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Medicare Rn Jobs in Pennsylvania (NOW HIRING)

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Medicare Rn information

What does a Medicare RN do?

A Medicare RN is a registered nurse who specializes in providing care and managing cases for patients covered under Medicare, the federal health insurance program for people 65 and older or with certain disabilities. Their duties often include patient assessments, developing care plans, coordinating services, ensuring compliance with Medicare regulations, and educating patients and families about their healthcare options. They may work in hospitals, home health agencies, or long-term care facilities, helping to optimize patient outcomes while ensuring proper documentation for Medicare reimbursement.

What are the key skills and qualifications needed to thrive as a Medicare RN, and why are they important?

To thrive as a Medicare RN, you need a comprehensive understanding of clinical nursing practices, Medicare regulations, and care coordination, typically supported by an active RN license and experience in case management or utilization review. Familiarity with Medicare documentation requirements, electronic health records (EHRs), and case management software is essential. Strong communication, attention to detail, and critical thinking skills help Medicare RNs effectively advocate for patients and collaborate with healthcare teams. These skills ensure compliance with regulations, optimize patient outcomes, and support efficient healthcare delivery within the Medicare system.

What are the typical challenges Medicare RNs face when coordinating patient care across multiple providers?

Medicare RNs often encounter challenges related to coordinating care among various healthcare providers, such as physicians, specialists, and home health agencies. Navigating different documentation systems and ensuring timely communication can be complex, especially when managing patients with multiple chronic conditions. Effective organization, strong communication skills, and a thorough understanding of Medicare guidelines are essential for overcoming these challenges and providing seamless care transitions.

What is the difference between Medicare Rn vs Home Health Nurse?

AspectMedicare RnHome Health Nurse
CredentialsRegistered Nurse license, Medicare certificationRegistered Nurse license, home health certification
Work EnvironmentHospitals, clinics, Medicare facilitiesPatients' homes, community settings
Employer & IndustryMedicare providers, healthcare agenciesHome health agencies, hospice services
Search & Comparison IntentMedicare Rn vs Home Health NurseMedicare Rn vs Home Health Nurse

Both Medicare Rns and Home Health Nurses are registered nurses working within the Medicare system. While Medicare Rns often work in clinics or hospitals providing Medicare-related care, Home Health Nurses focus on delivering nursing services directly in patients' homes. Both roles require RN licensure, but their work environments and employer types differ, reflecting their specific patient care settings.

What are popular job titles related to Medicare Rn jobs in Pennsylvania?

For Medicare Rn jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Medicare Rn jobs in Pennsylvania look for?

The top searched job categories for Medicare Rn jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Medicare Rn jobs?

Cities in Pennsylvania with the most Medicare Rn job openings:

Medicare Rn jobs near you
Infographic showing various Medicare Rn job openings in Pennsylvania as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution.

Registered Nurse Assessment Coordinator (RNAC)

Care Pavilion Nursing and Rehab

Philadelphia, PA

$35 - $45/hr

Full-time

Re-posted 7 days ago

Job description

Care Pavilion Nursing and Rehabilitation is now hiring a full-time Registered Nurse Assessment Coordinator (RNAC). Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) are both eligible for this role. Apply today for an immediate interview!

The Registered Nurse Assessment Coordinator is responsible for the timely completion of all OBRA and Medicare assessments to comply with federal regulations. Oversees the overall process and tracking of Prospective Payment System (PPS) Minimum Data Set (MDS) assessments including completion, submission and correction as needed.

Job Responsibilities:

  • Integrates nursing, dietitian, therapeutic recreation, restorative, rehabilitation, and physician services to ensure accurate assessments which capture all clinical conditions and provided services.
  • Confirms payer source of all residents per HIQA.
  • Ensures the accurate and timely completion of all MDS Assessments including OBRA and Medicare PPS.
  • Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay.
  • Responsible for electronic submission of all MDS assessments. Verifies electronic submission of MDS and performs corrections when necessary and maintains appropriate records.
  • Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness of MDS and thoroughness of documentation as mandated by federal and state standards.
  • Schedules resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference
  • Assists disciplines with care planning process by ensuring the MDS information is completed timely, the Care Area Assessments (CAAs) are analyzed thoroughly, and the team has completed the MDS prior to care conference.
  • Ensures all Medicare documentation follows federal and state guidelines and is completed timely. This includes the physician certification/Recertification, Traditional Medicare and Medicare Advantage non-coverage letters for part A and B.
  • Assess and evaluates the outcomes of the RAI process to determine additional training, education and monitoring needs
  • Validates that the documentation supports MDS coding.
  • Collaborates with the RAI Specialist(s) and the Interdisciplinary team to identify and capture opportunities to assist residents in reaching their optimal physical and psychosocial levels.

Job Qualifications:

  • Education: Graduate of accredited school of nursing.
  • Certificate/License: Current license as a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in PA.
  • Work Experience: One year of clinical experience. Experience with MDS completion, reimbursement, clinical resource utilization is highly desirable. AANAC membership and RAC-CT certification is strongly recommended.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.