utilization review nurse

Atrium Health

<div>Department:
34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination 
Status:
Full time 
Benefits Eligible:
Yes 
Hours Per Week:
40 
Schedule Details/Additional Information:
M-F 8 hours
Pay Range
$37.50 - $56.25
Bring your clinical expertise and your passion for patient advocacy to a role where you&rsquo;ll shape outcomes across the entire continuum of care. As a Case Manager at Atrium Health Wake Forest Baptist, you will be the go‑to resource for the interdisciplinary team&mdash;guiding evidence‑based decisions, coordinating services, and ensuring each patient&rsquo;s journey is timely, seamless, and centered on quality. In this position, you&rsquo;ll analyze systems, drive improvement, and collaborate daily to align care plans, utilization, and reimbursement with organizational goals&mdash;so patients receive the right care, at the right time, in the right setting.<h2 class="jobSectionHeader"> 
Essential Functions</h2><ul><li>
Advance optimal outcomes by planning, coordinating, and evaluating case management interventions for defined patient populations using the nursing process and current research.</li><li>
Facilitate appropriate length of stay and reimbursement for all admissions in alignment with organizational goals and regulatory expectations.</li><li>
Serve as the key information and education resource for physicians, nurses, assistive staff, therapies, pharmacy, dietetics, psychosocial disciplines, infection control, fiscal services, performance improvement, and other contributors to patient care.</li><li>
Promote quality of care through collaboration with patients, families, and all team members, emphasizing continuity, effective communication, and coordination of services.</li><li>
Analyze systems and variances to identify opportunities for improvement; develop organization‑wide approaches to problem solving and throughput.</li><li>
Manage patient flow and discharge planning, removing barriers to timely transitions to appropriate levels of care.</li><li>
Apply a scientific, evidence‑based approach to evaluate patient care/outcomes, quality of life, and cost reduction opportunities supported by current literature.</li><li>
Lead daily (Monday&ndash;Friday) case management collaboration to meet expected outcomes; maintain availability when off campus via pager, digital phone, and email.</li><li>
Champion objectivity and advocacy, ensuring equitable access, clear documentation, and adherence to standards, policies, and departmental procedures.</li><li>
Support the mission, vision, and values of Advocate Medical Center, contributing to enterprise goals and performance improvement initiatives.</li></ul><h2 class="jobSectionHeader">
Education</h2><ul><li>
Graduate of an accredited School of Registered Professional Nursing (RN).</li><li>
BSN preferred; MSN encouraged.</li></ul><h2 class="jobSectionHeader">
Experience</h2><ul><li>
Minimum of five years of clinical experience caring for the assigned patient population.</li><li>
Prior case management or utilization review experience encouraged.</li></ul><h2 class="jobSectionHeader">
Licensure &amp; Certification</h2><ul><li>
Current Registered Nurse (RN) license in the state applicable to the job location.</li><li>
Case Management certification (e.g., CCM, ACM‑RN) encouraged.</li></ul>
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:
Compensation<ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul>
Benefits and more<ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul> 
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Case Manager SE</div>

Case Manager SE

SSM Health Rehabilitation Hospital

<div>Overview:

SSM Health Rehabilitation Hospital
A Joint Venture Between Select Medical and SSM Health
Position: Case Manager
Location: Richmond Heights, MO
Schedule: Full-Time Monday through Friday 8 hour days
Compensation: Based on years of experience 
Our Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas. 
At our company, we support your career growth and personal well-being.
<ul><li>Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting</li><li>
Recharge &amp; Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance</li><li>
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP), and dental plan offerings for full-time team members</li><li>
Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members</li><li>
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care</li></ul>
Responsibilities:
<div>
The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the discharge planning process.</div><ul><li>
The primary job functions in Case Management include:</li><li>
Clinical Interventions/Discharge Planning</li><li>
Care Planning Management</li><li>
Fiscal Management</li><li>
Payer/Referral Management</li></ul>
Qualifications:

Minimum Qualifications<ul><li>
Current Licensure per state guidelines in clinical or related discipline (RN Preferred) OR a Bachelor's or Master's in a health or human services discipline.</li></ul>
Preferred Qualifications<ul><li>
Previous experience in Case Management and Discharge Planning preferred.</li><li>
CCM Certification Preferred.</li></ul>
Additional Data:

Equal Opportunity Employer/including Disabled/Veterans</div>

Case Manager

Providence Swedish

<div>Description
The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric care management services for at risk patients in an acute care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and patient advocacy. The goal of the Inpatient Care Management RN is to ensure the use of appropriate healthcare resources throughout the continuum, so that the care provided is the right care, at the right time, in the right setting.
Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Providence St. Peter Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
<ul><li>Associate's Degree Nursing degree/diploma upon hire</li>
<li>Upon hire: Washington Registered Nurse License</li>
<li>2 years Acute care experience in a Medical Surgical or Inpatient setting</li>
<li>IRR or annual competency testing in Utilization Review</li>
</ul>Preferred Qualifications:
<ul><li>Bachelor's Degree Nursing or higher within 3 years of hire</li>
<li>National Certification in area of specialty.</li>
<li>1 year experience in care management or utilization review in any setting or successful completion of TIPS program or Case Management Orientation Program</li>
</ul>Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
Requsition ID: 408131
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Part time
Job Shift: Multiple shifts available
Career Track: Nursing
Department: 3030 CASE MGMT WA SPH
Address: WA Olympia 413 Lilly Rd NE
Work Location: Providence St Peter Hospital-Olympia
Workplace Type: On-site
Pay Range: $46.30 - $91.32
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</div>

RN - Care Manager

Centene Corporation

<div>
 You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 
 
 <ul>
 <li>
 POSITION IS REMOTE WITH POTENTIAL FOR WEEKENDS, HOLIDAYS AND ON-CALL***
 </li>
 <li>
 COMPACT LICENSE REQUIRED***
 
 
 </li>
 </ul>
 
 Position Purpose
 
 Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.
 
 
 <ul>
 <li>
 Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care
 </li>
 <li>
 Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member
 </li>
 <li>
 Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered
 </li>
 <li>
 Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines
 </li>
 <li>
 Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings
 </li>
 <li>
 Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members
 </li>
 <li>
 Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines
 </li>
 <li>
 Reviews member&rsquo;s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
 </li>
 <li>
 Collaborates with care management on referral of members as appropriate
 </li>
 <li>
 Performs other duties as assigned
 </li>
 <li>
 Complies with all policies and standards
 
 
 </li>
 </ul>
 
 Education/Experience
 
 Requires Graduate from an Accredited School of Nursing or Bachelor&rsquo;s degree in Nursing and 2 &ndash; 4 years of related experience. 2+ years of acute care experience required.
 
 
 Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.
 
 
 Knowledge of Medicare and Medicaid regulations preferred.
 
 
 Knowledge of utilization management processes preferred.
 
 
 
 License/Certification
 
 
 
 <ul>
 <li>
 LPN - Licensed Practical Nurse - State Licensure required
 
 
 </li>
 </ul>
 Pay Range $27.02 - $48.55 per hour
 
 
 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>

Clinical Review Nurse – Concurrent Review

King Faisal Specialist Hospital and Research Center

<div>
 
 The
 
 Talent Acquisition Team at Building No. 20
 
 , a
 
 secondary care hospital that is proudly part of the King Faisal Specialist Hospital &amp; Research Centre (KFSHRC)
 
 , is delighted to announce a range of
 
 exciting new opportunities
 
 at our
 
 Riyadh facility
 
 .
 
 
 As a valued part of the KFSHRC,
 
 Building No. 20
 
 plays an essential role in delivering
 
 high-quality, patient-centered care
 
 and supporting the hospital&rsquo;s mission of
 
 excellence, innovation, and compassion in healthcare
 
 .
 
 
 
 
 
 Position
 
 
 
 Nursing Supervisor
 
 
 
 
 
 Location
 
 
 
 Building 20 - Riyadh, Saudi Arabia
 
 
 
 
 
 Employer
 
 
 
 KFSHRC (or one of its subsidiaries)
 
 
 
 
 
 Essential Responsibilities and Duties
 
 
 
 1. Represents Nursing Administration during evenings, nights, and weekends.
 
 
 2. Ensures appropriate utilization of nursing resources.
 
 
 3. Confers with charge person regarding patient acuity and/or staffing changes required. Determines staffing
 
 
 changes and approves overtime to provide for unplanned situations. Maintains an awareness of resource
 
 
 utilization, exercising care in the ordering and use of staff, equipment, and materials.
 
 
 4. Refers unit-specific occurrences or incidents to Head Nurse and/or Nursing Administration for follow up.
 
 
 5. Provides input to Head Nurse and/or Nursing Administration for staff performance evaluations. Advises,
 
 
 counsels and disciplines staff as required or requested.
 
 
 6. Responds to Code Green, Fire, and Disaster Drills.
 
 
 7. Prepares reports and maintains records.
 
 
 8. Observes and evaluates nursing care effectiveness on shift and communicates identified issues to Head
 
 
 Nurse and/or Nursing Administration.
 
 
 9. Participates in the promotion and maintenance of effective communication and teamwork.
 
 
 10. Actively welcomes new staff/students to the assigned area and participates in retention activities.
 
 
 Contributes to the retention of all staff to meet the assigned area specific turnover rate goal.
 
 
 11. Demonstrates collaborative multi-disciplinary partnerships working towards the achievements of constant
 
 
 improvement in quality patient care and the smooth running of out of hour&rsquo;s operations.
 
 
 12. Identifies ideas that will improve the quality of patient care and issues that will negatively impact on patient
 
 
 care outcomes, using the professional practice framework. Participates through team working and
 
 
 collaborative partnerships in identifying and implementing solutions through evidence based practice or
 
 
 research to demonstrate improvements reflected in unit, divisional, organizational data, and bench marks.
 
 
 13. Develops and sustains own knowledge, skills, and professional awareness and maintains a professional
 
 
 profile. Provides documented evidence of performance and maintenance of skills consistent with position.
 
 
 14. Contributes to the achievement of clinical quality outcome indicators and patient satisfaction. Participates
 
 
 in Performance Improvement activities as assigned. Contributes to special projects/assignments linked to
 
 
 nursing strategic priorities and professional practice model.
 
 
 15. Follow all Hospital related policies and procedures.
 
 
 16. Participates in self and other&rsquo;s education, training and development, as applicable.
 
 
 17. Performs other related duties as assigned.
 
 
 
 
 
 
 Job Requirements
 
 
 
 
 Education:
 
 Master&rsquo;s, or Bachelor&rsquo;s Degree in Nursing is required.
 
 
 
 Experience Required:
 
 Four (4) years of nursing experience with Master&rsquo;s, or six (6) years of with Bachelor&rsquo;s
 
 
 Degree is required.
 
 
 
 Other Requirements (Certifications):
 
 Current Registered Nurse Licensure from country of origin and Saudi Commission for Health Specialties Licensure is required.
 
</div>

Nursing Supervisor - Building 20

Martha & Mary

<div><h2 class="jobSectionHeader">Case Manager / Admissions Nurse (RN or LPN)</h2>
Location: Martha &amp; Mary 
Status: Exempt | Full-Time 
Pay Range: $85,000 - $95,000 annually depending on applicable experience<h3 class="jobSectionHeader">
About Martha &amp; Mary</h3>
At Martha &amp; Mary, we are called to bridge generations and enrich lives. Our team is committed to providing compassionate, coordinated, and high-quality care to those we serve. If you are a skilled nurse with a passion for care coordination, advocacy, and collaboration, we invite you to join our mission-driven organization.
Position Summary
The Case Manager / Admissions Nurse oversees, manages, and coordinates the care experience for residents and patients from admission through discharge. Serving as the primary point of contact for care coordination, this role ensures seamless communication across interdisciplinary teams, external providers, residents, and families.
The Case Manager plays a critical role in utilization management, discharge planning, quality outcomes, and patient advocacy while also providing leadership and oversight to licensed nursing staff and NACs. This position functions as an exempt role and requires flexibility to meet the needs of residents and patients.<h3 class="jobSectionHeader">
Key Responsibilities</h3><h4 class="jobSectionHeader">
Care Coordination &amp; Clinical Oversight</h4><ul><li>
Coordinate and integrate case management and social service functions into individualized plans of care and discharge planning.</li><li>
Conduct medical record reviews, utilization reviews, and quality assessments from admission through discharge.</li><li>
Oversee direct provision of care and ensure evidence-based practices are delivered.</li><li>
Conduct Care Conferences, Warm Handovers, interdisciplinary rounds, and family conferences.</li><li>
Assist with admission assessments, orders, and paperwork per DNS direction.</li><li>
Coordinate admissions, discharges, transfers, and bed management with nursing leadership and admissions teams.</li><li>
Communicate with primary care providers, hospital partners, and external specialists throughout the resident stay.</li><li>
Initiate and present NOMNOC (denial) letters as appropriate.</li></ul><h4 class="jobSectionHeader">
Collaboration &amp; Communication</h4><ul><li>
Work closely with internal partners including Nursing Leadership, Social Work, Rehab Services, MDS, HIM, A/R, Therapists, and Operations.</li><li>
Collaborate with external stakeholders such as family members, hospitals, discharge planners, HMOs, physicians, home health agencies, and other providers.</li><li>
Serve as a resident and patient advocate, ensuring informed decision-making and family education.</li></ul><h4 class="jobSectionHeader">
Utilization, Compliance &amp; Quality</h4><ul><li>
Monitor RUG utilization, PDPM outcomes, and appropriate service use.</li><li>
Conduct reviews related to falls, wounds, medication errors, readmissions, pharmacy discrepancies, and other quality indicators.</li><li>
Ensure appropriate testing, timely results, and adherence to regulatory and payer requirements.</li><li>
Participate in weekly Case Management meetings and continuous quality improvement initiatives.</li></ul><h4 class="jobSectionHeader">
Leadership &amp; Supervision</h4><ul><li>
Provide day-to-day leadership, guidance, and supervision to Licensed Nurses and NACs.</li><li>
Participate in hiring, performance management, coaching, and employee development in alignment with organizational values.</li><li>
Troubleshoot care concerns, complaints, and conflicts, escalating to DNS or Operations leadership as needed.</li></ul><h4 class="jobSectionHeader">
Additional Duties</h4><ul><li>
Perform medication destruction and disposal oversight.</li><li>
Assist nursing staff with care activities as needed.</li><li>
Perform all regular RN or LPN duties per licensure and job description.</li></ul><h3 class="jobSectionHeader">
General Expectations</h3><ul><li>
Support and uphold Martha &amp; Mary&rsquo;s mission, vision, and values.</li><li>
Maintain confidentiality and professionalism at all times.</li><li>
Demonstrate reliability, flexibility, and strong teamwork.</li><li>
Manage multiple priorities in a fast-paced, changing environment.</li><li>
Approach challenges with initiative, diplomacy, and a sense of humor.</li><li>
Exhibit a genuine interest in caring for the elderly and long-term care residents.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3>
Education<ul><li>
Associate Degree required</li><li>
Bachelor&rsquo;s Degree preferred</li></ul>
Licensure<ul><li>
Current RN or LPN license in the State of Washington (required)</li></ul>
Experience<ul><li>
Sub-acute care or Skilled Nursing experience preferred</li></ul>
Knowledge, Skills &amp; Abilities<ul><li>
Strong knowledge of Medicare, HMO contracts, MDS, PDPM utilization, and evidence-based practices</li><li>
Exceptional communication and customer service skills</li><li>
Highly organized with strong documentation abilities</li><li>
Ability to collaborate effectively with interdisciplinary teams</li><li>
Proficiency with MS Office Suite and healthcare systems including Answers on Demand, ADP, DocSTAR, FaxCORE, and mobile technology</li><li>
Ability to safely use medical devices and equipment</li></ul><h3 class="jobSectionHeader">
Why Join Martha &amp; Mary?</h3><ul><li>
Mission-driven, values-based culture</li><li>
Collaborative interdisciplinary team environment</li><li>
Opportunity to make a meaningful impact on resident and family experiences</li><li>
Competitive compensation and comprehensive benefits</li></ul>
Benefits:
Martha &amp; Mary offers fair wages, competitive benefits and supportive work environments, where we become friends and family. We invite you to apply and become a part of one of Kitsap County's largest not-for profit employers. The following benefits/compensation are offered at Martha &amp; Mary.<ul><li>
Paid Time Off (PTO) is accrued at varying rates depending on length of employment. Accrual rates begin at 5.32 hours per month based on a 40-hour workweek. These accruals include the required sick leave per Washington State&rsquo;s Paid Sick Leave Law</li><li>
40% discount on child care services while working</li><li>
Comprehensive benefit package after 60 days to include medical, dental, vision and life insurance options for full time employees.
</li><li>Career advancement opportunities across multiple sites and departments</li><li>
403(b) Retirement Savings Plan is available immediately upon hire</li><li>
5 Paid Holidays</li><li>
Employee Assistance and Counseling for life&rsquo;s challenges outside of the workplace</li><li>
Cell phone, Health Club and Auto service discounts</li><li>
And much more</li></ul>
Martha &amp; Mary employee benefits and wages offered are reviewed annually and are intended to be fair, beneficial and competitive in today&rsquo;s market whether just entering our workforce or nearing retirement. Benefit offerings are based on employment status. Salary ranges, benefits and other compensation are subject to change.
Martha &amp; Mary is an Equal Opportunity Employer. 
We celebrate diversity and are committed to creating an inclusive environment for all employees.</div>

Case Manager / Admissions Nurse (Licensed Nurse) - MArtha & Mary

Arcadia LTC

<div>MDS / Care Plan Coordinator

Registered Nurse RN or Licensed Practical Nurse LPN

Job Summary:

The MDS / Care Plan Coordinator is responsible for assuring the timely completion of accurate resident assessments and interdisciplinary care plans that meet Federal and State guidelines. This includes identifying resident acuity and needs, helping to determine specific care needs, and communicating needs and expectations to families and responsible parties.

Essential Duties:
<ul><li> Responsible for integrating nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement.</li></ul>
<ul><li> Responsible for completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for care and services provided within the Facility.</li></ul>
<ul><li> Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category.</li></ul>
<ul><li> Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission.</li></ul>

Benefits Offered:
<ul>
<li>Extremely low-cost Health, Dental, Vision, 401K, and more
</li>
<li>$25,000 Company Paid Life Insurance &ndash; at no cost to you
</li>
<li>Leadership Training to enhance your management skills
</li>
<li>Daily Pay - get your money when you want
</li>
<li>Paid Vacations - rolls over each year
</li>
<li>Paid Sick Time
</li>
<li>Paid Holidays
</li>
<li>Tuition Reimbursement
</li>
<li>Daily, Weekly, Monthly Employee Appreciation Events
</li>
<li>Birthday, Anniversary Celebrations
</li>
<li>Free Employee Assistance Programs - professional support &amp; guidance on family, money, health, legal services and more
</li>
<li>Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you
</li>
<li>Virtual Visits with Doctors 24/7, without setting up additional accounts or appointments
</li>
<li>Paid Break Time for Nursing Mothers
</li>
<li>Time Off to Vote</li></ul> 

Preferred Qualifications:
<ul><li> Registered Nurse with current unencumbered state licensure.</li></ul>
<ul><li> Long Term Care Experience preferred.</li></ul>
<ul><li> Ability to read, write, speak, and understand the English language.</li></ul>

 #ACL NRS</div>

MDS Care Plan Nurse (RN/LPN)

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