Nursing Jobs in Marshfield, MA
$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. $70,699.20 - $136,801.60 / year
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-23621 Facility: LOC0028 - 30 Reservoir Park Drive30 Reservoir Park Drive Rockland, MA 02370 Department Name: SSH VNA Team 2 Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) The community health nurse is a professional nurse knowledgeable in community health nursing who provides nursing care to patients in the community setting. Compensation Pay Range: $70,699.20 - $136,801.60 1. Schedule Completes weekly schedule and makes scheduled home visits per assignment. Schedules and prioritizes nursing visits according to client acuity and in accordance with the organization's emergency preparedness plan 2. Assessment/Documentation Admission Visit For each admission to caseload, develops an individualized and holistic plan of care for the patient in collaboration with the patient/family/caregiver. Performs admission physical and psycho social assessment to determine appropriate plan of care. 3. Reassessment/Visit Documentation For each visit, demonstrates the skills and judgment necessary to implement the plan of care, nursing interventions, and procedures necessary for the skilled care of the patient, as evidenced by chart review and observation. Updates the plan of care on an ongoing basis as goals are met and problems are identified. 4. Discharge/Documentation Discharge For each discharge, documentation demonstrates improvement in outcomes or applicable variances are identified. Patients are appropriately prepared for discharge and all disciplines involved in the care of the patient are in agreement with plan. 5. Medication Demonstrates knowledge of department policies and procedures for administering and documenting medications.Medication reconciliation is completed every visit and medication profile is reviewed and updated with changes as appropriate. DRR is run with each additional medication. Medication management is taught to each patient/family member each visit , including side effects. 6. Case Management The case manager demonstrates responsibility and accountability for coordinating the plan of care for each patient on caseload. The patient /family is involved and participates in the plan of care. Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. Complies with current hand hygiene and infection control guidelines. 8. Professional Development Responds to and participates in opportunities to maintain, enhance, and promote the image of the professional nurse. 9. Leadership Development Serves in a formal or informal leadership role 10. Advanced Clinical Skills Responds to and participates in opportunities to demonstrate the use of individual advance clinical skills and advance clinical knowledge. Assumes overall responsibility for own professional development by incorporating knowledge of evidence-based practice and research into clinical practice Graduate of an accredited School of Nursing. Bachelor of Science degree in nursing from a college/university accredited by the NLN is preferred. Minimum Work Experience One to two (1–2) years of medical/surgical nursing experience is preferred. Write, speak, understand English. Basic Nursing competencies. Mon-Fri 830-430 1 Weekend every 4th weekend 1 Holiday per year Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: RN-Registered Nurse - Board of Registration in Nursing (Massachusetts) 
$107,000 - $224,123 / year
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-23332 Facility: LOC0010 - Health Express-Weymouth330 Washington Street Weymouth, MA 02188 Department Name: HXP Administration Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of America) Under the general guidance of the Hospitalist Director the Nurse Practitioner will evaluate, diagnose and treat patients following written guidelines approved by the Department of Medicine. As a Hospital Medicine Provider at SSH, you will report, through the Hospitalist Program leadership team including the Lead APC’s and Program Director. You will have such duties and responsibilities as are set forth below and as may be reasonably requested by SSH from time to time. You shall perform the medical services faithfully, with due diligence and efficiency, to the best of your ability, and in accordance with the applicable standards of your profession, canons of professional ethics and all laws and SSH policies in effect from time to time. SSH recognizes that teamwork and flexibility are essential to providing 24-hour per day patient-centered care. SSH expects you to be respectful of your patients, other health care providers, and the physicians and staff of SSH. You shall be professional at all times and adhere to HIPAA standards with regard to maintaining confidentiality of patient information. You will have several different roles as a SSH Hospital Medicine Provider. These roles include admitting, rounding, and performing consults at the request of other providers. Regardless of role, you will be required to use approved SSH patient care treatment plans and order sets, when appropriate. Compensation Pay Range: $107,000.00 - $224,123.00 Essential Functions: Obtains a detailed and accurate medical history and performs a comprehensive physical exam for patients admitted to the Hospital. Orders necessary diagnostic tests, consultations and procedures as indicated or requested by the Hospital Medicine Consultant or attending physician. Identifies and manages chronic medical conditions and provides continuous care to hospitalized inpatients. Has familiarity with current guidelines regarding the assessment of the risk of a perioperative cardiovascular event for pre-operative patients (such as RCRI, and ACS-NSQIP) and pre-operative medical optimization. Prescribes medications, as necessary. Writes orders in accordance with current practice guidelines. Writes complete and comprehensive notes on all patients using appropriate electronic systems consistent with Hospital policy. Facilitates timely care, as necessary. Actively participates in the South Shore Health System readmission reduction efforts. Reviews the care of each patient with the attending physician and other consultative services. Maintains communications with referring physicians. Collaborates with the patient care team (physicians, nurses, PT/OT, case management) to develop and facilitate care plan. Proactively manages patients to prevent complications. Provides urgent evaluation to patients with changes in clinical status. Prepares patients for discharge, including patient and family discharge teaching, continuing care and rehabilitation arrangements in conjunction with Nursing and Care Progression, writing discharge prescriptions, and confirming primary care or referring physician follow-up. Prepares formal discharge summaries for or with Hospitalist. Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician. Eligible for state and federally controlled substances registration. Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit. Time Management: Exceptional organizational skills and ability to organize time and priorities effectively, asking for direction when appropriate. Flexibility to handle multiple tasks and deadline pressures. Quality Improvement: Skills to work efficiently and effectively and strive to do so in all aspects of position. JOB REQUIREMENTS Minimum Education - This position is a licensed independent practitioner credentialed through the Medical Staff Services Office Completion of Advanced Physician Assistant or Nurse Practitioner training program from an accredited institution. All licensure re-certifications, as required. Minimum Work Experience 2 years of Acute Medicine experience, preferred. Required Licenses / Registrations Nurse Practitioner - Board of Registration in Nursing (Massachusetts) Required Classes/Skills - ACLS - Advanced Cardiac Life Support Required additional Knowledge, and Abilities Requires DEAx number for the ability to prescribe Buprenorphine/Suboxone Demonstrated history of proficiency in the delivery of medical care to adult patients. Demonstrated successful completion of the SSH Credentialing process. Hours M-F 9am - 7pm; Sat-Sun 9am - 4pm Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Certified Nurse Practitioner - Board of Registration in Nursing (Massachusetts)