Top 58 Registered nurse case manager Jobs in Fall River, Ma

RN MDS Coordinator/Case Manager
Lake Forest Health & Rehabilitation —Smithfield, RI
- $45 - $48 an hour
- Full-time
- Anatomy knowledge
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
7d
RN Case Manager - WESTERLY/WASHINGTON COUNTY/SOUTH COUNTY
Amedisys —Warwick, RI
- $85,800 - $98,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
- Mileage reimbursement
- Paid parental leave
RN Case Manager
Amedisys —Bridgewater, MA
- $90,000 - $96,000 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Paid parental leave
RN Hospice Nurse Case Manager Beacon Hospice Amedisys
Amedisys —North Kingstown, RI
- $92,000 - $98,000 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Paid parental leave
13d
RN Case Manager - EAST BAY/PAWTUCKET/CENTRAL FALLS
Amedisys —Warwick, RI
- $85,800 - $98,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
- Mileage reimbursement
- Paid parental leave
Hybrid Registered Nurse Care Manager
CareSource —Fall River, MA
- $80,000 - $120,000 a year
- Weekends as needed
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Mileage reimbursement
- Health savings account
Quick Apply
Care Manager, LTSS (RN)- Local Field Travel in Massachusetts
Molina Healthcare —New Bedford, MA
- $30.37 - $59.21 an hour
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Health insurance
RN Care Manager
Careforth —Fall River, MA
- $75,969 - $93,035 a year
- Full-time
- RN License
- Experience working with individuals with disabilities
- Mid-level
- Wellness program
- Flexible schedule
4h
RN Case Manager
Sturdy Health —Attleboro, MA
- $87,015.12 - $135,323.52 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
13d
Registered Nurse, Case Manager (RN) - Home Health
Elmwood Home Care —Fall River, MA
- Full-time
- Vital signs
- RN License
- Mid-level
Case Mgr - DSNP
Blue Cross and Blue Shield of RI Careers —Providence, RI
- $73,600 - $110,400 a year
- Full-time
- Hybrid work
- Bilingual
- RN License
- Mid-level
- Loan repayment program
- Dental insurance
DSNP RN Care Manager
Blue Cross and Blue Shield of RI Careers —Providence, RI
- $73,600 - $110,400 a year
- Full-time
- Hybrid work
- LMFT
- RN License
- Licensed Clinical Social Worker
- Loan repayment program
- Dental insurance
Case Management Special Programs - Per Diem Case Manager
Brown University Health —Providence, RI
- $38.62 - $77.22 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital
Registered Nurse, Care Manager
Care New England Health System —Warwick, RI
- Per diem
- Nursing
- Surgery
- RN License
RN Case Manager
Amedisys, Inc. —Bridgewater, MA
- $90,000 - $96,000 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Paid parental leave
Transitions RN Care Manager
Care New England Health System —Warwick, RI
- Full-time
- Acute care
- Nursing
- RN License
10d
Case Manager (CM), ARU
Kent County Memorial Hospital —Warwick, RI
- $72,800 - $95,680 a year
- Full-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
Quick Apply
Hospice Registered Nurse Case Manager
Old Colony Hospice and Palliative Care —West Bridgewater, MA
- From $40 an hour
- Full-time
- Nursing
- RN License
- HIPAA
- Free parking
- Continuing education credits
Quick Apply
2d
RN Case Manager - WASHINGTON/SOUTH COUNTIES
Amedisys —Warwick, RI
- $85,800 - $98,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
- Mileage reimbursement
- Paid parental leave
10d
RN Case Manager - KENT/WASHINGTON COUNTIES
Amedisys —Warwick, RI
- $85,800 - $98,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
- Mileage reimbursement
- Paid parental leave
10d

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RN MDS Coordinator/Case Manager

Lake Forest Health & Rehabilitation -
Smithfield, RI

Quick Apply

Job Details

Full-time
$45 - $48 an hour
7 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
Flexible schedule
Life insurance
Retirement plan

Qualifications

RN License
Hospice experience
Hospice care
Utilization management
PointClickCare
Health information management
Medical terminology

Full Job Description

Job Overview

We are seeking a dedicated and detail-oriented RN MDS Coordinator/Case Manager to join our healthcare team. The ideal candidate will possess a comprehensive understanding of clinical documentation standards, long-term care regulations, and healthcare reimbursement processes. In this role, you will be responsible for coordinating the Minimum Data Set (MDS) assessments, ensuring accurate documentation, and facilitating compliance with Medicare and Medicaid requirements. Your expertise in managed care, utilization management, and medical coding will be essential to optimize patient care and support regulatory adherence. This position offers an opportunity to impact patient outcomes positively while maintaining rigorous documentation practices within a dynamic healthcare environment. On call rotation once a month.

Responsibilities

Conduct comprehensive MDS assessments in accordance with clinical documentation standards, ensuring accuracy and completeness.
Review medical records and documentation to verify compliance with federal and state healthcare regulations, including CMS guidelines.
Collaborate with interdisciplinary teams such as nursing, therapy, social work, and physicians to gather pertinent patient information for assessments.
Ensure timely completion of MDS schedules and coordinate discharge planning activities to facilitate smooth transitions of care.
Utilize EMR/EHR systems like PCC, Point Click Care, to document findings, update patient records, and manage electronic health records efficiently.
Apply clinical knowledge of physiology, anatomy, and medical terminology to interpret complex medical data accurately.
Maintain up-to-date knowledge of long-term care regulations, Medicare policies, ICD coding (ICD-9/ICD-10), CPT coding, DRG assignments, and health regulation policies.
Support utilization management initiatives by reviewing medical necessity and optimizing resource utilization for inpatient and outpatient services.
Participate in clinical documentation improvement programs to enhance accuracy and compliance with accreditation standards such as NCQA or CMS.
Assist in training staff on documentation standards related to MDS completion, ICD coding practices, HIPAA compliance, and other regulatory requirements.

Experience

Proven experience in long-term care settings such as nursing homes or skilled nursing facilities with familiarity in MDS coordination.
Demonstrated expertise in managed care environments with knowledge of Medicare regulations and reimbursement processes.
Strong background in medical operations or with inpatient or outpatient experience preferred.
Proficiency in electronic health record (EHR) systems Clinical Works is required.
Knowledge of health information management standards including clinical documentation improvement initiatives.
Experience with discharge planning, hospice care coordination.
Familiarity with coding systems such as ICD (ICD-9/ICD-10), CPT codes, DRGs, and long-term care regulations is essential for accurate documentation review.
Ability to interpret medical terminology accurately while maintaining compliance with HIPAA and state healthcare regulations.

Join our team to ensure precise clinical documentation that enhances patient care quality while supporting regulatory compliance across diverse healthcare settings!

Pay: $45.00 - $48.00 per hour

Benefits:

Dental insurance
Disability insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

registered nurse case manager jobs in fall river, ma

RN MDS Coordinator/Case Manager

RN Case Manager - WESTERLY/WASHINGTON COUNTY/SOUTH COUNTY

RN Case Manager

RN Hospice Nurse Case Manager Beacon Hospice Amedisys

RN Case Manager - EAST BAY/PAWTUCKET/CENTRAL FALLS

Hybrid Registered Nurse Care Manager

Care Manager, LTSS (RN)- Local Field Travel in Massachusetts

RN Care Manager

RN Case Manager

Registered Nurse, Case Manager (RN) - Home Health

Case Mgr - DSNP

DSNP RN Care Manager

Case Management Special Programs - Per Diem Case Manager

Registered Nurse, Care Manager

RN Case Manager

Transitions RN Care Manager

Case Manager (CM), ARU

Hospice Registered Nurse Case Manager

RN Case Manager - WASHINGTON/SOUTH COUNTIES

RN Case Manager - KENT/WASHINGTON COUNTIES

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