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

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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.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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