Top 14 Clinical documentation & utilization review nurses Jobs in Melbourne, Fl

MDS Coordinator-RN
Viera Health and Rehabilitation Center —Melbourne, FL
- $34 - $42 an hour
- Full-time
- Background check
- Nursing
- Skilled nursing facility
- Paid holidays
- Disability insurance
Quick Apply
5d
Utilization Management Nurse - Case Management
Health First Careers —Melbourne, FL
- Full-time
- Nursing
- RN License
- 5 years
- Health insurance
9d
Clinical Validation Auditor - Coding and Documentation
Health First Careers —Rockledge, FL
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
Medical Review Nurse (USACE)
Acuity International —Cape Canaveral, FL
- $66,560 - $70,000 a year
- Full-time
- Nursing
- RN License
- 5 years
Quick Apply
Medical Review Nurse (Deployment/OIG)
Acuity International —Cape Canaveral, FL
- $66,560 - $70,000 a year
- Full-time
- Nursing
- RN License
- 5 years
Quick Apply
4d
MDS Coordinator RN (Registered Nurse) Licensed Practical Nurse (LPN)
Viera Health & Rehabilitation Center —Melbourne, FL
- Full-time
- Background check
- Nursing
- Skilled nursing facility
- Paid holidays
- Disability insurance
Quick Apply
Clinical Appeals & Grievances Nurse Reviewer
Tanaq Support Services LLC —United States
- Weekends as needed
- Microsoft Word
- Nursing
- Microsoft Excel
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
10d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
MDS Coordinator/RN - Full-time - Weekdays
Willow Brook Home —Columbus, OH
Active RN license in Ohio. RN (or LPN) license in good standing (Required). Willow Brook Home is seeking a full-time MDS Coordinator to support our 50-bed care…
Quick Apply

I want to receive the latest job alert for clinical documentation & utilization review nurses in melbourne, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical documentation & utilization review nurses jobs near melbourne, fl

Clinical Documentation Specialist jobs in Rockledge, FL

Mds Coordinator jobs in Melbourne, FL

Utilization Review Nurse jobs in Cape Canaveral, FL

Utility Manager jobs in Melbourne, FL

Clinical Documentation Specialist jobs in Phoenix, AZ

Clinical Documentation Specialist jobs in Missouri

Peer Support Specialist jobs in Indiana

Clinical Documentation Specialist jobs in Nebraska

Patient Support Specialist jobs in Boston, MA

Clinical Documentation Specialist jobs in Washington State

Clinical Research Coordinator jobs in Stanford, CA

Mds Coordinator jobs in Mississippi

Referral Coordinator jobs in Phoenix, AZ

Entry Level Project Coordinator jobs in Dallas, TX

Patient Care Coordinator Remote jobs in Tennessee

Mds Coordinator jobs in Maryland

Mds Coordinator jobs in Somerset, NJ

Mds Coordinator jobs in Franklin, TN

Sustainability Coordinator jobs in California

Utilization Review Nurse jobs in San Diego, CA

MDS Coordinator-RN

Viera Health and Rehabilitation Center -
Melbourne, FL

Quick Apply

Job Details

Full-time
$34 - $42 an hour
5 days ago

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance
Referral program

Qualifications

Long-term care regulations
Medicare
Electronic health records (EHR) management
RN License
Care documentation
CMS regulatory compliance
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
LPN
Clinical documentation standards
Managing patient records

Full Job Description

MDS Coordinator

Viera is looking for a RN (Registered Nurse) Licensed Practical Nurse (LPN) to be their MDS Coordinator.

Position Summary

The MDS Coordinator is responsible for coordinating and managing the Resident Assessment Instrument (RAI) process, including Minimum Data Set (MDS) assessments, care planning, Medicare and Medicaid reimbursement documentation, and regulatory compliance. This position works closely with the interdisciplinary team to ensure accurate resident assessments, timely submissions, quality outcomes, and optimal reimbursement.

What we offer you:

Competitive Pay

Referral Bonuses

PayActiv & Uber Rides

Paid Time Off

Paid Holidays

Medical * Dental * Vision * Life * STD Insurances.

401K retirement plan.

ABOUT VIERA HEALTH & REHAB CENTER- Located in Viera, FL, we are a skilled nursing and rehabilitation facility that is dedicated to helping our residents maximize their potential and live their lives to the fullest. We offer a modern, comfortable, and secure facility staffed by caring professionals where individuals receive the finest sub-acute medical care, rehabilitation services, and 24-hour skilled nursing care. We are committed to maintaining a facility where compassionate care is provided in an environment of respect, dignity. It is also a great working environment for our staff as we truly value and appreciate each member of our team!

Essential Duties and Responsibilities

MDS & Assessment Management

Coordinate and complete all MDS assessments in accordance with CMS, Medicare, Medicaid, and Florida regulations.
Maintain the MDS assessment schedule and ensure timely completion of OBRA and PPS assessments.
Conduct resident interviews, chart reviews, and clinical assessments.
Submit MDS assessments accurately and within required deadlines.
Monitor Assessment Reference Dates (ARDs) and ensure compliance with federal guidelines.

Care Planning

Develop, implement, and update individualized resident care plans.
Coordinate interdisciplinary care plan meetings.
Collaborate with nursing, therapy, dietary, social services, activities, and medical staff.
Ensure care plans reflect resident needs, goals, and services provided.

Reimbursement & Compliance

Ensure documentation supports Medicare and Medicaid reimbursement.
Review clinical records for accuracy, completeness, and regulatory compliance.
Monitor PDPM coding and reimbursement opportunities.
Participate in audits, quality assurance activities, and regulatory surveys.
Assist with survey preparation and plan-of-correction activities as needed.

Quality Assurance

Conduct routine chart audits.
Track quality measures and clinical outcomes.
Identify documentation deficiencies and implement corrective actions.
Participate in Quality Assurance and Performance Improvement (QAPI) programs.

Education & Leadership

Educate nursing staff regarding MDS documentation requirements and regulatory changes.
Serve as a resource for MDS, RAI, Medicare, Medicaid, and PDPM questions.
Assist with orientation and training of clinical staff.

Qualifications

Required

Current Florida Registered Nurse (RN) license or Licensed Practical Nurse (LPN)
Minimum 1–2 years of skilled nursing or long-term care experience.
Experience with MDS 3.0, RAI process, and Medicare/Medicaid regulations.
Knowledge of PDPM reimbursement methodology.
Proficiency with Electronic Medical Records (EMR).

Preferred

RAC-CT certification or willingness to obtain.
Previous MDS Coordinator experience in a skilled nursing facility.
Experience with Florida AHCA regulations and survey process.

Skills & Competencies

Strong knowledge of CMS regulations and reimbursement systems.
Excellent assessment and clinical documentation skills.
Attention to detail and accuracy.
Strong organizational and time-management skills.
Effective communication and interdisciplinary collaboration.
Ability to analyze clinical data and identify reimbursement opportunities.

We are an Equal Opportunity Employer https://www.eeoc.gov/poster

Our facility uses the Florida Background Screening Clearinghouse, 435.12, Florida Statutes. Learn more at https://info.flclearinghouse.com

Pay: $34.00 - $42.00 per hour

Benefits:

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

Work Location: In person

Quick Apply

Refine Your Search

clinical documentation & utilization review nurses jobs in melbourne, fl

MDS Coordinator-RN

Utilization Management Nurse - Case Management

Clinical Validation Auditor - Coding and Documentation

Medical Review Nurse (USACE)

Medical Review Nurse (Deployment/OIG)

MDS Coordinator RN (Registered Nurse) Licensed Practical Nurse (LPN)

Clinical Appeals & Grievances Nurse Reviewer

Appeals Professional III (Licensed Clinician)

Explore jobs in cities nearby

I want to receive the latest job alert for clinical documentation & utilization review nurses in melbourne, fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected