Nursing Jobs in Denville, NJ
$83,000 - $120,000 / year
Job Description Balance Life & Work with a New Career Opportunity SKILLED NURSING Now Hiring - Lead MDS/Clinical Reimbursement Coordinator - Morristown, NJ CareOne at Madison Salary Range $83,000 to $120,000 Lead MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to: MDS/RAI Process Leadership: Direct the timely and accurate completion of the Minimum Data Set (MDS) and Care Area Assessments (CAAs) in strict compliance with CMS regulations. PDPM & Reimbursement Strategy: Strategically schedule ARDs and audit clinical documentation to capture true resident acuity, optimizing PDPM components, nursing tiers, and NTA scores. Quality Measure & Five-Star Optimization: Analyze Casper reports and partner with the DON/IDT to monitor clinical triggers, drive root-cause corrections, and safeguard the facility's Five-Star rating. Interdisciplinary Care Planning: Oversee the development of individualized resident Care Plans that support MDS coding, establish clear goals, and satisfy all regulatory requirements. Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple-Check meetings, collaborating with therapy, nursing, and the business office to validate medical necessity, track managed care authorizations, and ensure accurate billing alignment prior to transmission. Audit Readiness & Compliance: Systematically audit clinical records (MARs/TARs/physician orders) to defend data integrity against ADRs, MAC/RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate interdisciplinary meetings to ensure seamless care integration and reimbursement alignment. Position Requirements Licensure: Current, unrestricted Registered Nurse (RN) license in the state of practice. MDS Experience: 1–3 years of dedicated MDS experience preferred; or an experienced LTC RN with strong clinical and analytical skills who can be trained. Regulatory Expertise: Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term care regulations. Clinical Knowledge: Strong understanding of general, rehabilitative, and restorative nursing practices, including comprehensive care planning. Software Proficiency: Skilled in Microsoft Windows applications; experience with PointClickCare (PCC) and NetHealth is highly preferred. Operational Skills: Exceptional attention to detail with a proven ability to complete assessments accurately and within strict regulatory deadlines. Autonomy & Flexibility: Ability to work independently and adjust scheduling to support crucial month-end financial close procedures. About Us The CareOne mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees. We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time Employees: Comprehensive Healthcare Benefits Multiple Medical Plans Including Pharmacy Including Teladoc Multiple Dental Plans Vision Plan Health Savings Account (eligibility restrictions apply) Flexible Spending Accounts Voluntary Life and AD&D Short-Term and Long-Term Disability Plans Hospital Indemnity Insurance Critical Illness Insurance Accident Insurance Whole Life Insurance Medicare Employee Assistance Legal Plan Commuter Benefits 401k Retirement Plan Employee Assistance Program (available to all employees) Paid Time Off Vacation Sick Plans in accordance with state laws Opportunities to advance and grow your career If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility! We are an Equal Opportunity Employer EEO/AA/M/F/DV $103,000 - $110,000 / year
Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits Actual Work/Life Balance Competitive Pay Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Pay Scale: $103,000-$110,000 plus bonus opportunities Details The Assistant Director of Clinical Services works under the Director to provide overall direction to the hospice clinical team. They are responsible for hiring of qualified hospice personnel: the provision of hospice services, directly, and the delegation to and coordination of hospice personnel evaluations; and establishing standards of care to comply with federal and state regulations and guidelines. The duties include but are not limited to: Implement policies, procedures, and best practices for operations. Monitoring nursing staff performance and addressing any QA issues Clinical policy and procedure support Assisting the Director in identifying & resolving nursing department deficiencies Monitoring implementation of correction plans Qualifications A strong leader with impeccable organizational, strategic, analytical and project management skills. A solid communicator with exceptional interpersonal skills and a proven ability to motivate, mentor, and influence others. 5 years in healthcare industry preferred 2 years of experience working in Leadership Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice 
