Nursing Jobs in Hopkinton, MA
$140,000 - $195,000 / year
Director of Care – Skilled Nursing Operations Location: Connecticut / Massachusetts Employment Type: Full-time Travel: Multi-site; regular travel across assigned facilities About the Role We are seeking an experienced Director of Care to provide clinical leadership and oversight across a portfolio of approximately 10 skilled nursing facilities (SNFs) throughout Connecticut and Massachusetts . This is a hands-on, multi-site clinical leadership position for a registered nurse (RN) or experienced nursing leader who understands skilled nursing operations and knows how to drive consistent standards of care across multiple facilities. The Director of Care will partner closely with facility leadership, Directors of Nursing, and regional operations to improve clinical outcomes, regulatory compliance, quality, staffing practices, and resident care. Key Responsibilities Provide clinical oversight and leadership across multiple skilled nursing facilities. Partner with Directors of Nursing (DONs), Administrators, and facility leadership to establish and maintain high standards of resident care. Conduct regular facility visits, clinical assessments, and operational reviews. Monitor key clinical metrics, including quality measures, rehospitalizations, falls, infections, wounds, medication management, and other resident outcomes . Identify clinical risks and develop actionable plans to address performance gaps. Support facilities with state surveys, CMS requirements, regulatory compliance, and plans of correction . Evaluate nursing practices, documentation, care planning, and clinical processes. Coach and mentor DONs and nursing leadership to strengthen clinical performance and accountability. Promote consistent policies, procedures, and best practices across the organization. Collaborate with operations and facility leadership on staffing, retention, education, and clinical workforce development . Assist with implementation of quality improvement initiatives and QAPI programs. Analyze clinical data and trends and translate findings into practical improvement plans. Serve as a clinical resource for facilities experiencing complex resident care or operational challenges. Help develop and implement standardized clinical programs across the organization. Travel regularly between facilities throughout Connecticut and Massachusetts . Qualifications Current RN license in good standing; multi-state licensure is a plus. Bachelor's degree in Nursing ( BSN ) preferred. Significant clinical leadership experience in skilled nursing / long-term care . Proven experience overseeing multiple SNFs or nursing facilities . Prior experience as a Director of Nursing (DON), Regional Director of Nursing, Clinical Director, Regional Nurse, or similar leadership role strongly preferred. Strong understanding of CMS, state regulatory requirements, survey readiness, and skilled nursing clinical standards . Demonstrated experience improving clinical outcomes and holding facility leadership accountable. Strong knowledge of QAPI, MDS, care planning, infection prevention, quality measures, and risk management . Excellent communication, leadership, organizational, and problem-solving skills. Comfortable working independently and traveling between facilities on a regular basis. Strong ability to build relationships while maintaining high clinical and operational standards. What We're Looking For The ideal candidate is a clinical nurse leader—not simply a corporate administrator —who has successfully led nursing operations across multiple skilled nursing facilities. You should be comfortable walking into a facility, quickly understanding its clinical challenges, working alongside the DON and Administrator, and developing a practical plan to improve care and outcomes. Experience managing or supporting multiple SNFs across a geographic region is highly preferred . Why Join Us Regional leadership role with meaningful influence across multiple facilities. Opportunity to shape clinical standards and quality across an established SNF organization. Collaborative partnership with facility and operational leadership. Significant opportunity to improve resident outcomes and develop nursing leaders. Competitive compensation and benefits package. Keywords: Director of Nursing, DON, Regional Director of Nursing, Regional Nurse, Clinical Director, Director of Care, Skilled Nursing, SNF, Long-Term Care, Nursing Home, RN, BSN, Multi-Site Nursing, Multi-Facility, Clinical Operations, Quality Improvement, QAPI, CMS, MDS, Survey Readiness, Infection Prevention, Healthcare Operations. $95,000 - $101,920 / year
Join our team at Heritage Hills Rehabilitation and Healthcare Center as a Evening Nurse Supervisor. Proudly supported by Marquis Health Consulting Services Full-time, (Monday - Friday, 3:00PM-11:00PM) Range $95,000.00 -$101,920.00 annually At Heritage Hills Rehabilitation and Healthcare Center, we believe that strong clinical leadership, teamwork, and accountability are essential to delivering safe, high-quality resident care. Guided by our core values of Passion, Respect, and Excellence , the Nurse Supervisor provides clinical oversight, leadership, and support to nursing staff while ensuring residents receive consistent, compassionate, and compliant care. Responsibilities for Nurse Supervisor: Provide clinical leadership and supervision to nursing staff to ensure high-quality resident care. Oversee daily nursing operations to promote safe, effective, and person-centered care delivery. Monitor staff performance and provide guidance, coaching, and support as needed. Ensure compliance with all applicable laws, regulations, and facility policies governing nursing care. Assist in coordinating resident care plans and ensuring timely communication across interdisciplinary teams. Support accurate and timely documentation in accordance with clinical standards and regulatory requirements. Respond to clinical concerns and assist in resolving issues involving residents, families, and staff. Participate in quality improvement initiatives and support facility-wide clinical goals. Qualifications for Nurse Supervisor: Must possess a current, unencumbered, active RN or LPN license in the state of Rhode Island. Valid BLS Certification (CPR) required. Minimum of five (5) years of nursing experience in a hospital, nursing home, or other healthcare setting, with at least one (1) to two (2) years in a supervisory role. Strong knowledge of nursing practices, procedures, and applicable laws, regulations, and guidelines for nursing care centers. Effective communication skills with the ability to interact professionally with residents, families, staff, and external agencies. Demonstrated leadership and supervisory skills with the ability to guide, support, and collaborate with team members. Ability to work collaboratively while maintaining accountability and high standards of care. Our Core Values in Action Passion – Leading with commitment and compassion to ensure residents receive safe, attentive, and high-quality nursing care. Respect – Treating residents, families, and team members with dignity, professionalism, and fairness in every interaction. Excellence – Upholding the highest clinical standards through strong leadership, accountability, and continuous improvement. Benefits for Nurse Supervisor: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Company-sponsored life insurance Employee assistance program (EAP) resources Join our team at Heritage Hills Rehabilitation and Healthcare Center, a 100-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply. 
$81,510 - $108,030 / year
Salary $81,510 / yr - $108,030 / yr Overview RN – MDS Coordinator Turn Clinical Expertise Into Better Outcomes. Shape Individualized Care. Make an Impact at Mattapan. Are you a Registered Nurse (RN) with experience in skilled nursing, Medicare, and the MDS process? Do you have a strong understanding of resident assessment, care planning, and reimbursement methodology — and enjoy bringing clinical knowledge, organization, and collaboration together? We want to talk with you. At Mattapan Health & Rehabilitation Center , our MDS Coordinator plays an essential role in connecting clinical assessment with quality resident care. As an 85-bed skilled nursing and rehabilitation community offering Short-Term Rehabilitation and Long-Term Care , our team works together to help each resident achieve the best possible outcomes while maintaining dignity, independence, comfort, and quality of life. If you're looking for an opportunity to use your nursing expertise beyond the traditional bedside setting while remaining closely connected to resident care, this could be the role for you. Your Expertise Has a Direct Impact on Resident Care The MDS process is about much more than completing assessments. It provides a comprehensive picture of each resident's clinical and functional needs and helps our interdisciplinary team develop a care plan that is individualized, accurate, and responsive to the resident's changing needs. As the RN – MDS Coordinator , you will serve as a key clinical resource for the facility, bringing together information from nursing, rehabilitation, social services, dietary, medical records, residents, families, and other members of the care team. You'll help ensure that assessments are completed accurately and on time, care plans reflect current resident needs, and the facility remains aligned with Medicare, Medicaid, Managed Care, and regulatory requirements. Why This Role Matters Every MDS assessment tells a story. It captures important information about a resident's functional abilities, cognition, mood and behaviors, nutrition, clinical conditions, and overall well-being. That information becomes the foundation for decisions about care. This is an opportunity for an experienced RN who enjoys combining clinical judgment with organization, communication, critical thinking, and attention to detail. You'll work closely with leadership and an interdisciplinary team while becoming a key resource in the facility's assessment, care planning, and reimbursement processes. The role may also provide opportunities to support other Elderwood communities and participate in professional development through the Elderwood Learning Center. Your work helps our team: Identify and respond to changing resident needs. Develop meaningful, individualized care plans. Coordinate services across disciplines. Support positive clinical outcomes. Maintain compliance with regulatory requirements. Ensure accurate Medicare, Medicaid, and Managed Care processes. Advocate for residents by making sure their needs are accurately represented. The Support You Need to Succeed At Mattapan Health & Rehabilitation Center, you won't be working in isolation. You'll have the support of facility nursing leadership as well as Elderwood Administrative Services , including clinical and operational resources designed to help our teams succeed. You'll have the opportunity to collaborate with experienced nursing professionals and access resources in areas including: Clinical operations Quality and regulatory compliance Reimbursement Professional development Nursing leadership Education and training Comprehensive Benefits & More At Elderwood, we believe in supporting the people who support our residents. Our benefits and rewards include: Increased Tuition Reimbursement Program for Clinical Tracks Shift Differentials Full Benefits Package 401(k) with Employer Matching Employee Referral Program Professional Development & Training Opportunities Paid Time Off & Holiday Benefits Additional Compensation Programs Make Your Next Move Count If you're an RN who enjoys looking at the bigger picture, solving problems, coordinating across disciplines, and using clinical expertise to influence the quality of resident care, Mattapan Health & Rehabilitation Center wants to hear from you. Bring your nursing knowledge. Bring your attention to detail. Bring your commitment to residents. We'll provide the team, resources, and support to help you make an impact. Apply Today for the RN – MDS Coordinator Position at Mattapan Health & Rehabilitation Center. Responsibilities What You'll Do Lead the MDS & Resident Assessment Process Complete and/or oversee completion of MDS/PPS and OBRA assessments for residents receiving short-term rehabilitation and long-term care. Establish and maintain schedules for required assessments in accordance with federal and state regulations. Ensure MDS assessments, supporting documentation, and related components are accurate, complete, and submitted within required timeframes. Monitor completion of MDS components by other disciplines and address incomplete or untimely information. Review resident records, incidents, accidents, 24-hour reports, and changes in condition to ensure assessments and care plans accurately reflect current needs. Utilize clinical judgment and attention to detail to identify relevant changes in resident status. Develop & Coordinate Individualized Care Plans Initiate, maintain, and update individualized care plans based on resident assessments and changing clinical needs. Ensure care plans identify appropriate interventions and supporting activities designed to achieve the best possible resident outcomes. Conduct care plan conferences with residents, families, and members of the interdisciplinary team. Generate and distribute the monthly care plan calendar. Collaborate closely with nursing, rehabilitation, social services, dietary, medical records, and medical providers. Serve as a clinical resource to members of the care team regarding assessment and care planning requirements. Support Medicare, Medicaid & Reimbursement Complete and/or oversee Medicare PPS assessments for both short-term and long-term care residents. Support accurate documentation related to Medicare, Medicaid, Managed Care, and other reimbursement requirements. Partner with the Business Office to support Medicare eligibility determination and tracking of covered days. Serve as a facility contact and liaison with Managed Care providers regarding authorization and reimbursement. Apply knowledge of PDPM, Case Mix, Medicare/PPS, and reimbursement methodology to support accurate and compliant processes. Collaborate with Medical Records and Therapy staff in preparing documentation for CMS and other entities for pre- and post-payment reviews, ADR requests, and appeals. Promote Compliance, Quality & Accountability Maintain working knowledge of applicable federal and state regulations related to MDS, care planning, Medicare, Medicaid, and resident care. Help ensure documentation and assessment practices remain compliant with regulatory requirements. Identify gaps or delays in the assessment process and communicate concerns to nursing leadership. Support survey readiness and respond appropriately to documentation and assessment-related requests. Maintain knowledge of facility policies, procedures, corporate compliance standards, and professional nursing expectations. Participate in ongoing quality improvement initiatives and other projects as assigned. From Up to Qualifications RN - MDS Coordinator - Qualifications: Current Registered Nurse (RN) license in the state of Massachusetts. Nursing degree from an accredited college or university. Previous experience in a skilled nursing or long-term care environment preferred. Knowledge of the MDS and care planning process. Prior experience with MDS 3.0 scheduling, coding, and submission requirements preferred. Experience with PointClickCare preferred. Knowledge of Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred. Experience with Medicare/PPS, Medicaid, Managed Care, Part A coverage, and reimbursement processes preferred. Strong understanding of resident assessment, care planning, and regulatory requirements. Excellent verbal and written communication skills. Strong organizational and time-management skills with the ability to manage multiple deadlines. Self-motivated, detail-oriented, and committed to accuracy. Ability to collaborate effectively with residents, families, nursing staff, interdisciplinary team members, leadership, and external partners. A willingness to learn and develop — we're open to training the right candidate with strong clinical experience and the ability to grow into the MDS role. This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement 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. 
$81,510 - $108,030 / year
Salary $81,510 / yr - $108,030 / yr Overview RN – MDS Coordinator Turn Clinical Expertise Into Better Outcomes. Shape Individualized Care. Make an Impact at West Roxbury. Are you a Registered Nurse (RN) with experience in skilled nursing, Medicare, and the MDS process? Do you have a strong understanding of resident assessment, care planning, and reimbursement methodology — and enjoy bringing clinical knowledge, organization, and collaboration together? We want to talk with you! At West Roxbury Health & Rehabilitation Center , our MDS Coordinator plays an essential role in connecting clinical assessment with quality resident care. As a 76-bed skilled nursing and rehabilitation community in West Roxbury, Massachusetts , we provide Short-Term Rehabilitation and Long-Term Care , along with specialized support including hospice care and respite care . Our interdisciplinary team delivers personalized nursing care, rehabilitation services, and clinical support while creating a welcoming environment focused on resident dignity, comfort, and quality of life. If you're looking for an opportunity to use your nursing expertise beyond the traditional bedside setting while remaining closely connected to resident care, this could be the role for you. Your Expertise Has a Direct Impact on Resident Care The MDS process is about much more than completing assessments. It provides a comprehensive picture of each resident's clinical and functional needs and helps our interdisciplinary team develop a care plan that is individualized, accurate, and responsive to the resident's changing needs. As the RN – MDS Coordinator , you will serve as a key clinical resource for the facility, bringing together information from nursing, rehabilitation, social services, dietary, medical records, residents, families, and other members of the care team. You'll help ensure that assessments are completed accurately and on time, care plans reflect current resident needs, and the facility remains aligned with Medicare, Medicaid, Managed Care, and regulatory requirements. Why This Role Matters Every MDS assessment tells a story. It captures important information about a resident's functional abilities, cognition, mood and behaviors, nutrition, clinical conditions, and overall well-being. That information becomes the foundation for decisions about care. At West Roxbury, your work will help ensure that each resident's unique needs are accurately understood and reflected in their individualized plan of care. Whether supporting a resident working toward greater independence through short-term rehabilitation, someone receiving ongoing long-term care, or a resident and family navigating hospice or respite services, your clinical insight helps guide the care our team provides. This is an opportunity for an experienced RN who enjoys combining clinical judgment with organization, communication, critical thinking, and attention to detail. You'll work closely with leadership and an interdisciplinary team while becoming a key resource in the facility's assessment, care planning, and reimbursement processes. The role may also provide opportunities to support other Elderwood communities and participate in professional development through the Elderwood Learning Center. Your work helps our team: Identify and respond to changing resident needs. Develop meaningful, individualized care plans. Coordinate services across disciplines. Support positive clinical outcomes. Maintain compliance with regulatory requirements. Ensure accurate Medicare, Medicaid, and Managed Care processes. Advocate for residents by making sure their needs are accurately represented. The Support You Need to Succeed At West Roxbury Health & Rehabilitation Center , you won't be working in isolation. You'll have the support of facility nursing leadership as well as Elderwood Administrative Services, including clinical and operational resources designed to help our teams succeed. You'll have the opportunity to collaborate with experienced nursing professionals and access resources in areas including: Clinical operations Quality and regulatory compliance Reimbursement Professional development Nursing leadership Education and training Comprehensive Benefits & More At Elderwood, we believe in supporting the people who support our residents. Our benefits and rewards include: Increased Tuition Reimbursement Program for Clinical Tracks Shift Differentials Full Benefits Package 401(k) with Employer Matching Employee Referral Program Professional Development & Training Opportunities Paid Time Off & Holiday Benefits Additional Compensation Programs Make Your Next Move Count If you're an RN who enjoys looking at the bigger picture, solving problems, coordinating across disciplines, and using clinical expertise to influence the quality of resident care, West Roxbury Health & Rehabilitation Center wants to hear from you. Bring your nursing knowledge. Bring your attention to detail. Bring your commitment to residents. We'll provide the team, resources, and support to help you make an impact. Apply Today for the RN – MDS Coordinator Position at West Roxbury Health & Rehabilitation Center. Responsibilities What You'll Do Lead the MDS & Resident Assessment Process Complete and/or oversee completion of MDS/PPS and OBRA assessments for residents receiving short-term rehabilitation and long-term care. Establish and maintain schedules for required assessments in accordance with federal and state regulations. Ensure MDS assessments, supporting documentation, and related components are accurate, complete, and submitted within required timeframes. Monitor completion of MDS components by other disciplines and address incomplete or untimely information. Review resident records, incidents, accidents, 24-hour reports, and changes in condition to ensure assessments and care plans accurately reflect current needs. Utilize clinical judgment and attention to detail to identify relevant changes in resident status. Develop & Coordinate Individualized Care Plans Initiate, maintain, and update individualized care plans based on resident assessments and changing clinical needs. Ensure care plans identify appropriate interventions and supporting activities designed to achieve the best possible resident outcomes. Conduct care plan conferences with residents, families, and members of the interdisciplinary team. Generate and distribute the monthly care plan calendar. Collaborate closely with nursing, rehabilitation, social services, dietary, medical records, and medical providers. Serve as a clinical resource to members of the care team regarding assessment and care planning requirements. Support Medicare, Medicaid & Reimbursement Complete and/or oversee Medicare PPS assessments for both short-term and long-term care residents. Support accurate documentation related to Medicare, Medicaid, Managed Care, and other reimbursement requirements. Partner with the Business Office to support Medicare eligibility determination and tracking of covered days. Serve as a facility contact and liaison with Managed Care providers regarding authorization and reimbursement. Apply knowledge of PDPM, Case Mix, Medicare/PPS, and reimbursement methodology to support accurate and compliant processes. Collaborate with Medical Records and Therapy staff in preparing documentation for CMS and other entities for pre- and post-payment reviews, ADR requests, and appeals. Promote Compliance, Quality & Accountability Maintain working knowledge of applicable federal and state regulations related to MDS, care planning, Medicare, Medicaid, and resident care. Help ensure documentation and assessment practices remain compliant with regulatory requirements. Identify gaps or delays in the assessment process and communicate concerns to nursing leadership. Support survey readiness and respond appropriately to documentation and assessment-related requests. Maintain knowledge of facility policies, procedures, corporate compliance standards, and professional nursing expectations. Participate in ongoing quality improvement initiatives and other projects as assigned. From Up to Qualifications RN - MDS Coordinator - Qualifications: Current Registered Nurse (RN) license in the state of Massachusetts. Nursing degree from an accredited college or university. Previous experience in a skilled nursing or long-term care environment preferred. Knowledge of the MDS and care planning process. Prior experience with MDS 3.0 scheduling, coding, and submission requirements preferred. Experience with PointClickCare preferred. Knowledge of Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred. Experience with Medicare/PPS, Medicaid, Managed Care, Part A coverage, and reimbursement processes preferred. Strong understanding of resident assessment, care planning, and regulatory requirements. Excellent verbal and written communication skills. Strong organizational and time-management skills with the ability to manage multiple deadlines. Self-motivated, detail-oriented, and committed to accuracy. Ability to collaborate effectively with residents, families, nursing staff, interdisciplinary team members, leadership, and external partners. A willingness to learn and develop — we're open to training the right candidate with strong clinical experience and the ability to grow into the MDS role. This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement 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. 
