RN MDS Telehealth Full-time
CareSource

Remote RN MDS Reviewer - must reside in MA

CareSource Worcester, MA, US
$62,700 - $100,400 / year

Job Summary:

The RN MDS Reviewer supports successful completion and submission of the MDS (Minimum Data Set) to MassHealth. This role will examine MDS assessments prepared by clinicians to ensure completeness, accuracy and appropriate explanation of functional status and related clinical findings. Where gaps occur, the RN MDS Reviewer provides feedback to Clinical Care Manager to facilitate optimal documentation and, where necessary, rating category assignment. This role also supports the Proxy MDS Reviewer (LPN) in completing Proxy MDS submissions for members who cannot be reached for assessment.

Essential Functions:

  • Reviews MDS forms completed by Clinical Care Manager for completion and accuracy.
  • Provides feedback to Clinical Care Manager and relevant members of Care Management team on areas where insufficient documentation is found or where rating category assignment is inaccurate.
  • Completes portions of the electronic MDS-HC form based on diagnoses / information gathered from record review.
  • Prepares printed MDS forms for data entry.
  • Conducts routine training sessions for new Care Management staff and relevant Clinical Care Manager to drive high quality, consistent MDS assessments.
  • Conducts reviews in a timely way in accordance with all timeliness and quality standards.
  • Provide clinical care to members via telehealth technologies (video, chat, etc.) for a clinically appropriate clinical care and care management services.
  • Performs any other job related duties as requested.

Education and Experience:

  • Associates degree in nursing is required
  • Bachelor's degree in nursing is preferred
  • Five (5) years of experience working in an acute or long-term care setting required
  • Experience working with MassHealth populations preferred
  • Experience with care management platform preferred

Competencies, Knowledge and Skills:

  • Ability to communicate effectively with clinical staff and physician offices
  • Good technology skills, including use of electronic health records and Microsoft Excel
  • Knowledge of MDS strongly preferred
  • Ability to function effectively as part of a team
  • Ability to organize and prioritize work independently
  • Deep familiarity with medical terminology
  • Willing to learn and utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services

Licensure and Certification:

  • Current, unrestricted Registered Nurse (RN) license in state of Massachusetts in good standing is required

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required

Compensation Range:

$62,700.00 - $100,400.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

 

 

Brand=Commonwealth Care Alliance

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN MDS Full-time
Healthcare Nursing Center

MDS Coordinator

Healthcare Nursing Center MA
Come Join our Amazing Team!! $8,000 Sign On Bonus! We are a dedicated skilled nursing facility committed to providing exceptional care for our residents. We are seeking a detail-oriented and experienced MDS Coordinator to join our interdisciplinary team. Requirements: Licensed Massachusetts RN or LPN Minimum 1 year of experience as an MDS Coordinator (MDS experience required) Strong communication, organizational, and assessment skills Knowledge of Medicare coverage, PPS, and OBRA regulations Responsibilities: Oversee and facilitate resident assessments in accordance with Federal and State regulations Establish and manage assessment schedules to ensure accurate and timely completion Transmit assessments to the State of Massachusetts, Department of Health Coordinate resident care plans in compliance with regulatory requirements Initiate Medicare coverage for newly qualified residents and issue denial letters when necessary Stay updated on Medicare changes and determine required documentation for reimbursement Coordinate, plan, implement, and evaluate resident care following the MDS process Facilitate care conferences with the interdisciplinary team Complete and review Minimum Data Sets (MDS) Educate and train nursing staff and other departments on MDS processes and documentation Ensure all current MDS/PPS updates are implemented and staff are in-serviced Cross-train between PPS and OBRA processes Conduct regular resident interviews as required by MDS Why Join Us: Supportive, collaborative work environment Opportunity to make a meaningful impact on resident care Competitive compensation and professional development opportunities
RN MDS Full-time
Healthcare Nursing Center

MDS Coordinator

Healthcare Nursing Center MA
Come Join our Amazing Team!! $8,000 Sign On Bonus! We are a dedicated skilled nursing facility committed to providing exceptional care for our residents. We are seeking a detail-oriented and experienced MDS Coordinator to join our interdisciplinary team. Requirements: Licensed Massachusetts RN or LPN Minimum 1 year of experience as an MDS Coordinator (MDS experience required) Strong communication, organizational, and assessment skills Knowledge of Medicare coverage, PPS, and OBRA regulations Responsibilities: Oversee and facilitate resident assessments in accordance with Federal and State regulations Establish and manage assessment schedules to ensure accurate and timely completion Transmit assessments to the State of Massachusetts, Department of Health Coordinate resident care plans in compliance with regulatory requirements Initiate Medicare coverage for newly qualified residents and issue denial letters when necessary Stay updated on Medicare changes and determine required documentation for reimbursement Coordinate, plan, implement, and evaluate resident care following the MDS process Facilitate care conferences with the interdisciplinary team Complete and review Minimum Data Sets (MDS) Educate and train nursing staff and other departments on MDS processes and documentation Ensure all current MDS/PPS updates are implemented and staff are in-serviced Cross-train between PPS and OBRA processes Conduct regular resident interviews as required by MDS Why Join Us: Supportive, collaborative work environment Opportunity to make a meaningful impact on resident care Competitive compensation and professional development opportunities
RN OR Full-time
Heywood Healthcare

Registered Nurse, Operating Room, 32-Hours, Variable shifts, On call, $25,000 Sign-on Bonus

Heywood Healthcare Gardner, MA
$39.58 - $78.93 / hour
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $25,000 Sign On Bonus! Hours: 32-Hours, Variable shifts, On call $39.58 - $78.93 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary Operating Room (OR) RN is a valuable member of Perioperative and Surgical team. Responsibilities of the OR RN include, but are not limited to, circulating and scrubbing in surgical cases, monitoring patients and administering moderate sedation in select cases per Heywood Hospital’s moderate sedation policy. OR RN takes call per operating room rotation as required by the operational needs. Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collaborates with surgeon, anesthesiologist, clinical coordinator and surgical technicians to assure the patients’ well being during surgical intervention. Maintains sterile fields and directs the correct care, handling, and sterilization of sterile supplies and instruments. Identifies patients correctly by checking patient identification bands and consent forms as well as verifying operative procedure and site before taking patients to the operating room. Applies principles of aseptic practice, oversees the selection and preparation of supplies, equipment and instrumentation to all surgical cases. Applies principles of body mechanics and adapts them to various situations during positioning and transfer of patients. Assures that all techniques and practices carried out during the surgical procedure are accurate and reflect standards of perioperative practice. Maintains sponge, needle and instrument counts according to policies and procedures, including notifying the surgeon of the result of the counts. Identifies, labels, cares for and handles all specimens and cultures according to established policy and procedure. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Physical Requirements : Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Qualifications : Current MA RN License required. ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire. Recent OR experience required. CNOR preferred. Excellent communication and critical thinking skills required. Must take call per unit rotation.
RN OR Full-time
Heywood Healthcare

Registered Nurse, OR, 32-Hours, Variable shifts, On call

Heywood Healthcare Gardner, MA
$39.58 - $78.93 / hour
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $25,000 Sign On Bonus! Hours: 32-Hours, Variable shifts, On call $39.58 - $78.93 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary Operating Room (OR) RN is a valuable member of Perioperative and Surgical team. Responsibilities of the OR RN include, but are not limited to, circulating and scrubbing in surgical cases, monitoring patients and administering moderate sedation in select cases per Heywood Hospital’s moderate sedation policy. OR RN takes call per operating room rotation as required by the operational needs. Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collaborates with surgeon, anesthesiologist, clinical coordinator and surgical technicians to assure the patients’ well being during surgical intervention. Maintains sterile fields and directs the correct care, handling, and sterilization of sterile supplies and instruments. Identifies patients correctly by checking patient identification bands and consent forms as well as verifying operative procedure and site before taking patients to the operating room. Applies principles of aseptic practice, oversees the selection and preparation of supplies, equipment and instrumentation to all surgical cases. Applies principles of body mechanics and adapts them to various situations during positioning and transfer of patients. Assures that all techniques and practices carried out during the surgical procedure are accurate and reflect standards of perioperative practice. Maintains sponge, needle and instrument counts according to policies and procedures, including notifying the surgeon of the result of the counts. Identifies, labels, cares for and handles all specimens and cultures according to established policy and procedure. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Physical Requirements : Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Qualifications : Current MA RN License required. ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire. Recent OR experience required. CNOR preferred. Excellent communication and critical thinking skills required. Must take call per unit rotation.
RN Full-time
Heywood Healthcare

Registered Nurse, Watkins 2, 32-Hours, Evenings, 3:00pm - 11:30pm, Every other weekend, Every other holiday, $25,000 Sign-On Bonus

Heywood Healthcare Gardner, MA
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $25,000 Sign On Bonus! Hours: 32-Hours, Evenings, 3:00pm - 11:30pm, Every other weekend, Every other holiday $39.58 - $78.93 Disclaimer: We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending provider. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on provider orders. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience 1 year Med/Surg experience preferred 1 year Telemetry experience preferred 1 yr Pediatrics experience preferred Minimum Licenses and Certifications Current MA RN license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire PALS preferred Required Skills Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy) Promotes a positive working environment