RN Care Specialist
2 months ago
At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others.
As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses, career advancement opportunities, and holiday pay.
Medical, dental, vision, prescription, and life insurance available for regular status full and part time employees.
Summary
Responsible for conducting audits of the medical billing documentation supporting claims billed to third parties, particularly Medicare and Medicaid. These audits determine whether services provided to residents and billed, are consistent with medical record documentation and in accordance with appropriate third-party billing regulations and/or standards. Findings are communicated to appropriate personnel. Emphasis will be placed on MDS auditing and best practices documentation. Conducts internal audits of medical documentation supporting claims billed to third parties and billing is done in accordance with appropriate third-party regulations/standards. Assists in education of clinicians and billing staff to support compliance with third party documentation and billing standards. Provides education to clinical staff in the proper use of EMR reports related to documentation in the MDS. Prepares written reports of the results of the audits and presents them to management and billing staff with recommended corrective actions. Responds to questions from nursing / billing staff regarding billing, coding and documentation. Works on joint projects with other internal compliance staff to resolve billing and documentation issues. Follows established policies and procedures, quality assurance, safety, environmental and infection control standards. Assists with periodic clinical reviews of long-term care communities in preparation for governmental or other accrediting body inspections. Assists with periodic review of Quality Measures and education of the interdisciplinary team. Monitors documentation patterns for accuracy of information through the use of reporting mechanisms within the electronic medical record software.
Job Qualifications
- Registered nurse, bachelor degree preferred
- Active RN license in Missouri and Illinois, or willing to obtain as soon as possible
- Two years of Long-Term care experience, with at least one year as MDS Coordinator
- Acute care highly desirable
- Knowledge of Medicare and Medicaid required
- Experience training/teaching adults preferred
- Software skills in Word, Excel, Power Point or equivalent required
- Basic knowledge of and experience utilizing a personal computer
- Verbal and written communication skills
- Excellent interpersonal and organizational skills
- Manual dexterity, coordination and skillful use of hands for working with required equipment
- Ability to receive and express detailed information through oral communication, visual acuity
- Ability to read and understand written directions
Category: RN
-
Nurse Care Specialist
4 weeks ago
Westwood, Massachusetts, United States BAYADA Home Health Care Full timeBAYADA Home Health Care is seeking a skilled Nurse Care Specialist to provide exceptional medical care to adult and geriatric clients living in their homes in various locations. This role involves making home visits to clients, performing assigned duties, and monitoring clients' conditions.Job ResponsibilitiesFollow a designated care plan in accordance with...
-
RN Care Specialist
3 weeks ago
Westwood, United States Bethesda Health Full timeBethesda Brings out the Best in Talented, Caring People!At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses, career advancement opportunities, and holiday pay. Medical, dental, vision, prescription, and life insurance...
-
Surgical Care Specialist
4 weeks ago
Westwood, Kansas, United States Ardent Health Full timeAbout the Role:We are seeking a skilled Surgical Care Specialist to join our team at Hackensack Meridian Pascack Valley Medical Center. As a key member of our surgical services team, you will be responsible for providing high-quality patient care and support during surgical procedures.Key Responsibilities:Plan, execute, direct, and evaluate direct and...
-
Nurse Care Specialist
4 weeks ago
Westwood, Kansas, United States BAYADA Home Health Care Full timeAbout the Role:BAYADA Home Health Care is seeking a skilled Registered Nurse to join our team as a Home Health Care Professional. As a key member of our team, you will be responsible for providing high-quality patient care and support to individuals in their homes.Responsibilities:Follow a designated care plan in accordance with patient needsMake home visits...
-
Diagnostic Imaging Specialist
4 weeks ago
Westwood, Kansas, United States AFC Urgent Care Full timeAFC Urgent Care:Our Mission: To provide exceptional healthcare services in a kind and caring environment, while respecting the rights of all patients, at times and locations convenient to them.Requirements: Associate's degree or equivalent from a two-year college or technical school with a valid ARRT registration or board eligibility. BLS Certification...
-
Nurse Care Specialist
4 weeks ago
Westwood, Pennsylvania, United States Ardent Health Full timeOverviewAt Ardent Health, we're committed to delivering exceptional patient care. As a day shift, full-time Intensive Care Unit (ICU) Registered Nurse, you'll play a vital role in our team's success. Fulfilling Your Purpose Begins Here: People First, Always. Here's how we take care of our people: Medical, vision, dental health insurance, health savings...
-
Outpatient Registered Nurse
4 months ago
Westwood, United States Fresenius Medical Care Full timeLocation: 90 Glacier Drive, Westwood, MA2021 and 2022 America's 'Most Loved Workplaces' by NewsweekNO Overnight, Sunday or on-call shifts.Major holidays off! (Thanksgiving, Christmas and New Years Days)No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator70,000+ dedicated employees,...
-
Outpatient Registered Nurse
5 months ago
Westwood, United States Fresenius Medical Care Full timeLocation: 90 Glacier Drive, Westwood, MA 2021 and 2022 America's 'Most Loved Workplaces' by Newsweek NO Overnight, Sunday or on-call shifts. Major holidays off! (Thanksgiving, Christmas and New Years Days) No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator 70,000+ dedicated employees,...
-
Dialysis RN
4 weeks ago
Westwood, United States US Renal Care Full timeJob Description How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll...
-
Patient Care Technician
1 month ago
Westwood, United States Fresenius Medical Care North America Full time**POSITION FEATURES:** **Location: 90 Glacier Drive, Westwood, MA** + 2021, 2022 and 2023 America's 'Most Loved Workplaces' by Newsweek + NO Overnight, Sunday or on-call shifts. + Major holidays off! (Thanksgiving, Christmas and New Years Days) + No prior healthcare experience required, on the job, paid 12 weeks of training to become nationally...
-
Registered Nurse
1 month ago
Westwood, United States BAYADA Home Health Care Full timeCome for the Flexibility, Stay for the Culture Needing more ‘life’ in your work-life balance? Apply to our talent network today! BAYADA offers our Registered Nurses: One on one care Flexible scheduling based on your preferences Weekly pay Preventive Care Coverage for ALL employees (PRN included) PTO Short commute times – we match you with...
-
westwood, United States Fresenius Medical Care Full timePURPOSE AND SCOPE:Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with organization policies, procedures and training. Provides nursing support to patients and staff. Assist with staffing, staff training,...
-
Schools - RN Nurse
2 months ago
Westwood, United States ProCare Therapy Full timeJob DescriptionJob DescriptionMinimum 1+ years nursing experience required.Exciting 1:1 Nurse Opportunity in Old Tappan, NJ!Are you a dedicated and skilled nurse with a passion for providing specialized care to students? We are excited to offer a full-time position for a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Old Tappan, NJ. This role is...
-
Charge Registered Nurse
1 month ago
westwood, United States Fresenius Medical Care Full timePURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe,...
-
Emergency Room Patient Care Specialist
4 weeks ago
Westwood, Kansas, United States Ardent Health Full timeOverviewFulfilling your purpose begins here: People First, Always.Here's how we take care of our people:Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance program and more.Your team is bigger than your department:Hackensack Meridian...
-
Ambulatory Clinic RN Care Coordinator
1 week ago
Westwood, United States The University of Kansas Health System Full timePosition TitleAmbulatory Clinic RN Care Coordinator - GI CancerDays - Full TimeWestwood Medical Pavilion - WestPosition Summary / Career Interest:Monday - Friday The Ambulatory Clinic RN Care Coordinator is a licensed registered professional nurse who is a clinical expert who provides ethical, evidence-based, safe and compassionate nursing care. The...
-
Diagnostic Imaging Mammography Specialist
1 month ago
Westwood, Massachusetts, United States OneStaff Medical Full timeJob Title: Diagnostic Imaging Mammography SpecialistJob Summary:OneStaff Medical is seeking a skilled Diagnostic Imaging Mammography Specialist for a travel assignment in New Jersey. As a Diagnostic Imaging Mammography Specialist, you will perform specialized examinations of the breast to help in the diagnosis and treatment of breast disease in women...
-
Wound Care Program Manager, RN
1 month ago
Westwood, United States Bethesda Health Full timeBethesda Brings out the Best in Talented, Caring People!At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses, career advancement opportunities, and holiday pay. Medical, dental, vision, prescription, and life insurance...
-
Surgical Nurse Specialist
4 weeks ago
Westwood, New Jersey, United States Ardent Health Full timeOverviewAt Ardent Health, we are seeking a skilled and dedicated Surgical Nurse Specialist to join our team at Hackensack Meridian Pascack Valley Medical Center in Westwood, NJ. This is a full-time, evening shift position that offers a competitive salary and a comprehensive benefits package, including medical, vision, and dental insurance, as well as a...
-
Wound Care Specialist
4 weeks ago
Westwood, New Jersey, United States Healogics, LLC. Full timeJob DescriptionTransforming Lives through Wound CareAt Healogics, LLC., we are committed to delivering exceptional wound care services that make a meaningful difference in the lives of our patients. As a Wound Care Nurse, you will play a vital role in our mission to provide high-quality care and support to those in need.Key Responsibilities:Provide clinical...