Top 4 Utilization review nurse Jobs in Moberly, Mo

MDS Coordinator
Clarence Care Center —Clarence, MO
- $25 - $40 an hour
- Full-time
- Skilled nursing facility
- Mid-level
- Case management
- Health insurance
- Dental insurance
Quick Apply
7d
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
13d

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Nurse Practitioner / Physician Assistant
The Nurse Practitioner Group —Columbia, MO
Maintain a valid state license, and current AANP/ANCC/NCCPA certification as applicable. Keep office space tidy, greet veteran and introduce yourself prior to…
$450 - $500 a day
Registered Nurse
North Village Park —Moberly, MO
Valid nursing license (RN) in the relevant jurisdiction with current certification. Collaborate with physicians, therapists, and other healthcare professionals…
$45 - $50 an hour
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Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Case Manager (RN) - Full-Time
OhioHealth Rehabilitation Hospital —Columbus, OH
Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.
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1d

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MDS Coordinator

Clarence Care Center -
Clarence, MO

Quick Apply

Job Details

Full-time
$25 - $40 an hour
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
Life insurance
Retirement plan

Qualifications

Medicare
Utilization review
Records management
Case management
Utilization management

Full Job Description

Overview
We are seeking a dedicated and detail-oriented MDS Coordinator to join our healthcare team. In this vital role, you will lead the comprehensive assessment and documentation of patient care needs within skilled nursing facilities, ensuring compliance with regulatory standards and optimizing patient outcomes. You will also be responsible for care plan coordination and medicare meetings. The small home like setting that we have allows for flexibility around your schedule. This position offers an exciting opportunity to make a meaningful impact on patient care quality while working within a dynamic healthcare environment.

Duties

Conduct thorough assessments of residents’ clinical status, functional abilities, and care needs in accordance with federal and state regulations, including CMS guidelines.
Complete and review MDS assessments accurately within designated timeframes to ensure compliance with all applicable standards.
Collaborate with interdisciplinary teams—including nursing, therapy, social services, and medical staff—to develop individualized care plans based on assessment findings.
Perform ongoing monitoring and updates of resident records to reflect changes in condition or care requirements.
Facilitate accurate ICD-10 coding and CPT coding for billing purposes, ensuring alignment with clinical documentation and Medicare requirements.
Support utilization review and management processes by analyzing patient data to optimize resource use and facilitate discharge planning.
Maintain compliance with HIPAA regulations and uphold the confidentiality of all medical records and documentation.
Must be able to be on call

Skills

Extensive knowledge of MDS processes, including completion, review, and submission aligned with NCQA standards.
Proficiency in Matrix (EMR system)
Strong understanding of ICD-10 coding, CPT coding, ICD-9 coding, DRG assignment, and Medicare regulations related to skilled nursing facilities.
Familiarity with hospital-based discharge planning, hospice care coordination, outpatient services, and home health environments.
This role is perfect for professionals passionate about advancing healthcare standards while fostering a compassionate environment for residents’ well-being.

Pay: $25.00 - $40.00 per hour

Benefits:

Dental insurance
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Work Location: In person

Quick Apply

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utilization review nurse jobs in moberly, mo

MDS Coordinator

Appeals Professional III (Licensed Clinician)

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