All roles

Open role

Remote NP – Clinical Review & Oversight | Personal NPI Credentialing Required

Remote · France Full-time

Overview

We are seeking experienced Nurse Practitioners to join our clinical network as 1099 independent contractors. NPs in this role serve as rendering providers supporting our patient record review and gaps-in-care programs. This is a fully remote, documentation-based role with no direct patient interaction. Work is completed asynchronously within our clinical platforms, with scheduling flexibility to accommodate varying caseload volumes. Credentialing Requirements Candidates must be individually credentialed with major payers under their personal NPI. Credentialing through a current or former employer does not satisfy this requirement. Required payers:

  • UnitedHealthcare (UHC)
  • Blue Cross Blue Shield (BCBS) — varies by state
  • Aetna
  • Cigna
  • Medicare

Role Responsibilities 1. Patient Record Oversight (RECAP) The NP serves as a rendering provider for our patient history summary program. While the clinical operations team manages record retrieval, summary preparation, and initial quality review, the NP preforms clinical review of completed summaries to ensure accuracy and completeness.

  • Serve as rendering provider enabling billing for clinical services
  • Provide clinical review of patient RECAP summaries prior to delivery
  • Providing clinical oversight to ensure adherence to program standards and quality expectations

2. Gaps-in-Care Review & Sign-Off (RESOLVE)

  • Review gaps-in-care plans prepared by the clinical team for accuracy and appropriateness
  • Verify that identified care gaps are clinically supported by the patient's medical record
  • Confirm relevant areas including preventive screenings, chronic condition management, medications, behavioral health, social determinants of health, and recommended interventions
  • Make edits or flag discrepancies as needed before sign-off
  • Finalize and sign approved care plans within the clinical platform
  • No direct patient contact or face-to-face interaction involved

Required Qualifications

  • Active, unrestricted Nurse Practitioner license (multi-state preferred)
  • Board certification (FNP, AGNP, or equivalent)
  • Individual credentialing with major commercial payers and Medicare under personal NPI
  • Comfort with remote clinical oversight and asynchronous documentation workflows
  • Familiarity with chronic disease management, preventive care, and quality measure frameworks (e.g., HEDIS, USPSTF)
  • Proficiency with cloud-based clinical platforms and Microsoft Suite

DirectShifts is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected by law. Your Right to Work In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

More open positions

Remote NP (Nurse Practitioner) Telehealth Opportunity- GLP1, TRT, ED, Peptide, Functional Medicine

Work from home Full-time role

Telehealth Preventative Primary Care Advanced Practice Provider – NP/PA

Work from home Full-time role

PRN Nurse Practitioner - Per Visit Telehealth

Work from home Full-time role

Nurse Practitioner, HRT/TRT & Weight Management (Telehealth)

Work from home Full-time role

PT Nurse Practitioner (NP) – IV Therapy & Wellness Provider

Work from home Full-time role

Sr. ClickHouse Database Developer

Work from home Full-time role

Remote Customer Service Representative – Part-Time Evening & Weekend Support | USA Home-Based Opportunity

Work from home Full-time role

[Remote] Senior Staff Software Engineer - Integration

Work from home Full-time role

Remote HR Consultant

Work from home Full-time role

Online News Journalist

Work from home Full-time role

Senior IT Project Manager (Part-Time, 1099) Remote DMV

Work from home Full-time role

Remote Chat Moderator – Online Community Engagement Specialist (Work From Home) – $25-$35/hour

Work from home Full-time role

Medical Coding Specialist - Orthopedic Surgery & Office Coder

Work from home Full-time role

Senior Full Stack Developer (PHP/Laravel + React)

Work from home Full-time role

Accounts Payable Specialist (Remote)

Work from home Full-time role

[Remote] Full-Stack GUI Software Developer Job Details | Celestica International LP

Work from home Full-time role

[Remote] Senior Project Manager

Work from home Full-time role

[Remote] Project Manager 5

Work from home Full-time role

Remote Pharmacy Customer Service Representative – Specialty Mail Order & Patient Support (Michigan, Work From Home)

Work from home Full-time role

Veterinary Receptionist job at Mission Pet Health in CO

Work from home Full-time role

Remote SOC Analyst

Work from home Full-time role