Top 61 Medicaid coordinator Jobs in Waltham, Ma

Director of Clinical Quality and Resident Care (RN license required)
Rogerson Communities —Boston, MA
- $135,000 - $150,000 a year
- Full-time
- Nursing
- 7 years
- RN License
Quick Apply
9d
ACCS Clinical Team Director
Bay Cove Human Services —Boston, MA
- $89,760 - $94,750 a year
- Weekends as needed
- Bilingual
- Medication administration
- Addiction Medicine
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Field Technician
MedScope Installation —Somerville, MA
- Part-time
- Hybrid work
- High school diploma or GED
- Driver's License
- Travel
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MDS Coordinator
Palm Springs Post Acute —Chelmsford, MA
- $30 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
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MDS Coordinator $10,000 sign on bonus
Bear Hill Rehabilitation & Nursing Center —Stoneham, MA
- $45 - $60 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
6d
Program Director (Mental Health Services)
Vinfen —Westford, MA
- $62,197 a year
- Overtime
- Bilingual
- Background check
- CPR Certification
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DSNP Claims Resolution Coordinator
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $19.81 - $28.30 an hour
- Full-time
- Remote
- HIPAA
- Research
- Mid-level
- Health insurance
- Opportunities for advancement
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12d
Operations Coordinator, Medicaid Clinic
Mass General Brigham Medical Group, Inc. —Lawrence, MA
- $19.81 - $28.30 an hour
- Full-time
- Hybrid work
- Internal Medicine
- Mid-level
- Administrative experience
- Opportunities for advancement
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Appeals & Grievances Coordinator
Rxadvance Corporation —Southborough, MA
- $55,000 - $75,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
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MDS Nurse Assessment Coordinator for AFC in Malden ($100)
Brockton Home Health Care Agency LLC —Malden, MA
- $100 an hour
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Health insurance
- Dental insurance
Quick Apply
MDS Nurse Assessment Coordinator for AFC in Brockton ($100)
Brockton Home Health Care Agency LLC —Brockton, MA
- $100 an hour
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Health insurance
- Dental insurance
Quick Apply
MDS Nurse Assessment Coordinator for AFC in Boston ($100)
Brockton Home Health Care Agency LLC —Boston, MA
- $100 an hour
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Health insurance
- Dental insurance
Quick Apply
Medical Staff Credentialing Coordinator
South Shore Health —Weymouth, MA
- $26.20 - $37.20 an hour
- Full-time
- Hospital
- Mid-level
- Office
Administrative Coordinator
Caring Hearts Homecare —Wilmington, MA
- $23 - $25 an hour
- Full-time
- Microsoft Word
- Computer literacy
- Office
- Disability insurance
- Health insurance
Quick Apply
MDS Coordinator
Marlborough Hills Rehabilitation & Health Care Center —Marlborough, MA
- Up to $53 an hour
- Full-time
- Nursing
- Skilled nursing facility
- Management
- Paid holidays
- Dental insurance
Quick Apply
13d
MDS Coordinator- Watertown, MA
Teams NYC —Watertown, MA
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
Quick Apply
4d
Billing Coordinator - Healthcare
Boston Health Care for the Homeless Program —Boston, MA
- $22.25 - $35.60 an hour
- Full-time
- Bilingual
- Microsoft Word
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Scheduler - Home Health Care In Brockton
Brockton Home Health Care Agency LLC —Brockton, MA
- $22 - $24 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Home Health
- Paid holidays
- Health insurance
Quick Apply
Co-Responding Mobile Coordinator
NORTH SUFFOLK COMMUNITY SERVICES INC —Revere, MA
- $70,000 a year
- Full-time
- Spanish
- Mid-level
- Master's degree
- 403(b) matching
- Paid holidays
Quick Apply
Medicare Enrollment Support Program Coordinator
University of Massachusetts Medical School —Westborough, MA
- $45,000 - $54,000 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Writing skills

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medicaid coordinator jobs near waltham, ma

Director of Clinical Quality and Resident Care (RN license required)

Rogerson Communities -
Boston, MA

Quick Apply

Job Details

Full-time
$135,000 - $150,000 a year
9 days ago

Qualifications

Long-term care regulations
RN License
Team leadership
CMS
Working with geriatric patients
CMS regulatory compliance
Bachelor's degree
Medicare regulations
Data interpretation
Medicaid regulations
Medicaid
Clinical team leadership
Geriatrics
Team building

Full Job Description

TITLE: Director of Clinical Quality and Resident Care

SUPERVISOR: Director of Senior Living

STATUS: Full-time, exempt

Compensation: $135,000- $150,000/annually DOE

SUMMARY OF RESPONSIBILITIES:

Reporting to Rogerson’s Director of Senior Living, The Director of Clinical Quality and Resident Care provides clinical leadership across Rogerson’s senior living and adult day health programs. This position promotes and integrates the mission and philosophy of Rogerson by supporting excellence in Resident Care, Memory Care, Adult Day Health, Quality Improvement, and Operational best practices. The director partners with Executive Directors, Directors of Nursing, and clinical leaders to ensure exceptional resident care, strengthen resident care practice, standardize operations, support regulatory readiness, and drive continuous quality improvement. The Director leads organizational initiatives related to quality, risk management, policy development, and resident care systems while fostering a culture of collaboration, accountability, and resident-centered care. The Director serves as the organization’s clinical care leader ensuring high quality, resident centered and family focused care across programs while promoting operational excellence. The Director serves as the primary liaison with regulatory agencies, oversees risk management, and leads continuous quality improvement efforts to support Rogerson’s mission and values.

Clinical Leadership

Provide clinical leadership across all senior living and adult day health programs, ensuring that resident and participant care adheres to established standards of practice and regulatory requirements.

Partners with Executive Directors, Directors of Nursing, Nurse Managers, and Clinical Care Coordinator to promote clinical excellence, operational consistency, and high-quality resident outcomes.

Ensure comprehensive, individualized care plans are developed and implemented for all residents and participants.

Oversee clinical practices, including medication management, infection prevention and control, clinical documentation, and resident safety across all programs.

Establish, monitor, and analyze clinical quality indicators and outcome measures to identify trends and opportunities for improvement.

Serve as a clinical resource to executive leadership on resident care, clinical operations, healthcare trends, and best practices for Resident Care, Memory Care, and Adult Day Health programs.

Partner with Director of Senior Living and Executive Directors to development and implement organizational clinical initiatives that support quality outcomes, operational excellence, and Rogerson’s strategic priorities.

Quality Improvement & Regulatory Excellence

Lead Rogerson’s Quality Assurance and Performance Improvement (QAPI)program, promoting a culture of continuous quality improvement across all senior living communities and Adult Day Health.

Ensure organizational compliance with all applicable Massachusetts Department of Public Health (DPH), Executive Office of Aging & Independence (AGE), Centers for Medicare & Medicaid Services (CMS), and other regulatory bodies.

Develop and maintain systems to monitor quality outcomes, regulatory compliance, and organizational performance across multiple communities and service lines.

Conduct routine clinical and operational reviews, internal audits and regulatory readiness assessments; ensuring timely follow-up and corrective action.

Coordinate and support state surveys, licensing visits and licensure renewals.

Monitor changes in federal, state, and industry regulations and collaborate with organizational leadership to implement necessary operational and clinical changes.

Analyze quality metrics, clinical data, and regulatory finds to identify trends, measurement performance, and implement evidence-based improvement initiatives.

Facilitate regular Quality and Clinical Leadership meetings to review performance indicators, share best practices and promote accountability across communities.

Collaborate with Executive Directors and clinical leaders to develop and monitor performance Promote a culture of continuous improvement, accountability, and person-centered care.

Clinical Operations

Develop, maintain, and standardize clinical policies and procedures, ensuring documents remain current and centrally managed

Review and revise policies and procedures in response to regulatory changes, operational needs, and industry best practices.

Support the development and implementation of standardized clinical workflows that promote consistency and efficiency across communities.

Partner with leaders to support the implementation of electronic health records (EHR) and ongoing utilization.

Identify opportunities to improve clinical processes, documentation, and operational efficiency across programs.

Collaborate with community leadership on clinical initiatives that enhance resident care and organizational effectiveness.

Leadership Development and Education

Oversee the development and delivery of clinical, regulatory, and leadership education. .

Ensure all employees maintain required credentials, licensure, and annual training.

Ensure competency assessments and in-service education align with clinical and compliance standards.

Support onboarding, development, and mentoring of Directors of Nursing and other clinical leaders.

Promote a culture of learning, accountability, and continuous improvement/

Risk Management and Incident Oversight

Lead incident review, reporting, and investigation processes in accordance with DPH and AGE regulations.

Collaborate with leadership on corrective action plans and communication protocols.

Develop proactive risk management strategies to ensure participant and resident safety.

Monitor incident trends and collaborate with community leadership to identify opportunities to reduce clinical risk and improve resident safety.

Collaboration & Communication

Identifies and executes needed collaborations to enhance communities' service provision with regional and corporate operations teams.

Ensures residents and families are educated about residents' rights.

Creates and maintains a warm professional environment.

Assures that all associates are fully informed on the answers to the most frequently asked questions by residents, families, and prospective families.

Facilitates regularly scheduled meetings with department heads and associates.

Possesses excellent communication skills, both verbal and written, and the ability to relate in a positive and professional way to a diverse resident and associate population.

Qualifications

Education & Licensure:

Registered Nurse (RN) required; bachelor’s degree in nursing or related field required.

Master’s degree in nursing, Healthcare Administration, Public Health, or a related discipline preferred.

Current RN license in the Commonwealth of Massachusetts.

Experience:

Minimum 7 years of progressive leadership experience in healthcare, senior living, or community health settings.

Demonstrated expertise in regulatory compliance and clinical operations for both residential and community-based programs.

Experience with DPH, AGE, CMS, and Medicaid/Medicare compliance standards.

Proven success leading quality improvement and clinical risk management initiatives.

Strong understanding of clinical best practices in geriatric and adult care.

Excellent knowledge of healthcare regulations and compliance frameworks.

Effective leadership, communication, and team-building skills.

Analytical and data-driven decision-making abilities.

Commitment to ethical standards and the mission of a non-profit organization.

Ability to travel between locations.

Licenses & Certifications

Preferred

Registered Nurse

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

medicaid coordinator jobs in waltham, ma

Director of Clinical Quality and Resident Care (RN license required)

ACCS Clinical Team Director

Field Technician

MDS Coordinator

MDS Coordinator $10,000 sign on bonus

Program Director (Mental Health Services)

DSNP Claims Resolution Coordinator

Operations Coordinator, Medicaid Clinic

Appeals & Grievances Coordinator

MDS Nurse Assessment Coordinator for AFC in Malden ($100)

MDS Nurse Assessment Coordinator for AFC in Brockton ($100)

MDS Nurse Assessment Coordinator for AFC in Boston ($100)

Medical Staff Credentialing Coordinator

Administrative Coordinator

MDS Coordinator

MDS Coordinator- Watertown, MA

Billing Coordinator - Healthcare

Scheduler - Home Health Care In Brockton

Co-Responding Mobile Coordinator

Medicare Enrollment Support Program Coordinator

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