$33.75 - $40.75/hr
Lead or participate in PPS, Medicare, and utilization review meetings * Ensure timely completion ... Current, active RN license in the state * Minimum three (3) years of clinical experience; long-term ...
Quick apply
$33.75 - $40.75/hr
Lead or participate in PPS, Medicare, and utilization review meetings * Ensure timely completion ... Current, active RN license in the state * Minimum three (3) years of clinical experience; long-term ...
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
Burlington, NC · On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
Burlington, NC · On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Raleigh, NC · On-site
Become a part of our caring community The Compliance Nurse 2 reviews utilization management ... Licensed Registered Nurse (RN) in a compact state with no disciplinary action.?? * Must have?valid ...
Raleigh, NC · On-site
Become a part of our caring community The Compliance Nurse 2 reviews utilization management ... Licensed Registered Nurse (RN) in a compact state with no disciplinary action.?? * Must have?valid ...
Butner, NC · On-site
The Lead RN oversees nursing operations, supervises nursing staff, ensures compliance with nursing ... Participates in quality improvement, utilization review, infection control, and risk management ...
New
Butner, NC · On-site
The Lead RN oversees nursing operations, supervises nursing staff, ensures compliance with nursing ... Participates in quality improvement, utilization review, infection control, and risk management ...
New
The Lead RN oversees nursing operations, supervises nursing staff, ensures compliance with nursing ... Participates in quality improvement, utilization review, infection control, and risk management ...
New
The Lead RN oversees nursing operations, supervises nursing staff, ensures compliance with nursing ... Participates in quality improvement, utilization review, infection control, and risk management ...
New
Butner, NC · On-site
The Lead RN oversees nursing operations, supervises nursing staff, ensures compliance with nursing ... Participates in quality improvement, utilization review, infection control, and risk management ...
New
Butner, NC · On-site
The Lead RN oversees nursing operations, supervises nursing staff, ensures compliance with nursing ... Participates in quality improvement, utilization review, infection control, and risk management ...
New
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
Posted today
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
Posted today
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
Posted today
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
Posted today
Burlington, NC · On-site
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
Burlington, NC · On-site
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
Raleigh, NC · On-site
$115K - $137K/yr
Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
New
Raleigh, NC · On-site
$115K - $137K/yr
Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
New
$20.66 - $24.83
2% of jobs
$24.83 - $29.01
9% of jobs
$31.87 is the 25th percentile. Wages below this are outliers.
$29.01 - $33.19
21% of jobs
The median wage is $36.57 / hr.
$33.19 - $37.37
23% of jobs
$37.37 - $41.54
13% of jobs
$44.79 is the 75th percentile. Wages above this are outliers.
$41.54 - $45.72
10% of jobs
$45.72 - $49.90
8% of jobs
$49.90 - $54.08
5% of jobs
$54.08 - $58.25
5% of jobs
$58.25 - $62.43
2% of jobs
$62.43 - $66.61
2% of jobs
$20
$40
$66
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.
$33.75 - $40.75/hr
Full-time
Re-posted 13 days ago
MDS Coordinator (RN)
Full-Time | Exempt | Day Shift
We are seeking a clinically strong and highly organized MDS Coordinator (RN) to lead and oversee the resident assessment process. This role ensures accuracy, compliance, and coordination of the MDS, CAAs, and care planning process across all payer sources.
This position is ideal for an RN with advanced clinical judgment and experience managing the full RAI process in a skilled nursing setting.
Responsibilities
• Oversee and coordinate the full RAI/MDS, CAA, and care planning process
• Ensure assessments accurately reflect resident condition, services, and care needs
• Lead or participate in PPS, Medicare, and utilization review meetings
• Ensure timely completion, validation, and transmission of all MDS assessments
• Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and care plans
• Monitor and analyze Quality Measures and initiate performance improvement actions
• Provide ongoing education and support to staff regarding the RAI process
• Ensure documentation supports regulatory compliance and optimal reimbursement
• Prepare for audits, surveys, and regulatory reviews
• Participate in process improvement initiatives related to quality and workflow
Qualifications
• Current, active RN license in the state
• Minimum three (3) years of clinical experience; long-term care preferred
• Strong working knowledge of RAI/MDS regulations and reimbursement systems
• Excellent analytical, organizational, and problem-solving skills
• Ability to lead interdisciplinary collaboration and meet regulatory deadlines
• High level of professionalism and confidentiality
Why Join Us
• Advanced clinical leadership role with organizational impact
• Opportunity to influence care quality and reimbursement accuracy
• Collaborative interdisciplinary environment
• Purpose-driven work in skilled nursing
Apply today to lead the resident assessment process with accuracy, integrity, and clinical excellence.
