Latest Nursing and Nursing Support Jobs
$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 . 
Job Details Physician Office | Jamestown | Full-Time | First Shift Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care. 
$120,000 - $143,000 / hour
Join Our Team at New Bridge Medical Center!** We are dedicated to providing high-quality, compassionate care to our diverse community. As a leading healthcare provider, we offer a supportive and inclusive work environment. If you’re passionate about making a difference and thrive in a collaborative setting, New Bridge Medical Center is looking for a Nurse Manager. Job Duties Works with Director of Nursing/Associate Director of Nursing to develop and implement goals of assigned units and to evaluate progress toward attainment of goals; acts as liaison between Nursing administration and medical staff. Using available utilization data, works with other Nurse Managers, ADON, and DON to developing staffing plan and schedules for units to maintain appropriate staffing levels and staffing mix; communicates staffing plan to Staffing Coordinator and Nurse Supervisor; ensures adequate staff coverage by reviewing vacation and holiday schedules; approves overtime as necessary and authorizes coverage for absent staff. Selects, hires and supervises staff in the area of responsibility; initiates disciplinary action, including terminations; carries out annual performance appraisals of employees recommending promotions, raises, etc. Comply with contractual agreements and federal guidelines in employee relationships. Ensures safe and professional patient care by enforcing and monitoring compliance to professional standards, identifying clinical and educational needs of staff; recommends methods for improving staff competence and patient care and assists in developing, implementing and evaluating programs. Through meetings, in-services or other established means of communication, provides information to departmental staff for therapeutic and effective patient care management; identifies and puts into place appropriate monitors of patient care delivery. Periodically reviews admission and patient management protocols, discharge criteria and related policies and procedures for compliance with requirements of regulatory agencies; recommends and implements changes as required, making sure information is available to staff in area of responsibility; monitors compliance and reviews with DON, ADONs and ADNs. Oversee the quality assurance/quality improvement programs in area of responsibility, identifying patient care issues, developing QA monitors and ensuring that follow-up actions are implemented. Provides information required for reports on utilization, monitors, credentialing and scheduling as necessary to be compliant with regulatory agency reporting and monitor requirements; prepares reports on service and utilization as required. Assists DON in developing annual budget; monitors budget performance throughout the year to ensure units operate within budget guidelines; works with administration to ensure most efficient and cost-effective allocation and use of resources. Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience and helpfulness. All responses should be timely, professional, caring, and respectful in accordance with Customer Service Performance expectations Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards. Assesses gaps in policies and procedures and creates necessary policies and procedures to fulfill these gaps. Understands and adheres to the Medical Center’s Code of Conduct. Familiar with the Medical Center’s Mission, Vision, and Values Statements. Other Job Duties Assists management in developing cost accounting methodology and model to enable NBMC to determine costs of nursing care and other direct costs and to provide information for NBMC planning and decisions (e.g., pertinent elements of patient care, labor, non-labor, and indirect allocation). Serves as resource to staff in clinical and management matters. Performs other duties as assigned to support the overall objectives of the department and organization. Position Qualifications Minimum of 3 years of clinical experience in the field required. Supervisory experience preferred. Current New Jersey licensure as RN required. Clinical nursing skills and expertise. Good organizational skills. Good oral and written communication skills. Good interpersonal skills. Speaks, reads and writes English to the extent required by the position. Education BSN required, or proof of current enrollment in an accredited BSN program American Heart Association Basic Life Support certification required. Job Setting/Physical Demands Nursing offices and patient care areas; contact with staff, patients, families. Frequent, prolonged walking, standing and/or sitting. May handle emergency or crisis situations. Salary commensurate with experience within posted range $120,000-$143,000/Year We provide a comprehensive benefits package, including a competitive medical, dental, and vision plans. We prioritize work-life balance with a generous time off policy that includes ample vacation days, personal time, sick leave and nine paid holidays. Additionally, we are committed to the personal and professional growth of our employees, offering robust tuition reimbursement and continuing education programs to help support our employees ongoing development. 
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