Clinical Reviewer

4 days ago


Myrtle Point, Oregon, United States Tapestry Full time
Job Title: Clinical Reviewer - Nurse Practitioner

Join Tapestry as a Clinical Reviewer - Nurse Practitioner and play a vital role in ensuring the highest quality of care for our patients. As a key member of our team, you will be responsible for reviewing patient data, developing care plans, and recommending modifications to current treatments.

Responsibilities:
  • Review curated patient data reports for accuracy and completeness
  • Develop care plans for treating providers to implement
  • Review progress to care plans and identify patients at risk for a decline in health
  • Support Data Quality Reviewers, LPN Reviewers, and RN Reviewers in building their clinical knowledge and decision-making skills
  • Coach APP new hires to enhance their understanding of the role, tools, and technology
  • As needed, support initial clinical and demographic data review to prepare and finalize final care plan sign-off and billing
  • Identify discrepancies in data and/or algorithm output and escalate through defined channels for correction
  • Communicate with the Director of Clinical Review on issues regarding quality, system capacity, and resource requirements
Requirements:
  • Advanced Practice Nurse Practitioner education and certification
  • Licensed as a Nurse Practitioner in NJ
  • Active and non-restricted license
  • Knowledge and skill in chronic care management and remote patient monitoring management preferred
  • Proficient with Adobe, Microsoft Word, Excel, and video conferencing platforms and Dashboard type platforms
  • Strong verbal/written communication and presentation skills
  • Experience in working with team members to promote ideas, issues, and initiatives within a constructive group framework

We offer a 1099 hourly rate of $60/hour, depending on experience, state licenses, etc. We kindly request that candidates refrain from contacting the company or HR directly regarding the status of their application. Our team will reach out to qualified candidates directly should there be a fit for the position.


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