Latest Nursing and Nursing Support Jobs
$83,000 - $120,000 / year
Job Description Balance Life & Work with a New Career Opportunity SKILLED NURSING Now Hiring - Lead MDS/Clinical Reimbursement Coordinator - Hackensack, NJ CareOne at Wellington 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 RN or LPN 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 
Overview The Registered Nurse (RN) Resident will assume responsibility and accountability for care of patients in assigned areas. The RN will utilize the nursing process in the provision of care and will practice within the scope of the Nurse Practice Act of the State of Arkansas and the policies, procedures and standards of the Health System. The RN will demonstrate a commitment to teamwork through effective collaboration efforts. Qualifications Registered Nurse with current, active license to practice in Arkansas, required Licensed for less than 6 months Proof of the highest level of nursing education achieved, required Bachelor of Science in Nursing, preferred Professional Board Certification, preferred 
$83,000 - $102,000 / year
Overview RN / Registered Nurse, Home Health Location: Katy Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: 77423, 77441, 77474, 77493, 77494 Find Your Passion and Purpose as an Registered Nurse, Home Health Case Manager Salary: $83,000-$102,000 Schedule: Monday-Friday 8am-5pm On Call: Yes This position is paid on a per-point basis. The compensation reflected on this posting, is an estimate of annual compensation. What You Need to Know This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care. The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. RN Case Manager Qualifications Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation A minimum of one year of experience as an RN Current CPR Certification required RN Case Manager Responsibilities: Assessment of the status of nursing needs of assigned patients and overall management of the patient’s care plan Complete initial patient assessment upon admission, including appropriate patient history Selects appropriate nursing diagnosis Assesses all medicines to identify possible ineffective drug therapy or adverse reactions, significant side effects, drug allergies, and contraindicated medications Establishes realistic, measurable, observable goals consistent with the patient’s diagnosis Informs the physician of the results of the assessment and recommended clinical interventions Implements appropriate nursing interventions consistent with the patient's diagnosis and established goals and within the scope of the Nurse Practice Act Re-evaluates patients' nursing and other clinical needs as required Documents and submits the assessment, progress, and discharge notes and other required paperwork in a timely fashion as required by the agency Informs the physician and other personnel of changes in the patient's condition and needs Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial, and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays 401(k) Flexible spending and health savings accounts Wellness offers, including an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability. 
$87,035 - $187,460 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Aetna is starting a new Oncology Care Model providing specialized care pathways to our members throughout their oncology treatment. We are seeking an RN to be the Manager, Clinical Health Services, to lead a variety of direct reports on the Oncology Care Model team including a Nurse Practitioner, Nurse, Pharmacist, Behavioral Health Specialist and Oncology Companion. The team will partner with an Oncology Medical Director. This is a fully remote position. Eligible candidates may live anywhere in the contiguous United States. Job functions may include the following: Accountable for the day-to-day management of assigned clinical teams, ensuring adherence to established practices, policies, procedures, and contractual requirements. Experience leading clinical operations and building a new multidisciplinary oncology team from the ground up, including onboarding and training staff Lead, develop, and support high-performing clinical teams through effective coaching, performance management, and professional development. Participate in the recruitment and hiring process using clearly defined requirements related to education, experience, technical skills, and performance competencies. Develop, initiate, monitor, and communicate performance expectations and productivity standards. Assess developmental needs and implement action plans that support employee growth and team effectiveness. Ensure the successful execution of care management and care coordination activities across the continuum of care. Support the management of complex physical and behavioral health cases through clinical guidance, consultation, and collaboration. Utilize critical thinking and sound clinical judgment to support appropriate healthcare outcomes and remove barriers to care. Provide clinical leadership and support care management staff in delivering culturally competent, member-centered interventions. Conduct regular individual and team meetings focused on service delivery, quality outcomes, professional development, and operational performance. Collaborate with care managers, medical directors, social support teams, provider partners, and market leadership to achieve business and clinical goals. Communicate strategic plans and ensure implementation of tactics that support quality, operational, and financial objectives. Evaluate and interpret clinical, operational, and quality performance data to identify opportunities for improvement and implement targeted interventions. Identify and escalate quality of care concerns through established channels and drive corrective action when appropriate. Champion best practices, innovation, and continuous improvement initiatives that enhance member outcomes and operational effectiveness. Serve as a change leader by effectively communicating the business case for change and guiding teams through organizational and operational transformations. Maintain compliance with all applicable policies, procedures, regulatory requirements, and contractual obligations. May serve as a key point of contact for health plan partners, customers, and internal stakeholders, including participation in customer meetings and implementation initiatives. Accountable for achieving clinical, operational, quality, and financial objectives for the assigned team. Required Qualifications: Active and unrestricted RN license in their state of residence and have the ability to obtain multi-state licensure upon hire 5+ years of oncology experience Minimum of 2 years of utilization management experience - may include oversight or management of UM activities or teams Demonstrated leadership experience, managing direct reports preferred Knowledge of oncology treatment modalities, supportive care, and symptom management. Strong understanding of medical necessity principles and evidence-based clinical guidelines. Experience working with multidisciplinary healthcare teams. Experience leveraging digital health tools, predictive analytics, AI-enabled workflows. Preferred Qualifications: Oncology RN certification through ONCC. Any of the following: OCN, CPHON, CBCN, TCTCN, AOCNP, ROCNTM, AOCNS, AOCN. Mastery of problem solving and decision-making skills. Mastery of collaboration and teamwork Mastery of growth mindset (agility and developing yourself and others) skills Mastery of execution and delivery (planning, delivering, and supporting) skills Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option. Ability to function in clinical settings with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Education: Master’s degree or equivalent* experience – BSN preferred *Equivalent years of experience defined by CVS Policy: If candidate has associate’s degree, additional 4 years of experience is needed. If candidate has bachelor’s degree, an additional 2 years of experience is required. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $87,035.00 - $187,460.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 11/07/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 
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