Top 17 Mds rn Jobs in Anaheim Ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare —Los Angeles, CA
- $30.37 - $59.21 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Discharge planning
- Health insurance
Nursing MDS RN
GARDENS HEALTHCARE LLC —Pico Rivera, CA
- $55 - $60 an hour
- Full-time
- Nursing
- RN License
- Mid-level
12d
MDS Coordinator
Rowntree Gardens —Stanton, CA
- $50 - $55 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- 403(b) matching
- Paid holidays
Quick Apply
2d
Nursing MDS
Colonial Gardens Nursing Home —Pico Rivera, CA
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
12d
MDS Coordinator
Harbor Post-Acute Care Center —Torrance, CA
- From $50 an hour
- Full-time
- Background check
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
MDS Director, RN
Sunnyside Nursing and Post-Acute Care —Torrance, CA
- $124,800 - $135,200 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Paid training
- Paid holidays
Quick Apply
Medicare MDS Coordinator
Mesa Verde Post Acute Care Center —Costa Mesa, CA
- $50 - $55 an hour
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
10d
MDS Coordinator- Skilled Nursing Facility
Healthcare Center of Orange County —Buena Park, CA
- $40 - $55 an hour
- Full-time
- Skilled nursing facility
- LVN
- RN License
- Health insurance
- Dental insurance
Quick Apply
MDS Coordinator RN/LVN
Mesa Verde Post Acute Care Center —Costa Mesa, CA
- $50 - $55 an hour
- Full-time
- CPR Certification
- Skilled nursing facility
- LVN
- Paid holidays
- Health insurance
Quick Apply
9d
MDS RAI Coordinator
FOOTHILL REHAB CENTER LLC —Glendora, CA
- $43 - $45 an hour
- Full-time
- Nursing
- LVN
- RN License
Medicare MDS Coordinator RN (Registered Nurse)
Montecito Heights Healthcare & Wellness Centre —Los Angeles, CA
- $52 - $58 an hour
- Full-time
- CPR Certification
- Skilled nursing facility
- RN License
Quick Apply
MDS Nurse
California PostAcute Care —Lynwood, CA
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
MDS COORDINATOR (RN or LVN)
San Pedro Convalescent Home, Inc —San Pedro, CA
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
MDS COORDINATOR
Los Palos Post-Acute Care Center —San Pedro, CA
- Full-time
- CPR Certification
- Skilled nursing facility
- LVN
Quick Apply

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Registered Nurse Case Manager
TalentBurst, Inc. —Mission Viejo, CA
Days off will vary and are not guaranteed to be back-to-back, although every effort will be made to schedule consecutive days off when possible.
$2,779 a week
Quick Apply
3d
Registered Nurse (RN) Case Manager- Home Health
Team Select Home Care —Pomona, CA
Active *Registered Nurse (RN)* license in *California*. You’ll spend your time in *patient homes and the field*, ensuring care plans are effective, compliant,…
$100,000 - $103,000 a year
Quick Apply

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MDS Nurse
Cedarvale Commons Rehabilitation & Healthcare Center —Washington Court House, OH
Current RN or LPN license in the state of Ohio (required). The MDS Coordinator is responsible for coordinating and completing the Minimum Data Set (MDS)…
Quick Apply
4d
MDS Nurse Transition Leader
Otterbein SeniorLife —Columbus, OH
Licensure/Certification: Current OH RN license; RN license in IN a plus. Tuition Reimbursement up to $5,250 per year for ANY field of study.
Quick Apply

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RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare -
Los Angeles, CA

Apply Now

Job Details

Full-time
$30.37 - $59.21 an hour

Benefits

Health insurance

Qualifications

Inpatient experience
RN License
Managed care organization experience
Pre-authorization review for utilization management
Acute care experience
Productivity software
Nursing

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.

Required Qualifications

At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).

Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $30.37 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

mds rn jobs in anaheim ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Nursing MDS RN

MDS Coordinator

Nursing MDS

MDS Coordinator

MDS Director, RN

Medicare MDS Coordinator

MDS Coordinator- Skilled Nursing Facility

MDS Coordinator RN/LVN

MDS RAI Coordinator

Medicare MDS Coordinator RN (Registered Nurse)

MDS Nurse

MDS COORDINATOR (RN or LVN)

MDS COORDINATOR

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