Nursing Jobs in Harrisburg, SD
$78,000 - $116,480 / year
Location: Avera at Home Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $78,000.00 - $116,480.00 Position Highlights Must have long-term care experience. Hybrid position with some travel involved RN-MDS RAC certified within 6 months. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for ensuring accurate clinical documentation, assessment and Minimum Data Set ("MDS") coding to support appropriate reimbursement. This role blends strong clinical expertise with regulatory knowledge and analytical skills. This role will oversee compliance, accuracy and optimization of clinical reimbursement strategies for the LTC Division as well as clinical reimbursement compliance and overarching MDS support to teams across Avera. What you will do Maintains knowledge of federal regulations, practice standards, and procedures, as well as guidelines pertaining to the RAI process. Develop division strategies for maximizing reimbursement for PDPM, Managed Care and other payer models. Utilizes clinical judgement and nursing process to be a resource for Nurse Assessment Coordinators, Interdisciplinary team members and LTC Leaders. Develops strategies for maximizing reimbursement under PDPM, Managed Care and other payer models. Partners with payor contracting on Managed Care/ACO contract utilization and ensures facilities adhere to payer guidelines, timely filing requirements, and pre-authorization processes. Audits and implements action plans to improve staff education/competency as needed to ensure accurate and timely completion of supporting documentation and MDS assessment. Monitors facility schedules for timely and complete MDS data submission as per Federal, State, and other payor requirements. Analyzes reimbursement trends, identify deviations, implement corrective action plans through utilization of system data and analytic resources. Acts as a liaison between facilities, finance, MDS, nursing, and system resources to ensure accurate reimbursement levels. Provides ongoing operational support and guidance to facilities regarding denial management, appeals, and reimbursement strategies. Leads the division efforts to implement best practices for accurate capture of the data elements of the Minimum Data Set (MDS), which is the key driver of the care plan, quality measures and reimbursement programs. Must be willing to travel. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire and Resident Assessment Coordinator - Certified (RAC-CT) - American Association of Post-Acute Care Nursing (AAPACN) An active certification by AAPACN or another approved certification agency to ensure knowledge of clinical assessment and care planning, completion of the MDS, and the regulatory body surrounding the RAI/MDS process within 180 Days Strong leadership and communication skills with the ability to train and mentor teams Preferred Education, License/Certification, or Work Experience: Bachelor's Extensive knowledge of Medicare, Medicaid, PDPM, Managed Care, QM, and CMI reimbursement systems Strong expertise in MDS processes, including completion, regulatory compliance Regional MDS experience Proficiency in analyzing reimbursement trends, auditing, and implementing performance improvements Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org . $120,000 - $130,000 / year
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women who have historically been underserved. To learn more about our mission and clinical approach, visit allarahealth.com . Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary care team to deliver the highest standards of care Complete required trainings and uphold Allara's clinical policies, standards, and best practices Educate patients on preventive care and wellness using evidence-based strategies Maintain accurate, up-to-date patient records and complete charting in a timely manner Respond to patient questions and administrative messages with clarity and care Dedicate a full-time focus to patient care, including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications Certification: Active national board certification as a (WHNP, FNP, or similar). Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity. Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity Webside Manner: A natural ability to build trust and connection with patients in a virtual setting Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools Telemedicine Experience: Prior telehealth experience is a plus State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. What Allara Offers Annual base salary range: $120,000 – $130,000, and can increase up to $172,500 - $182,500 through our incentive compensation program. Final base salary & incentive range is commensurate with years of relevant experience. Health and Wellness: Medical, dental, and vision benefits Future Planning: 401(k) plan Time Off: Annual vacation, sick days, and holidays CME: Annual stipend and dedicated PTO days Flexible Scheduling: Set your schedule within full-time hour requirements Malpractice Insurance: Comprehensive coverage provided at no cost to you Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law. 
