RN MDS Full-time

** $10,000 Sign On Bonus! **

(SIGN-ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MUST MEET MINIMUM HOURS WORKED REQUIREMENT)

SUMMARY: The MDS Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Assesses and determines the health status and level of care of all new admissions.
  • Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change.
  • Communicates level of care for new residents to all disciplines.
  • Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state, and medical standards.
  • Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay.
  • Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.
  • Verifies electronic submissions of MDS, performs corrections when necessary, and maintains appropriate records.
  • Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards.
  • Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conferences.
  • Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate.
  • Evaluates resident care plans for comprehensiveness and individuality.
  • Assesses the achievement or lack of achievement of desired outcomes. Ensures that the resident’s care plan is reassessed and revised appropriately.
  • Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
  • Generates appropriate forms to complete the level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.
  • Other duties as assigned.

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.

  • Registered Nurse with current unencumbered state licensure.
  • Long Term Care Experience preferred.
  • Ability to read, write, speak, and understand the English language.

PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Required to sit, stand, bend, and walk regularly; lift and/or move up to 25 pounds.
  • Visual and auditory ability sufficient for written and verbal communication.
  • The noise level in the work environment is usually moderate.

(SIGN-ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MUST MEET MINIMUM HOURS WORKED REQUIREMENT)

APERCHI1

 

 

 

 

 

 

 

 

 

 

 

 

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Senior Lifestyle

MDS Coordinator - Skilled Nursing

Company Description Do you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. This position is responsible for coordinating the development and completion of the resident assessment process in accordance with the requirements of the Federal and state regulations as well as Company policy and procedures. This position also strives to achieve the highest potential of Resident’s functional abilities and satisfaction by facilitating the Interdisciplinary Team through the completion of Care Plans, encouraging family involvement in Care Conferences, and participation in clinical meetings/communications. Job Description Coordinate the assessment schedule and opens resident assessments in accordance with current Federal and state rules, regulations and guidelines that govern the resident assessment instrument, including the implementation of CAAs and CATS. Select the Assessment Reference Date (ARD) that will most accurately reflect the resident’s condition based upon the capture of all resources utilized and care provided. Gather the necessary documentation to accurately encode the assessment item set and ensure that it is complete, accurate, signed and submitted to the state database in accordance with RAI or state regulations. Meet daily with the Rehab Program Manager to review Resident therapy schedules in order to minimize the need for non-scheduled assessments. Coordinate with the interdisciplinary team to ensure the care plan is comprehensive, completed timely, and remains current based on the Resident’s condition. Attend and participate in the Resident Care Conference. Disseminate any new or updated materials involving the RAI process to the interdisciplinary team to include assessment calendars, due dates, etc. Facilitate the involvement of appropriate health professionals as needed to improve or maintain the Resident’s functional abilities at the highest practicable level. Assist and/or direct Managed Care case management duties. Review the state validation reports and ensure that the appropriate follow-up action is taken, if needed. Serve on, participate in, and attend various other committees of the facility (e.g. At Risk, Triple Check, Medicare UR) as required, and as directed by the Administrator or Executive Director. Communicate with and provide education to all nurses and CNAs to expand their knowledge of the RAI process and how their duties can impact the process. Communicate with Business Office regarding unfinished assessments, defaults, and other billing concerns. Understand, comply with, and promote all rules and regulations regarding Residents’ Rights; promote positive relationships with Residents, visitors, and regulators, to include presenting a professional appearance. Maintain HIPAA compliance at all times. Qualifications Level of Formal Education: Bachelor’s Degree, RN license Area of Study: Registered Nurse with emphasis on geriatrics Years of Experience: 3-5+ years Type of Experience: MDS Special Certifications: RAC-CT Language Skills: Acceptable fluency in English in order to perform job duties and speak, read, write, and communicate with supervisors, coworkers, residents, and applicable third parties. Technical Competencies: ICD-10 competency Skills and Ability: Manage multiple assessment schedules and accurately complete assessments and care plans. Meet deadlines. Information Systems: PointClickCare, Microsoft Office, PointRight Personal Attributes: Ability to work in collaboration with Interdisciplinary Team to achieve the highest level of Resident function and satisfaction Other/Preferred: Experience in Managed Care case management, MAC and RAC medical review processes, HIPAA compliance. Additional Information Senior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. Senior Lifestyle requires that all employees provide proof of COVID-19 vaccination unless exempt due to medical, religious, or personal beliefs. Government requirements or exclusions may apply.
Senior Lifestyle

MDS Coordinator - Skilled Nursing

Company Description Do you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. This position is responsible for coordinating the development and completion of the resident assessment process in accordance with the requirements of the Federal and state regulations as well as Company policy and procedures. This position also strives to achieve the highest potential of Resident’s functional abilities and satisfaction by facilitating the Interdisciplinary Team through the completion of Care Plans, encouraging family involvement in Care Conferences, and participation in clinical meetings/communications. Job Description Coordinate the assessment schedule and opens resident assessments in accordance with current Federal and state rules, regulations and guidelines that govern the resident assessment instrument, including the implementation of CAAs and CATS. Select the Assessment Reference Date (ARD) that will most accurately reflect the resident’s condition based upon the capture of all resources utilized and care provided. Gather the necessary documentation to accurately encode the assessment item set and ensure that it is complete, accurate, signed and submitted to the state database in accordance with RAI or state regulations. Meet daily with the Rehab Program Manager to review Resident therapy schedules in order to minimize the need for non-scheduled assessments. Coordinate with the interdisciplinary team to ensure the care plan is comprehensive, completed timely, and remains current based on the Resident’s condition. Attend and participate in the Resident Care Conference. Disseminate any new or updated materials involving the RAI process to the interdisciplinary team to include assessment calendars, due dates, etc. Facilitate the involvement of appropriate health professionals as needed to improve or maintain the Resident’s functional abilities at the highest practicable level. Assist and/or direct Managed Care case management duties. Review the state validation reports and ensure that the appropriate follow-up action is taken, if needed. Serve on, participate in, and attend various other committees of the facility (e.g. At Risk, Triple Check, Medicare UR) as required, and as directed by the Administrator or Executive Director. Communicate with and provide education to all nurses and CNAs to expand their knowledge of the RAI process and how their duties can impact the process. Communicate with Business Office regarding unfinished assessments, defaults, and other billing concerns. Understand, comply with, and promote all rules and regulations regarding Residents’ Rights; promote positive relationships with Residents, visitors, and regulators, to include presenting a professional appearance. Maintain HIPAA compliance at all times. Qualifications Level of Formal Education: Bachelor’s Degree, RN license Area of Study: Registered Nurse with emphasis on geriatrics Years of Experience: 3-5+ years Type of Experience: MDS Special Certifications: RAC-CT Language Skills: Acceptable fluency in English in order to perform job duties and speak, read, write, and communicate with supervisors, coworkers, residents, and applicable third parties. Technical Competencies: ICD-10 competency Skills and Ability: Manage multiple assessment schedules and accurately complete assessments and care plans. Meet deadlines. Information Systems: PointClickCare, Microsoft Office, PointRight Personal Attributes: Ability to work in collaboration with Interdisciplinary Team to achieve the highest level of Resident function and satisfaction Other/Preferred: Experience in Managed Care case management, MAC and RAC medical review processes, HIPAA compliance. Additional Information Senior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. Senior Lifestyle requires that all employees provide proof of COVID-19 vaccination unless exempt due to medical, religious, or personal beliefs. Government requirements or exclusions may apply.
Elara Caring

Admission RN Home Health

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Admission RN Home Health At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as an Admission Nurse. Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer in delivering unparalleled care, we need an Admission Nurse with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? Work in a collaborative environment. Be rewarded with a unique opportunity to make a difference. Competitive compensation package Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost Opportunities for advancement Comprehensive insurance plans for medical, dental, and vision benefits 401(K) with employer match Paid time off, paid holidays, family, and pet bereavement Pet insurance As an Admission Nurse, you’ll contribute to our success in the following ways: Promotes Elara Caring’s philosophy, mission statement and administrative policies to ensure quality of care. Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule. Assesses assigned visits of hospice patients to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, in the clinical record and admission paperwork. Participates in the implementation of the plan of care of an assigned case load to ensure quality, continuity of care, and achievement of patient outcomes. Makes the initial evaluation and re-evaluates the patients' nursing needs during each visit. Communicates significant findings, problems, and changes in condition or environment to the Patient Care Manager, the physician, and/or other personnel involved with patient care within 24 hours. Reports unsafe conditions to the appropriate Clinical Supervisor and physician in a timely manner. Identifies deviations from normal Nursing and normal patient condition status. Revises the plan of care and Initiates appropriate actions based on the deviation. Performs other duties/projects as assigned. What is Required? Graduate of an accredited nursing program. Current, unrestricted state RN licensee 1+ year experience in a clinical care setting as a nurse Able and willing to travel within branch/office coverage area. Must have a dependable vehicle, valid driver’s license and current auto insurance in accordance with state laws. Must be able and willing to travel 50% Ability to frequently lift, push, pull, and support up to 50 pounds, including positioning or transferring patients and moving equipment Associates Degree or Bachelors Degree in Nursing is preferred Previous Home Health or Hospice Experience is preferred Previous experience with HomecareHomeBase is preferred You will report to the Clinical Team Manager or Branch Director. Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits. EVerify : Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.
Aperion Care Tolleston Park

Registered Nurse (RN)

Registered Nurse We offer: 401k with Employer Match On the Job Training Above Industry Starting Pay Free Uniforms Benefits after first calendar month of employment Paid Holidays Paid CPR Training and Certification A Career, not just a job – Room to grow and advance within the company Healthcare Superheroes… while we don’t require you to leap tall buildings in a single bound, here are the responsibilities & qualifications for this role. Summary: The Registered Nurse (RN) provides direct nursing care to residents and supervises nursing assistants to ensure high-quality care in compliance with federal, state, and local regulations. Key responsibilities include planning and overseeing daily nursing activities, administering medications, completing required documentation, and maintaining patient confidentiality. The RN also performs professional nursing services such as catheterization, wound care, and IV care, while fostering a warm and collaborative environment. Additionally, the role involves coordinating with physicians, ensuring safety protocols are followed, and maintaining effective communication with residents, families, and staff to meet residents' needs. Responsibilities, including but not limited to: "Ideal employee" is someone who knows the relevant industry content and can apply that knowledge to complete the tasks of their assigned job role. Be able to perform all functions under your active license as it pertains to your assigned duties. Know the residents you serve, providing care based on their care plans and physician orders. Prepare & administer medications as ordered by the physician. Develop & maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the unit and shift. Receive/give the nursing report upon reporting in and ending shift duty hours. Make rounds with physicians as necessary. Assist in all aspects of a resident’s daily life, including activities of daily living, meal service, and social engagement. Appropriately communicate with clinical leadership when a resident’s needs change. Know how to approach and care for residents with dementia. Be willing to take on other duties and assignments within the scope of your knowledge and experience. Full job description provided upon hire. Qualifications: Registered Nurse (RN) with a current unencumbered state license. Must be knowledgeable of nursing & medical practices & procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Experience in Long Term Care is preferred. Willing to take additional training or education, which specific states may require. CPR and First Aid certifications are required. Ability to be flexible and adaptable while handling multiple priorities. Possess written and verbal skills for effective communication. Competent in organizational and time management skills. Demonstrates good judgment, problem-solving, and decision-making skills. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required to sit, stand, bend, and walk intermittently throughout the workday; lift and/or move up to 100 Must be able to cope with the mental & emotional stress of the position. May include health requirements set forth by the policies of this facility, which include a medical & physical examination. May be necessary to assist in the evacuation of residents during emergency situations. Visual and auditory ability sufficient for written and verbal communication. The noise level in the work environment is usually moderate. , Aperion Care. Strive for Perfection. Achieve Excellence. Part-time positions also available. (Without benefits) Aperion is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, gender, identity, religion, marital status, age, pregnancy, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, genetic information, military status, veteran status, special disabled veteran status, union membership or any other consideration made unlawful by federal, state or local law, ordinance, or regulations. APERJOBS #ZR
Oak Street Health

Registered Nurse - Case Manager - Gary Indiana

$60,522 - $129,615 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: RN, Case Manager Location: Gary 4900 Broadway, Gary, IN 46408 *Subject to adjustment based on clinic needs *Eligible candidates may receive a sign‑on bonus as part of the offer package. Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members. Core Responsibilities: Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization. Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics. Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team. Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members. Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression. Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings. Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits. Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care. Educate patients and families, empowering them in their care, and advocating for their needs. Document visits in electronic health record according to internal standards Other duties as assigned. What are we looking for? Current RN license in assigned state is required; Bachelor degree in nursing preferred. Minimum of 6-8 years nursing experience. Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience 2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred. Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources. A flexible and positive attitude Comfort with ambiguity and change High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution. Access to reliable transportation and ability to travel throughout the communities OSH serves US work authorization Someone who embodies being Oaky What does being Oaky look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for Medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.