Health and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

MedCap Health

About Company

Value-Based Care Quality & Coding Nurse

Long Term and Post-Acute Care APP

APP - Post-Acute Care and Long Term Care - Pulmonary