healthcare provider

State of Ohio

<div><div>What You'll Do:

Starting pay is approximately $74,000 based on location.

DRC is a &ldquo;qualifying employer&rdquo; for purposes of the federal Public Service Student Loan Forgiveness program.
<ul>
<li>Completes detailed screens, mental health evaluations and crisis services inclusive of suicide watch assessments within their scope of practice</li>
<li>Provides clinical direction to lower level workers</li>
<li>May serve as treatment team coordinator;</li>
<li>Conducts advanced practice individual and group clinical interventions as prescribed on the individual mental health treatment plan, using clinical intervention strategies within their scope of practice and directed by supervisor</li>
<li>Provides clinical case management services to an assigned caseload, including the monitoring of the offender compliance with the mental health treatment plan</li>
<li>Completes psychosocial needs and treatment assessments as part of interdisciplinary treatment planning</li>
<li>Completes transfer and discharge summaries</li>
<li>Consults with other institution staff regarding the mental health caseload inmate&rsquo;s institutional adjustment and service needs</li>
<li>Initiates and maintains contact with families and community agencies</li>
<li>Provides and seeks information relative to patient care and treatment</li>
<li>Makes appropriate community and re-reentry referrals, per mental health treatment team</li>
<li>Writes reports or documentation to include documentation of all inmate contacts, clinical case management progress note entries, discharge plans and miscellaneous forms and reports as needed per policy and protocol</li>
<li>Attends meetings with supervision</li>
<li>Attends in-service training sessions and workshops for professional development</li>
<li>Participates in peer review as assigned</li>
</ul>Why Work for the State of Ohio
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
<ul>
<li>Medical Coverage</li>
<li>Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period</li>
<li>Paid time off, including vacation, personal, sick leave and 11 paid holidays per year</li>
<li>Childbirth, Adoption, and Foster Care leave</li>
<li>Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)</li>
<li>Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) &amp; Optional Deferred Compensation (Ohio Deferred Compensation)</li>
</ul>
<ul><li>Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.</li></ul>
Qualifications<div>
Licensed Independent Social Worker (LISW) by Ohio Counselor, Social Work, Marriage &amp; Family Therapy Board. 
 
<ul><li>Or Licensed Professional Clinical Counselor (LPCC) by Ohio Counselor, Social Work, Marriage &amp; Family Therapy Board.</li></ul> 

Job Skills: Behavioral Health, Basic Documentation, Programming, Professional, Confidentiality, Teamwork, Customer Focus Decision Making, Emotional Intelligence</div>
Supplemental Information
Application Procedures: 
In order to be considered for this position, you must apply on-line through this posting website. (We no longer accept paper applications.)<ul><li>
When completing your on-line Ohio Civil Service Application, be sure to clearly describe how you meet the minimum qualifications outlined on this job posting.</li><li>
We cannot give you credit for your qualifications, experience, education and training in the job selection process if you do not provide it in your on-line application.</li><li>
You can check the status of your application by signing into your profile on this website.</li><li>
We will communicate with you through the email you provided in your profile and job application. Be sure to check your email often.</li></ul>
If you require a reasonable accommodation for the application process, please contact the Human Resources Office so proper arrangements can be made. Otherwise, you will be given specific instructions on requesting an accommodation if you are invited to an assessment and/or interview.
The Ohio Department of Rehabilitation and Correction is a tobacco-free workplace.
Pre-Employment Drug Testing: 
All final applicants tentatively selected for this position will be required to submit to urinalysis to test for illegal drug use prior to appointments. Testing will also be performed for the presence of marijuana. An applicant with a positive test shall not be offered employment unless the applicant submits medical documentation of legally prescribed medications or a recommendation for medical marijuana.
Pre-Employment Background Investigation: 
The final applicant selected for the position will be required to undergo a criminal background check. An individual assessment of an applicant&rsquo;s prior criminal convictions will be made before excluding an applicant from consideration. 
The Ohio Department of Rehabilitation and Correction is prohibited from hiring: 
<ul><li>
Individuals under a federal or state weapons disability if the position requires firearms certification/recertification and use;</li><li>
Individuals who have engaged in sexual abuse in a prison or other confinement facility; have been civilly or administratively adjudicated, or convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, implied threats of force, or if the victim did not or was unable to consent; 
</li><li>
Individuals convicted of soliciting or providing support for an act of terrorism, terrorism, or money laundering to support terrorism; 
</li><li>
Individuals who have been convicted of or pled guilty to a felony where a direct correlation exists between the position and prior criminal behavior.</li></ul>
ADA Statement
Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Drug-Free Workplace
The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.</div></div>

Behavioral Healthcare Provider 2 (LISW/LPCC)- 20088398

Centene

<div>You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. This Data Analyst II focuses on enterprise provider analytics to measure and report the actual impact of contract and network changes against projected outcomes. The team delivers standardized, structured reporting to track implementation accuracy and validate savings. With clearly defined initiatives and QAIs, the goal is consistent measurement to support network strategy and business decision-making.<ul><li>
Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data</li><li>
Support execution of large-scale projects with limited direction from leadership</li><li>
Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers</li><li>
Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines</li><li>
Support the design, testing, and implementation of process enhancements and identify opportunities for automation</li><li>
Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products</li><li>
Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners</li><li>
Independently engage with customers and business partners to gather requirements and validate results</li><li>
Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required</li><li>
Performs other duties as assigned</li><li>
Complies with all policies and standards</li></ul>
Education/Experience: Bachelor&rsquo;s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.
By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.
Pay Range: $56,200.00 - $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

1636425 Data Analyst II Healthcare Analytics, Provider Analytics

Southern Health Partners

<div>Part Time Medical Provider (NP, PA, or MD) 
2 Hours Weekly | Flexible Schedule | Elbert County Jail | Georgia
A small commitment of time can create a meaningful impact.
Southern Health Partners is currently seeking a licensed Medical Provider (Nurse Practitioner, Physician Assistant, or Physician) to provide clinical services and oversight at the Elbert County Jail in Georgia. This role offers the opportunity to remain active in patient care while collaborating with an experienced on-site nursing team in a structured correctional healthcare environment.
With only a couple of hours required each week, this position is ideal for a provider who wants to stay connected to clinical practice, supplement their current work, or share their expertise in a flexible setting that truly benefits the local community.<h3 class="jobSectionHeader">
Position Details</h3>
Location: Elbert County Jail &ndash; Georgia 
Schedule: Approximately 2 Hours Per Week 
Flexible Scheduling Available 
Role: Medical Provider (NP, PA, or MD)<h3 class="jobSectionHeader">
Key Responsibilities</h3>
Conduct routine on-site visits to assess, diagnose, and treat patients
Provide medical oversight and clinical guidance to the nursing staff
Review and approve medical records, treatment plans, and provider orders
Prescribe medications and coordinate outside care or specialty referrals when needed
Promote quality healthcare delivery in accordance with established clinical guidelines
Maintain patient confidentiality and professional medical standards<h3 class="jobSectionHeader">
Qualifications</h3>
Active MD, PA, or NP license in the state of Georgia
Nurse Practitioners must maintain a collaborating physician relationship if required by state regulations
Experience in primary care, urgent care, emergency medicine, or correctional healthcare preferred
Ability to successfully pass a background check and obtain facility security clearance<h3 class="jobSectionHeader">
What SHP Offers</h3>
✔ Flexible part-time schedule 
✔ Very limited weekly time commitment 
✔ Monthly compensation 
✔ No insurance billing or administrative paperwork 
✔ Medical malpractice coverage provided 
✔ Established clinical protocols and support 
✔ Opportunity to collaborate with an experienced healthcare team<h3 class="jobSectionHeader">
About Southern Health Partners</h3>
For more than 30 years, Southern Health Partners has partnered with correctional facilities nationwide to provide quality healthcare to underserved populations. Our providers appreciate the ability to practice medicine with autonomy while working within an organized and supportive clinical framework.
If you are seeking a flexible opportunity to continue practicing medicine while making a positive impact in your community, we encourage you to apply.
Learn more about life at SHP 
Instagram: @LifeAtSHP 
Facebook: @SouthernHealthPartners 
X: @SHPJailMedical
Southern Health Partners is an Equal Opportunity Employer. 
All applicants must successfully pass facility security clearance.</div>

Part Time Nurse Practitioner Physician Assistant or Physician

Your Health

<div>
 Back to Job Openings
 
 
 Nurse Practitioner - Smoaks
 
 
 Lodge SC, Ruffin SC, Smoaks SC, Islandton SC, Miley SC, Varnville SC
 
 
 Apply
 
 
 Share
 
 
 
 We are seeking qualified Nurse Practitioner to service patients in the Varnville/Smoaks area.
 
 As a Provider, you play a critical role in delivering exceptional patient care in patients' homes. You are an integral part of the care team, collaborating with multiple healthcare professionals to ensure comprehensive and effective patient management. Your responsibilities include evaluating high-risk patients, coordinating care plans, and providing care management to improve patient outcomes.
 
 
 
 Our Provider role performs visits in their designated service area.
 
 This is a full-time salary-based position, with the opportunity to receive a monthly bonus.
 
 
 
 This role would cover the following zip codes: 29082, 29475, 29481, 29929, 29933, 29944
 
 
 
 
 The Following Shift(s) Are Available
 
 
 
 <ul>
 <li>
 8-hour shift (Monday-Friday; 8:00am-5:00pm)
 
 
 </li>
 </ul>
 
 About
 
 
 
 We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
 
 
 
 Why Choose a Career at Your Health?
 
 
 
 Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
 
 
 <ul>
 <li>
 Competitive Compensation Package with Bonus Opportunities
 </li>
 <li>
 Employer Matched 401K
 </li>
 <li>
 Free Visit &amp; Prescriptive Services with HDHP Insurance Plan
 </li>
 <li>
 Employer Matched HSA
 </li>
 <li>
 Generous PTO Package
 </li>
 <li>
 Career Development &amp; Growth Opportunities
 </li>
 <li>
 Company Vehicle
 
 
 </li>
 </ul>
 
 What Are We Looking For?
 
 
 
 Your Health is currently looking for a Nurse Practitioner to join our growing primary care family. A successful Provider will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
 
 
 The following is a list of essential functions, which may be subject to change at any time and without
 
 
 notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).
 
 
 
 Areas Of Responsibility
 
 
 
 <ul>
 <li>
 Evaluate high-risk patients with complex medical needs and develop individualized care plans.
 </li>
 <li>
 Coordinate care activities with other members of the interdisciplinary team to ensure continuity of care and optimal patient outcomes.
 </li>
 <li>
 Communicate regularly with case managers, clinical coordinators, social workers, specialists, pharmacists, health coaches, and other team members to coordinate patient care.
 </li>
 <li>
 Participate in interdisciplinary team meetings to discuss patient progress, treatment plans, and care coordination efforts.
 </li>
 <li>
 Foster effective communication and collaboration to facilitate seamless patient management and interdisciplinary teamwork.
 </li>
 <li>
 Meet staff efficiency expectations while providing high-quality care to patients in various settings, including homes, facilities, telehealth, clinics, and specialties.
 </li>
 <li>
 Document care management activities accurately and efficiently to support patient care plans and regulatory compliance.
 </li>
 <li>
 Provide patients with education and resources related to their conditions, treatment plans, self-management strategies, and preventive care measures.
 </li>
 <li>
 Offer support and guidance to patients and their families to enhance their understanding of healthcare options and promote active participation in their care.
 </li>
 <li>
 Adhere to all relevant healthcare regulations, policies, and procedures, including HIPAA and Medicare guidelines.
 </li>
 <li>
 Monitor quality measures and gaps in care, identifying opportunities for improvement and implementing corrective actions as needed
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Nurse Practitioner (NP), Physician Assistant (PA), or Physician with a valid license to practice in the state of employment required. License must be in good standing.
 </li>
 <li>
 Demonstrated experience in providing patient care, preferably in a home health, clinic, facility, telehealth, or specialty care setting.
 </li>
 <li>
 Strong communication, collaboration, and interpersonal skills, with the ability to work effectively within an interdisciplinary team.
 </li>
 <li>
 Ability to evaluate high-risk patients, develop care plans, and coordinate care activities to meet patient needs and improve outcomes.
 </li>
 <li>
 Commitment to delivering compassionate, patient-centered care and promoting a culture of excellence in healthcare delivery.
 </li>
 <li>
 Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively.
 </li>
 <li>
 Ability to read and communicate effectively.
 </li>
 <li>
 Strong written and verbal skills.
 </li>
 <li>
 Basic computer knowledge.
 </li>
 <li>
 Ability to manage and demonstrate effective leadership skills.
 </li>
 <li>
 Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
 </li>
 <li>
 Ability to foster a cooperative work environment.
 </li>
 <li>
 Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
 </li>
 <li>
 Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.
 
 
 </li>
 </ul>
 Apply
</div>

Nurse Practitioner - Smoaks

Duly Health and Care

<div>Overview:
<div>
At Duly Health and Care, you are empowered to deliver care that reflects the full scope of your training &ndash; with autonomy, purpose, and the full support of a robust, collaborative network. With access to more than 1,200 partner providers across 50+ specialties, six ambulatory surgery centers, comprehensive ambulatory services including imaging, laboratory services, physical and occupational therapy, and more, you have access to all the resources you need to provide exceptional patient care and perfect the practice of medicine every day.</div><div></div><div> 
Duly Health and Care Oak Brook is seeking a APP who is committed to empowering health and elevating care for our patients while also pursuing innovative solutions with their care team that move healthcare forward.</div>
Responsibilities:
<div>
As an APP at Duly, you will get the opportunity to:</div><ul><li>
Practice at the top of your license and form trusting relationships working under the direct supervision of your collaborating physician, Dr. Zaid Jabbar, MD, MS | Duly Health and Care.</li><li>
Gain increased autonomy and independence in decision making with support from Dr. Jabbar.</li><li>
Impact care delivery and patient satisfaction by having a voice in clinical decisions.</li><li>
Develop a relationship and partnership with Dr. Jabbar clinical staff members, and management.</li><li>
Join a collaborative team and participate in a structured training program including orientation, shadowing, and onboarding</li><li>
Complete patient examinations and treatment, order diagnostic and therapeutic modalities, prescribe medication, provide patient and family education, and complete documentation.</li><li>
Strong internal referral network and collaborative provider partners across Weight Loss and more than 1,600 Duly providers</li><li>
Live and work in the vibrant suburbs of Chicago with excellent schools and convenient access to some of the nation's leading healthcare facilities</li></ul><div>
Duly Health and Care provides a valuable benefits program that&rsquo;s made to meet the various needs of our team members and their families.</div><ul><li>
Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.</li><li>
Employer provided life and disability insurance.
</li><li>Flexible Spending Account/Health Savings Account</li><li>
401K</li><li>
Vacation, Sick Time, Volunteer Days, and Paid Holidays</li><li>
Employee Discounts and Tuition Assistance</li><li>
$2,500 in CME funds.</li></ul>
Qualifications:
<ul><li>Graduation from an approved school for Physician Assistant Or Nurse Practitioner-Masters Degree.</li><li>
Licensed or ability to obtain licensure in the state of Illinois</li><li>
Previous experience in Weight Loss or similar setting.<ul><li>
New Graduate APP candidates encouraged to apply.</li></ul></li></ul><div> 
If you are dedicated to pursuing the absolute best &ndash; for our patients and the future of healthcare &ndash; you belong at Duly.</div><div></div><div> 
***The anticipated base compensation range for this position is $100,000-140,000, depending upon the applicant&rsquo;s qualifications and experience. In addition to the base compensation, this position may also be eligible for a sign-on bonus.</div></div>

Nurse Practitioner - Weight Management

Your Health Organization

<div>We are seeking qualified Nurse Practitioner to service patients in the Anderson area. As a Provider, you play a critical role in delivering exceptional patient care in patients' homes. You are an integral part of the care team, collaborating with multiple healthcare professionals to ensure comprehensive and effective patient management. Your responsibilities include evaluating high-risk patients, coordinating care plans, and providing care management to improve patient outcomes.
Our Provider role performs visits in their designated service area. This is a full-time salary-based position, with the opportunity to receive a monthly bonus.
The following service area(s) are available:
<ul><li>Seneca</li>
<li>Westminister</li>
<li>Anderson</li>
</ul>
The following shift(s) are available:
<ul><li>12-hour shift (working 7 days on 7 days off)</li>
<li>8-hour shift (Monday-Friday; 8:00am-5:00pm)</li>
</ul>
About
We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
Why Choose a Career at Your Health?
Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
<ul><li>Competitive Compensation Package with Bonus Opportunities</li>
<li>Employer Matched 401K</li>
<li>Free Visit &amp; Prescriptive Services with HDHP Insurance Plan</li>
<li>Employer Matched HSA</li>
<li>Generous PTO Package</li>
<li>Career Development &amp; Growth Opportunities</li>
<li>Company Vehicle</li>
</ul>
What Are We Looking For?
Your Health is currently looking for a Nurse Practitioner to join our growing primary care family. A successful Provider will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. 
 
The following is a list of essential functions, which may be subject to change at any time and without 
notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).
Areas of Responsibility:
<ul><li>Evaluate high-risk patients with complex medical needs and develop individualized care plans.</li>
<li>Coordinate care activities with other members of the interdisciplinary team to ensure continuity of care and optimal patient outcomes.</li>
<li>Communicate regularly with case managers, clinical coordinators, social workers, specialists, pharmacists, health coaches, and other team members to coordinate patient care.</li>
<li>Participate in interdisciplinary team meetings to discuss patient progress, treatment plans, and care coordination efforts.</li>
<li>Foster effective communication and collaboration to facilitate seamless patient management and interdisciplinary teamwork.</li>
<li>Meet staff efficiency expectations while providing high-quality care to patients in various settings, including homes, facilities, telehealth, clinics, and specialties.</li>
<li>Document care management activities accurately and efficiently to support patient care plans and regulatory compliance.</li>
<li>Provide patients with education and resources related to their conditions, treatment plans, self-management strategies, and preventive care measures.</li>
<li>Offer support and guidance to patients and their families to enhance their understanding of healthcare options and promote active participation in their care.</li>
<li>Adhere to all relevant healthcare regulations, policies, and procedures, including HIPAA and Medicare guidelines.</li>
<li>Monitor quality measures and gaps in care, identifying opportunities for improvement and implementing corrective actions as needed</li>
</ul>
Qualifications:
<ul><li>Nurse Practitioner (NP), Physician Assistant (PA), or Physician with a valid license to practice in the state of employment required. License must be in good standing.</li>
<li>Demonstrated experience in providing patient care, preferably in a home health, clinic, facility, telehealth, or specialty care setting.</li>
<li>Strong communication, collaboration, and interpersonal skills, with the ability to work effectively within an interdisciplinary team.</li>
<li>Ability to evaluate high-risk patients, develop care plans, and coordinate care activities to meet patient needs and improve outcomes.</li>
<li>Commitment to delivering compassionate, patient-centered care and promoting a culture of excellence in healthcare delivery.</li>
<li>Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively.</li>
<li>Ability to read and communicate effectively.</li>
<li>Strong written and verbal skills.</li>
<li>Basic computer knowledge.</li>
<li>Ability to manage and demonstrate effective leadership skills.</li>
<li>Should demonstrate good interpersonal and communication skills under all conditions and circumstances.</li>
<li>Ability to foster a cooperative work environment.</li>
<li>Team player with ability to manage multiple responsibilities and demonstrate sound judgment.</li>
<li>Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.</li></ul></div>

Nurse Practitioner

Physicians Revenue Group

<ul><li>erform end-to-end credentialing and re-credentialing for healthcare providers with US insurance payers</li><li>Handle payer enrollments (Medicare, Medicaid, and commercial plans) to ensure billing readiness</li><li>Maintain and regularly update CAQH profiles, ensuring accuracy for claim processing</li><li>Verify provider eligibility before onboarding to avoid claim rejections/denials</li><li>Coordinate closely with medical billing teams to resolve credentialing-related claim issues</li><li>Monitor and follow up on pending applications to prevent revenue delays</li><li>Ensure all provider data (NPI, taxonomy, licenses, malpractice insurance) is accurate and up to date</li><li>Work on ERA/EFT enrollments to streamline payment processes</li><li>Support denial management by identifying credentialing gaps impacting reimbursements</li><li>Maintain compliance with payer-specific guidelines and regulatory requirements</li><li>Prepare credentialing status reports, turnaround time tracking, and aging reports</li></ul>Job Type: Full-timeWork Location: In person

Credentialing Specialist

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