Top 6 Documentation & utilization review nurses Jobs in Canton, Oh

MDS Coordinator
Stafflinx Recruiting LLC —Perry Heights, OH
- $82,000 - $95,000 a year
- Full-time
- Nursing
- Anatomy knowledge
- Skilled nursing facility
- Travel reimbursement
- Health insurance
Quick Apply
Registered Nurse Case Manager
Yande Hearts Homecare —Canton, OH
- $84,168.95 - $101,364.75 a year
- Part-time
- Background check
- Nursing
- Vital signs
- Paid time off
- 401(k) matching
Quick Apply
Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Akron —Akron, OH
- Part-time
- Master of Social Work
- RN License
- Inpatient
- Employee assistance program
- Opportunities for advancement
Quick Apply
2d
MDS LPN
The Orchards —Alliance, OH
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
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Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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MDS Coordinator

Stafflinx Recruiting LLC
Perry Heights, OH

Quick Apply

Job Details

Full-time
$82,000 - $95,000 a year

Benefits

Travel reimbursement
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Collaborate with healthcare professionals
Nursing
Anatomy knowledge
Long term care experience
Medicare
Utilization review
PICU experience
RN License
Regulatory compliance
Level I Trauma Center experience
Coding for hospital billing
HIPAA
Care documentation
Mid-level
Outpatient experience
Initial patient assessment
CMS regulatory compliance
Data management
Medicare regulations
Electronic health record (EHR) management for billing and coding
Utilization management
NCQA standards
Centers for Medicare and Medicaid Services (CMS)
Clinical assessment documentation
Health record chart audits
Health information regulatory compliance
Discharge planning
Organizational skills
Centers for Medicare & Medicaid Services (CMS) billing regulations
IT

Full Job Description

Overview
We are seeking a highly skilled and detail-oriented MDS Coordinator (RN or LPN) to join our Skilled Nursing Facility Team. The ideal candidate will play a vital role in ensuring accurate and timely completion of the Minimum Data Set (MDS) assessments, which are essential for quality patient care, reimbursement, and compliance with regulatory standards. This position offers an opportunity to work within a dynamic clinical environment, supporting inpatient, outpatient, hospice, and long-term care settings. Experience with EMR/EHR systems such as Epic, Cerner, Athenahealth, or eClinicalWorks is highly valued. The MDS Coordinator will collaborate closely with nursing staff, case management, and medical records departments to optimize clinical documentation and ensure adherence to HIPAA and NCQA standards.

Duties

Conduct comprehensive assessments of patients in accordance with federal and state regulations, including Medicare and Medicaid requirements.
Complete accurate MDS documentation utilizing EMR/EHR systems such as Epic, Cerner, or Athenahealth.
Review medical records for completeness and accuracy; ensure proper coding using ICD-10, ICD-9, CPT coding, DRGs, and other relevant classification systems.
Collaborate with nursing staff to gather detailed clinical information related to patient care in various settings including inpatient units (ICU, PICU, Level I & II Trauma Centers), outpatient clinics, primary care, pediatrics, and specialized units like OR or hospice care.
Perform utilization review and management activities to support discharge planning, case management, and clinical documentation improvement initiatives.
Ensure compliance with HIPAA regulations concerning medical records and medical documentation confidentiality.
Maintain up-to-date knowledge of healthcare regulations such as NCQA standards and managed care policies affecting documentation practices.
Provide education and support to clinical staff regarding documentation requirements for accurate coding and billing processes.
Assist in the transition of patient data across different EMR/EHR platforms ensuring seamless documentation review and management.

Skills

Proficiency with EMR/EHR systems including Epic, Cerner, Athenahealth, eClinicalWorks or similar platforms.
Strong knowledge of medical terminology, anatomy, physiology, nursing practices, and clinical documentation standards.
Experience with ICD-10/ICD-9 coding, CPT coding, DRGs, Medicare regulations, utilization review/management processes.
Familiarity with inpatient (ICU, trauma centers), outpatient clinics, hospice care, discharge planning, home care settings.
Background in managed care environments with understanding of NCQA standards and health information management principles.
Excellent attention to detail with strong organizational skills for managing complex medical records and documentation review tasks.
Ability to work collaboratively across multidisciplinary teams including nursing staff and case managers.
Knowledge of HIPAA compliance requirements related to patient privacy and medical records security. This role is ideal for professionals committed to improving patient outcomes through precise clinical documentation while supporting healthcare operations in a fast-paced environment. The successful candidate will demonstrate expertise in medical coding systems and healthcare IT platforms while maintaining a focus on regulatory compliance and quality improvement initiatives.

IND1

Pay: $82,000.00 - $95,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Travel reimbursement
Vision insurance

Experience:

MDS : 1 year (Required)

License/Certification:

RN or LPN License in the State of Ohio (Required)

Ability to Commute:

Perry Heights, OH (Required)

Work Location: In person

Quick Apply

Refine Your Search

documentation & utilization review nurses jobs in canton, oh

MDS Coordinator

Registered Nurse Case Manager

Case Manager / PRN ( RN / RT / SW / LPN )

MDS LPN

Utilization Management Reviewer

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