Top 19 Utilization review nurse Jobs in Fairview Heights Il

MDS Coordinator (RN) *Sign-On Bonus!*
St. Sophia Health & Rehabilitation Center —Florissant, MO
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Dental insurance
- 401(k)
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RN Utilization Review Case Manager
Gateway Regional Medical Center —Granite City, IL
- $32 - $48 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Paid holidays
- Health insurance
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Case Manager
SSM Health Rehabilitation Hospital —St. Louis, MO
- $77,000 - $105,000 a year
- 8 hour shift
- RN License
- Hospital
- Inpatient
- Dental insurance
- Paid time off
Quick Apply
RN Care Manager II-IPCM/FT/Mercy Hospital STL
Mercy —St. Louis, MO
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
RN Case Manager - PRN, Mindful Living Institute at Christian Hospital
BJC HealthCare —St. Louis, MO
- $33.60 - $51.40 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
RN Case Manager - Christian Hospital, Emergency Department
BJC HealthCare —St. Louis, MO
- $69,888 - $106,912 a year
- Full-time
- Acute care
- Nursing
- Mid-level
- Disability insurance
- Health insurance
9d
RN Case Manager (Emergency Room) - Barnes-Jewish Hospital
BJC HealthCare —St. Louis, MO
- $69,888 - $106,912 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
3d
Case Manager - Hospital Social Work
SSM Health Rehabilitation Hospital —St. Louis, MO
- $77,000 - $105,000 a year
- 8 hour shift
- RN License
- Hospital
- Inpatient
- Dental insurance
- Paid time off
Quick Apply
RN Nurse Navigator - Mercy Clinic Orthopedics
Mercy —St. Louis, MO
- Full-time
- Nursing
- Surgery
- RN License
- Paid parental leave
- Health insurance
9d
Hospice Clinical Team Manager (RN Required)
VITAS Healthcare —St. Louis, MO
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
RN Field Case Manager- Chicago, IL
OpTech LLC —Illinois
- $80,000 - $90,000 a year
- No weekends
- Nursing
- Microsoft Outlook
- RN License
- Mileage reimbursement
- Paid holidays
Quick Apply
8d
Registered Nurse - Case Manager
SSM Health —St. Louis, MO
- Part-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Health insurance
Senior Clinical Solutions Specialist
Medline Industries —St. Louis, MO
- $92,000 - $138,000 a year
- Full-time
- Microsoft Excel
- RN License
- Hospital
- Health insurance
- 401(k)
Registered Nurse ( RN ), Home Health - Part Time
AW Health Care —Arnold, MO
- $75,000 - $90,000 a year
- 8 hour shift
- Nursing
- Heavy lifting
- RN License
- AD&D insurance
- Disability insurance
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Registered Nurse ( RN ), Home Health
AW Health Care —Arnold, MO
- $75,000 - $90,000 a year
- Weekends as needed
- Nursing
- Heavy lifting
- RN License
- AD&D insurance
- Disability insurance
Quick Apply
Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- RN License
- 3 years
- Health insurance
- Dental insurance
Quick Apply
2d

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UHS - Nashville Regional Office —Illinois
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MDS Coordinator RN $5,000 Sign On Bonus
EverVella of Swansea —Swansea, IL
Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.
$90,000 - $100,000 a year
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5d

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MDS Coordinator (RN) Sign-On Bonus!

St. Sophia Health & Rehabilitation Center -
Florissant, MO

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Job Details

Full-time

Benefits

Dental insurance
401(k)
Tuition reimbursement
Vision insurance
401(k) matching

Qualifications

Computer operation
CPR Certification
RN License
Customer service
Computer literacy
BLS Certification
Computer skills

Full Job Description

At St. Sophia Health & Rehab, we deliver the highest quality of care for every resident through our most valuable asset: you. We seek compassionate and thoughtful individuals who share our passion for exceptional care in senior living. St. Sophia Health & Rehab partners with a vast network of skilled nursing centers across two states to support our small team environment of caring professionals with the resources and benefits of a large enterprise. Your legacy of excellence begins when you join us at St. Sophia Health & Rehab.

Pay, Benefits and Perks of MDS Coordinator (RN):

$15,000 sign on bonus for full-time qualifying RN candidates
Competitive Pay Based on Experience
6 Observed Holidays + 1 Floating Holiday
Up to $5,000 per in tuition/education reimbursement per calendar year for approved program of study
Take home up to 75% of your net earned wages at the end of every shift
401(k) Retirement plan with company-matched contributions after 1 year of employment
Medical (Teledoc Included), Dental, Vision, Life and other voluntary Insurances for full-time employees

Essential Functions of MDS Coordinator (RN):

Have a thorough understanding of all regulations and standards related to the RAI process (Federal/State regulations and MDS RAI User Manual).
Participate in the pre-admission process to ensure essential information needed for MDS/Case Mix coding is obtained from the referral source(s) and meets Medicaid eligibility requirements when applicable.
Work in collaboration with the Director of Nursing to ensure necessary nursing documentation and risk assessments are completed timely to capture nursing services delivered on the MDS.
Participate in meetings at community and corporate level.
Participate in the preparation and timely submission of any Additional Documentation Requests (ADRs)/Revenue Audits.
Participate in the community orientation as the community’s subject matter expert on Activities of Daily Living (ADL) documentation and MDS supportive documentation requirements.
Participate in the training of new associates on the RAI process.
Provide ongoing training/education to staff regarding RAI process to included but not limited to: ADL documentation, interview techniques, skilled services and documentation guidelines.
Assesses competency of all staff members involved in the RAI process and educates the interdisciplinary team (IDT) as needed.
Demonstrate an understanding and assisting in the preparation of clinical, quality and reimbursement reports.
Participating in the review of quarterly Medicaid reports, if applicable.
Completion of the RAI process and management of the MDS department.
Ensures timely, accurate, and complete assessments of the residents’ health and functional status during the entire assessment period.
Schedules and opens in the EMR resident’s MDS assessments as applicable per RAI guidelines for OBRA, Medicare PPS, and/or Medicaid/State required assessments.
Accurately code the MDS to reflect services delivered per RAI guidelines. Ensures the accurate and timely completion of all MDS sections and assessments.
Ensures individualized plans of care with interdisciplinary approach in accordance with federal, state and local regulations, and the established policies and procedures.
Reviews the CASPER validation reports and ensures that appropriate follow-up action is taken.
Analyzes Quality Measure reports as a mechanism of quality assurance and improvement.
Functions as an RAI and Clinical Reimbursement resource to the community staff.
Attends and participates in education, such as but not limited to: Corporate webinars and meetings, RAC-CT, ADL training, Relias/Online training, and community training.
Maintains proficiency in the operations of the clinical/MDS software program.
Maintains proficiency in the ability to transmit data per regulatory standards.
Maintains proficiency in Medicare/PDPM, ICD10 coding, OBRA, RAI and Regulatory changes related to.
Maintains confidentiality of pertinent client and employee information to assure their privacy is protected.
Safety concerns are identified, and appropriate actions are taken to maintain and assure patient safety.
Monitors clinical systems for changes in resident condition.
Strategically sets assessment reference date (ARD), in conjunction with the interdisciplinary team, to capture needs, care and services delivered to accurately reflect the status of the resident.
Monitors MDS and care plan documentation on all residents, assuring that complete, orderly and chronological documentation is maintained in the file.
Communicates pertinent information to nursing management, business office, facility administration, Regional Clinical Reimbursement, and corporate biller.
Attends, actively participates, and provides MDS, QM, and Reimbursement expertise at the following meetings: Daily Clinical, Weekly Resident at Risk, Weekly Utilization Review and Daily Stand up.
Remains current with industry changes.

Other Duties of MDS Coordinator (RN):

As this job description is not intended to be all-inclusive, the employee will be expected to perform other essential functions and duties as assigned.

Qualifications of MDS Coordinator (RN):

Graduate of an accredited school of nursing.
Must be an RN with a current, active Missouri license.
CPR Certified
MDS experience is preferred, however will educate and work alongside any dedicated, enthusiastic candidate to grow their skill set in this challenging and rewarding career.
Candidates must maintain a working email address and phone number for employer communication.
Basic computer knowledge.
Excellent written, verbal, and interpersonal skills.
Exhibit excellent customer service and a positive attitude.
Convey compassion and empathy for residents and their representatives.
Be a skilled communicator, educator, director, and motivator
Have exceptional organizational and time management skills
Be committed to excellence.

EEO Statement:

Our facility provides equal employment opportunities. We are committed to complying with all state, federal, and local laws that prohibit discrimination in employment, including recruitment, hiring, placement, promotion, transfers, compensation, benefits, training, programs, reductions in workforce, termination, and recall. Our facility strives to provide equal opportunity for employment to all individuals who are properly qualified and able to perform the duties of their employment, without regard to employees; legally-protected characteristics (protected class) including: age, sex, race, color, creed, religion, national origin, ancestry, citizenship, marital status, pregnancy, medical condition, physical or mental disability, sexual orientation, gender identity, sex stereotyping, or genetic information.

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utilization review nurse jobs in fairview heights il

MDS Coordinator (RN) Sign-On Bonus!

RN Utilization Review Case Manager

Case Manager

RN Care Manager II-IPCM/FT/Mercy Hospital STL

RN Case Manager - PRN, Mindful Living Institute at Christian Hospital

RN Case Manager - Christian Hospital, Emergency Department

RN Case Manager (Emergency Room) - Barnes-Jewish Hospital

Case Manager - Hospital Social Work

RN Nurse Navigator - Mercy Clinic Orthopedics

Hospice Clinical Team Manager (RN Required)

RN Field Case Manager- Chicago, IL

Registered Nurse - Case Manager

Senior Clinical Solutions Specialist

Registered Nurse ( RN ), Home Health - Part Time

Registered Nurse ( RN ), Home Health

Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract

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