Top 37 Clinical documentation & utilization review nurses Jobs in Frisco, Tx

MDS Coordinator (PCC) LVN
CARRARA —Plano, TX
- Full-time
- Skilled nursing facility
- LVN
- RN License
- Continuing education credits
- Health insurance
Quick Apply
MDS Coordinator (PCC) LVN
Cantex Continuing Care Network —Flower Mound, TX
- Full-time
- Nursing
- Skilled nursing facility
- LVN
- Continuing education credits
- Health insurance
Quick Apply
4d
MDS Coordinator (PCC) LVN
SAN REMO —Richardson, TX
- Full-time
- Skilled nursing facility
- LVN
- RN License
- Continuing education credits
- Health insurance
Quick Apply
Utilization Review Nurse Health Plans - HP Utilization Management
Christus Health —Irving, TX
- 8 hour shift
- Microsoft Word
- Nursing
- Microsoft Excel
Utilization Review Nurse
Bracane Co —Plano, TX
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCF
Carrus Health —Frisco, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
RN Utilization Review Coordinator, Full-time
Methodist Hospital for Surgery —Addison, TX
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Clinical Pre-Assessment Review Specialist
PAM Health, LLC —Plano, TX
- Customer service
- Word processing
- Writing skills
Quick Apply
7d
Clinical Review Specialist
The Specialty Alliance —Southlake, TX
- $65,000 - $90,000 a year
- Full-time
- Nursing
- LVN
- 5 years
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REGIONAL CLINICAL REIMBURSEMENT SPECIALIST - SOUTH CENTRAL TEXAS
INNOVATIVE NURSE CONSULTING LLC —Dallas, TX
- Nursing
- Management
- RN License
Home Health Quality Assurance LVN
UT Southwestern —Dallas, TX
- Full-time
- Nursing
- LVN
- Mid-level
- Paid parental leave
- Paid holidays
Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX)
ProHealth Home Health and Hospice —Addison, TX
- Nursing
- English
- Mid-level
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MDS Coordinator
The Healthcare Resort of Plano —Plano, TX
- Full-time
- Mid-level
- Teaching
Staff Nurse Outpatient Clinic PHP/IOP CCFM
Carrus Health —Flower Mound, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCP
Carrus Health —Plano, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCG
Carrus Health —Garland, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
Staff Nurse Outpatient Clinic PHP/IOP CCSL
Carrus Health —Southlake, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
CDI Specialist
Exceptional Healthcare Inc. —Dallas, TX
- Full-time
- Nursing
- RN License
- Inpatient
Quick Apply
Clinical Rehabilitation Specialist
North Texas Division Office —Dallas, TX
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- Children
- Employee stock purchase plan
- Disability insurance
Quick Apply
23h
LVN Home Health Clinical Support Specialist
Discovery At Home Texas —Plano, TX
- CPR Certification
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply

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MDS Coordinator (PCC) LVN

CARRARA -
Plano, TX

Quick Apply

Job Details

Full-time

Benefits

Continuing education credits
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance

Qualifications

Report writing
Caregiving documentation requirements
Care documentation
Clinical assessment documentation
Clinical documentation standards
Task assignment

Full Job Description

$10,000 SIGN-ON BONUS!!!

Location: Plano, TX

Schedule: Full-time role with standard business hours

Reports to: Administrator / Director of Nursing

What We Offer You

Competitive pay
Performance‑based bonus opportunities
Comprehensive health, dental, and vision insurance
Additional supplemental benefits (life insurance, disability, accident, etc.)
401(k) with company match
Generous paid time off (PTO/Sick)
Clear career growth and advancement opportunities
A supportive and vibrant company culture
Many more employee perks and benefits

Job Summary

The MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator plays a key role in maintaining high‑quality resident care, supporting interdisciplinary collaboration, and ensuring reimbursement aligns with clinical delivery and federal/state guidelines.

Qualifications

Current, valid Texas nursing license (RN or LVN)
At least 2 years of long‑term care experience preferred
Acknowledgement of Completion Certificate through HHSC RUG Online Training for Nursing Facilities
Must complete AANAC RAI Certification within 1 year of employment
Strong communication, documentation, and delegation skills
Ability to read, write, analyze, and interpret clinical documentation, regulations, and technical procedures
Ability to write reports, business correspondence, nursing progress notes, and care‑related documentation
Ability to present information effectively to department heads, residents, families, physicians, and regulatory partners

Essential Functions

Maintain compliance with all State and Federal Medicare/Medicaid rules, regulations, and published interpretations
Review pre‑admission paperwork to ensure qualifying medical necessity
Attend daily weekday stand‑up meetings
Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team to ensure reimbursement aligns with care delivery
Audit clinical records to ensure documentation accuracy; educate and train staff on documentation guidelines
Obtain and update Medicare‑qualifying diagnoses for Medicare Part A residents
Initiate and update physician certifications for Medicare Part A residents
Complete all MDS assessments within required timeframes for Medicare and Medicaid residents
Review 24‑hour nursing reports to identify changes in resident condition
Prepare for Medicaid audits and ensure documentation readiness
Track resident benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing
Achieve budgeted reimbursement rate expectations
Uphold Patient Care Management Systems and Financial Management Systems
Ensure resident safety and compliance with Abuse Prevention policies
Perform other duties as assigned

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

#Corp

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Refine Your Search

clinical documentation & utilization review nurses jobs in frisco, tx

MDS Coordinator (PCC) LVN

MDS Coordinator (PCC) LVN

MDS Coordinator (PCC) LVN

Utilization Review Nurse Health Plans - HP Utilization Management

Utilization Review Nurse

Staff Nurse Outpatient Clinic PHP/IOP CCF

RN Utilization Review Coordinator, Full-time

Clinical Pre-Assessment Review Specialist

Clinical Review Specialist

REGIONAL CLINICAL REIMBURSEMENT SPECIALIST - SOUTH CENTRAL TEXAS

Home Health Quality Assurance LVN

Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX)

MDS Coordinator

Staff Nurse Outpatient Clinic PHP/IOP CCFM

Staff Nurse Outpatient Clinic PHP/IOP CCP

Staff Nurse Outpatient Clinic PHP/IOP CCG

Staff Nurse Outpatient Clinic PHP/IOP CCSL

CDI Specialist

Clinical Rehabilitation Specialist

LVN Home Health Clinical Support Specialist

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