MDS Case Manager (RN)

Elon Manor Nursing and Rehabilitation Center Ybor City, FL

Elon Manor is looking for an MDS/Case Manager (RN) to join our team. Position Summary The MDS Coordinator is responsible for coordinating and overseeing the completion of the Resident Assessment Instrument (RAI) process, including Minimum Data Set (MDS) assessments, Care Area Assessments (CAAs), and interdisciplinary care plans to ensure compliance with federal and state regulations. The MDS Coordinator supports accurate clinical reimbursement, quality outcomes, regulatory compliance, and resident-centered care planning within the Skilled Nursing Facility. Accurate MDS completion directly impacts quality reporting and Medicare/Medicaid reimbursement. Reports To: Director of Nursing (DON) / Administrator Qualifications Current FL RN license Minimum 2–3 years long-term care or skilled nursing experience preferred Previous MDS experience preferred Knowledge of: MDS 3.0 and RAI Manual PDPM reimbursement methodology Medicare and Medicaid regulations Managed Care OBRA requirements Care planning process ICD-10 coding principles Quality Measures (QM)/5-Star Ratings Electronic Health Record (EHR) systems (PCC preferred) RAC-CT certification preferred Strong organizational, analytical, and communication skills Essential Job Duties and Responsibilities MDS / Clinical Assessment Responsibilities Coordinate and complete MDS assessments per CMS and OBRA guidelines Ensure assessments are completed accurately and within regulatory timelines Coordinate interdisciplinary team participation in assessment completion Review resident medical records to ensure documentation supports MDS coding Monitor Assessment Reference Dates (ARDs) Complete Care Area Assessments (CAAs) Ensure individualized resident care plans reflect assessment findings Participate in resident care conferences and discharge planning meetings Maintain compliance with Resident Assessment Instrument (RAI) requirements Reimbursement / Financial Responsibilities Optimize reimbursement under Medicare PDPM and Medicaid payment systems Review clinical documentation to ensure reimbursement accuracy Collaborate with therapy, nursing, dietary, social services, and physician teams regarding documentation needs Monitor skilled coverage documentation requirements Assist with Medicare and Managed Care documentation review Support facility Case Mix Index (CMI) management Identify reimbursement opportunities and documentation gaps Regulatory / Compliance Responsibilities Ensure compliance with CMS, state, and federal regulations Maintain MDS transmission accuracy and timeliness Monitor Quality Measures and identify improvement opportunities Participate in survey readiness activities Assist with audit preparation and regulatory reviews Maintain current knowledge of CMS guidance and reimbursement changes Participate in Quality Assurance and Performance Improvement (QAPI) initiatives Interdisciplinary Team Responsibilities Serve as resource and educator regarding MDS processes Collaborate with nursing, therapy, dietary, social services, and activities departments Participate in clinical meetings and Medicare meetings Educate staff regarding documentation standards Communicate resident status changes impacting reimbursement or care planning Promote interdisciplinary communication and resident-centered care planning Physical Requirements Ability to sit for prolonged periods Ability to review charts and electronic documentation Occasional standing and walking throughout facility Ability to lift up to 25 pounds as needed Performance Expectations Timely MDS completion rate MDS transmission accuracy Regulatory compliance adherence Quality Measure performance improvement Documentation accuracy Reimbursement optimization Survey readiness maintenance ABOUT US: We provide outstanding care to our residents in a warm, nurturing environment that allows each resident to maintain his or her individuality and dignity. We pride ourselves on our professionalism and are constantly looking to be the best at what we do. Please join us and begin a rewarding and exceptional career. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. https://crw.flclearinghouse.com/

MDS Case Manager (RN)

Elon Manor Nursing and Rehabilitation Center Ybor City, FL

Elon Manor is looking for an MDS/Case Manager (RN) to join our team. Position Summary The MDS Coordinator is responsible for coordinating and overseeing the completion of the Resident Assessment Instrument (RAI) process, including Minimum Data Set (MDS) assessments, Care Area Assessments (CAAs), and interdisciplinary care plans to ensure compliance with federal and state regulations. The MDS Coordinator supports accurate clinical reimbursement, quality outcomes, regulatory compliance, and resident-centered care planning within the Skilled Nursing Facility. Accurate MDS completion directly impacts quality reporting and Medicare/Medicaid reimbursement. Reports To: Director of Nursing (DON) / Administrator Qualifications Current FL RN license Minimum 2–3 years long-term care or skilled nursing experience preferred Previous MDS experience preferred Knowledge of: MDS 3.0 and RAI Manual PDPM reimbursement methodology Medicare and Medicaid regulations Managed Care OBRA requirements Care planning process ICD-10 coding principles Quality Measures (QM)/5-Star Ratings Electronic Health Record (EHR) systems (PCC preferred) RAC-CT certification preferred Strong organizational, analytical, and communication skills Essential Job Duties and Responsibilities MDS / Clinical Assessment Responsibilities Coordinate and complete MDS assessments per CMS and OBRA guidelines Ensure assessments are completed accurately and within regulatory timelines Coordinate interdisciplinary team participation in assessment completion Review resident medical records to ensure documentation supports MDS coding Monitor Assessment Reference Dates (ARDs) Complete Care Area Assessments (CAAs) Ensure individualized resident care plans reflect assessment findings Participate in resident care conferences and discharge planning meetings Maintain compliance with Resident Assessment Instrument (RAI) requirements Reimbursement / Financial Responsibilities Optimize reimbursement under Medicare PDPM and Medicaid payment systems Review clinical documentation to ensure reimbursement accuracy Collaborate with therapy, nursing, dietary, social services, and physician teams regarding documentation needs Monitor skilled coverage documentation requirements Assist with Medicare and Managed Care documentation review Support facility Case Mix Index (CMI) management Identify reimbursement opportunities and documentation gaps Regulatory / Compliance Responsibilities Ensure compliance with CMS, state, and federal regulations Maintain MDS transmission accuracy and timeliness Monitor Quality Measures and identify improvement opportunities Participate in survey readiness activities Assist with audit preparation and regulatory reviews Maintain current knowledge of CMS guidance and reimbursement changes Participate in Quality Assurance and Performance Improvement (QAPI) initiatives Interdisciplinary Team Responsibilities Serve as resource and educator regarding MDS processes Collaborate with nursing, therapy, dietary, social services, and activities departments Participate in clinical meetings and Medicare meetings Educate staff regarding documentation standards Communicate resident status changes impacting reimbursement or care planning Promote interdisciplinary communication and resident-centered care planning Physical Requirements Ability to sit for prolonged periods Ability to review charts and electronic documentation Occasional standing and walking throughout facility Ability to lift up to 25 pounds as needed Performance Expectations Timely MDS completion rate MDS transmission accuracy Regulatory compliance adherence Quality Measure performance improvement Documentation accuracy Reimbursement optimization Survey readiness maintenance ABOUT US: We provide outstanding care to our residents in a warm, nurturing environment that allows each resident to maintain his or her individuality and dignity. We pride ourselves on our professionalism and are constantly looking to be the best at what we do. Please join us and begin a rewarding and exceptional career. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. https://crw.flclearinghouse.com/

RN

Full-time

1 week ago

RN - Registered Nurse - Pre-op

BayCare Health System Wesley Chapel, FL

Title: RN – Registered Nurse – Pre-op “We dedicate our lives to caring for yours” Position Description: RN - Registered Nurse - Pre-op BayCare Health System is currently seeking a Registered Nurse to join our outstanding and compassionate Pre-op team at BayCare Hospital Wesley Chapel . The RN Responsibilities Include Independently caring for a sub-specialty group of patients consistently using the nursing process and clinical standards Delegating appropriate patient care activities to other members of the health care team. Professional accountability and development according to best practice standards set forth by a nationally recognized specialty organization Performing the role of preceptor and charge nurse when assigned Why BayCare? Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 34,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. Culture of safety Utilize the latest technology Benefits Medical, Dental and Vision Benefits Paid time off Tuition Reimbursement 401k match and additional yearly contribution Yearly performance appraisals and team award bonus Community discounts and more AND the chance to be part of an amazing team and a great place to work! Qualifications Certifications and Licensures: BLS (Basic Life Support) Certification is required RN (Registered Nurse) license is required ACLS Certification, if required by department Nurse Specialty certification is preferred Education Associates degree in Nursing or Nursing Diploma is required Bachelors degree in Nursing is preferred Experience 2 years of RN experience is required. At least one year of RN experience in pre-op is preferred. Specific Skills Interpersonal skills Critical thinking skills Clinical skills appropriate to position Facility: BayCare Hospital Wesley Chapel Location: Wesley Chapel, FL Status: Full Time, Exempt: No Shift Hours: 6:00 AM - 4:30 PM Shift: Days Weekend Work: None On Call: No How often will this team member be working remotely? Never Equal Opportunity Employer Veterans/Disabled

RN - Registered Charge Nurse - Med/Surg/Tele - Nights

BayCare Health System Wesley Chapel, FL

Title: RN – Registered Charge Nurse – Med/Surg/Tele “We dedicate our lives to caring for yours” Position Description: RN – Charge Nurse - Telemetry BayCare Health System is currently seeking a Registered Charge Nurse to join our outstanding and compassionate Med/Surg/Tele team at BayCare Hospital Wesley Chapel . The Charge Nurse Responsibilities Include Proficiency in the care of a sub-specialty group of patients utilizing effective managerial skills. Acting as a professional role model for other members of the nursing team. Professional accountability and development. Performing the role of preceptor and charge nurse. Acting as a mentor and resource expert. Why BayCare? Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 34,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. Culture of safety Utilize the latest technology Benefits Medical, Dental and Vision Benefits Paid time off Tuition Reimbursement 401k match and additional yearly contribution Yearly performance appraisals and team award bonus Community discounts and more AND the chance to be part of an amazing team and a great place to work! Qualifications Certifications and Licensures: BLS (Basic Life Support) Certification is required RN (Registered Nurse) license is required ACLS Certification if required by department RN Professional Nurse Specialty Certification within 7 months of hire/promotion in lieu of education. Certification must be RN Professional, nationally recognized and applicable to the current primary area of practice on the approved Clinical Registered Nurse Certifications Grid. Nurse Specialty certification is preferred Education Bachelors degree in Nursing, BS in a healthcare related field, or RN Professional Nurse Specialty Certification is required within 7 months of hire/promotion Experience 2 years of RN experience is required 1 year of leadership experience is preferred Specific Skills Interpersonal skills Critical thinking skills Facility: BayCare Hospital Wesley Chapel Location: Wesley Chapel, FL Status: Full Time, Exempt: No Shift Hours: 6:00 PM - 6:30 AM Shift: Nights Weekend Work: Every Other On Call: No How often will this team member be working remotely? Never Equal Opportunity Employer Veterans/Disabled

RN - Registered Nurse - Med/Surg/Tele - Nights

BayCare Health System Wesley Chapel, FL

Title: RN – Registered Nurse – Medical/Surgical Telemetry “We dedicate our lives to caring for yours” Position Description: RN - Registered Nurse - Med/Surg/Tele BayCare Hospital Wesley Chapel is BayCare’s newest hospital, an 86-bed state-of-the-art facility that provides comprehensive health care services. At BayCare Hospital Wesley Chapel, you’ll always receive the very best compassionate care, close to home. BayCare Hospital Wesley Chapel is currently seeking a Registered Nurse to join our outstanding and compassionate Medical/Surgical Telemetry team. The RN Responsibilities Include Independently caring for a group of patients consistently using the nursing process and clinical standards. Delegating appropriate patient care activities to other members of the health care team. Professional accountability and development. Performing the role of preceptor and charge nurse when assigned. Why BayCare? Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 34,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. Culture of safety Utilize the latest technology Benefits Medical, Dental and Vision Benefits Paid time off Tuition Reimbursement 401k match and additional yearly contribution Yearly performance appraisals and team award bonus Community discounts and more AND the chance to be part of an amazing team and a great place to work! Qualifications Certifications and Licensures: BLS (Basic Life Support) Certification is required RN (Registered Nurse) license is required ACLS Certification, if required by department Nurse Specialty certification is preferred Education Associates degree in Nursing or Nursing Diploma is required Bachelors degree in Nursing is preferred Experience 2 years of RN experience is required. Specific Skills Interpersonal skills Critical thinking skills Clinical skills appropriate to position Facility: BayCare Hospital Wesley Chapel Location: Wesley Chapel, FL Status: Full Time, Exempt: No Shift Hours: 6:45 PM - 7:15 AM Shift: Nights Weekend Work: Every Other On Call: No How often will this team member be working remotely? Never Equal Opportunity Employer Veterans/Disabled

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