Review Nurse- Value Based Services

Join Evara Health—Driven by Purpose, Powered by People.

Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams.

Build a career that goes beyond a job—it changes lives.

About this Role

• Clinical
• Review and
• Care
• Gap
• Analysis: Conduct comprehensive reviews of assigned patient populations to assess medical complexity, chronic conditions, and social determinants of health. Identify gaps in care using clinical knowledge, internal protocols, and payer guidelines, and determine appropriate medical or non-medical interventions.
• Patient
• Outreach and
• Education: Manage an assigned caseload by performing ongoing outreach to patients, promoting preventive care, encouraging healthy behaviors, and providing education to empower patients in making informed healthcare decisions.
• Documentation and
• Reporting: Maintain accurate and timely documentation of all patient interactions, case notes, and outcome measures within required timeframes (within 24 hours). Track and report on quality metrics, ensuring all required measures are completed and submitted appropriately.
• Team
• Collaboration and
• Care
• Coordination: Work closely with providers, care teams, and program leadership to review cases, align on care plans, and support coordinated, patient-centered care. Participate in regular case reviews and performance discussions with leadership.
• Appointment
• Coordination and
• Program
• Support: Schedule and manage patient appointments related to care reviews and value-based initiatives. Perform plan-specific activities such as Health Risk Assessments, Annual Wellness outreach, and other required engagement efforts.
• Compliance and
• Confidentiality: Adhere to all organizational policies, regulatory requirements, and confidentiality standards, including HIPAA and value-based care program guidelines, ensuring the protection of patient and organizational information.
• Data-Driven