• Manager Audit Denials Management - McLaren…

    McLaren Health Care (Grand Blanc, MI)
    …management, and tracking responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor ( RAC ), Medicare Administrative ... **Position Summary:** **Responsible for leading audit and post pay denial activity received from...Diploma * Registered Health Information Technician (RHIT), Licensed Practical Nurse (LPN), or hospital biller * 5 years' experience… more
    McLaren Health Care (09/26/25)
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  • MDS Clinical Nurse Supervisor (RN IV)

    State of Massachusetts (Holyoke, MA)
    …is seeking an experienced, collaborative and dynamic individual to serve as MDS Clinical Nurse Supervisor. Out applicant will serve as a key member of the nursing ... and set the foundation for a positive culture. /*_PLEASE NOTE THE RAC -CT SPECIAL CERTIFICATION AND MDS EXPERIENCE REQUIREMENTS WITHIN THIS JOB POSTING THAT… more
    State of Massachusetts (09/27/25)
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  • Denials Management Specialist, Registered…

    St. Luke's University Health Network (Allentown, PA)
    …of appeals, case resolution, and impact on revenue and trending. + Coordinates RAC appeals for complex case reviews for medical necessity, including determining if ... with vendor to ensure timely filing of same. Performs writing of RAC /MAC appeals at appropriate levels and documenting status. PHYSICAL AND SENSORY REQUIREMENTS:… more
    St. Luke's University Health Network (08/19/25)
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  • Community Living Center (CLC) Nurse Manager

    Veterans Affairs, Veterans Health Administration (San Francisco, CA)
    Summary The Community Living Center (CLC) Nurse Manager of Programs functions as a clinical expert and is responsible and accountable for all elements of the nursing ... and customer satisfaction by overseeing the CLC program. Responsibilities The CLC Nurse Manager of Programs has direct oversight for staff in the following… more
    Veterans Affairs, Veterans Health Administration (09/12/25)
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  • Registered Nurse Denial Appeals - Denials…

    McLaren Health Care (Grand Blanc, MI)
    …for coordinating the appeals process for third party payer denials, primarily RAC -related activities and commercial appeals beyond the first level, requiring complex ... appeal status. 2. Writes appeal letters, when indicated, pertaining to RAC /3 rd party payers' disputes/overpayments. Appeal letters will include compelling factual… more
    McLaren Health Care (09/30/25)
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  • Resident Assessment Coordinator

    NHS Management, LLC (Lineville, AL)
    …Coordinator Certification ( RAC -CT) through AANAC QUALIFICATIONS + Must be a Nurse with required State license in good standing + Must be knowledgeable in ... might be the perfect fit for a Resident Assessment Nurse (LPN) position within the organization. Under the direction...the Director of Nursing (DON), the Resident Assessment Coordinator ( RAC ) leads an interdisciplinary team using a core set… more
    NHS Management, LLC (09/29/25)
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  • MDS/Scheduler/IP Coordinator

    Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
    …Administrator Reporting to this position: None Job Classification: Registered nurse with administrative duties/management Position Purpose: Conducts and coordinates ... Must possess a current, unencumbered, active license to practice as a registered nurse in Nebraska. Must have 3 years' experience as a registered nurse more
    Pine Acres Rehabilitation & Care Center (08/01/25)
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  • Travel MDS Specialist

    WesleyLife (Indianola, IA)
    …plans related to Quality Measures. **Qualifications:** + Must obtain and maintain RAC -CT MDS certification through an accredited organization within one year and ... recertify every two years to retain the RAC -CT certification. + A minimum of two years' experience in a long-term care setting + Must have at least two years… more
    WesleyLife (08/19/25)
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  • RN, Minimum Data Set (MDS)- FT Days

    Good Samaritan (Waconia, MN)
    …Hours:** 40.00 **Salary Range:** $34.00 - $51.00 **Job Summary** The MDS Nurse uses independent judgment in the planning, organizing, directing, and evaluation of ... lead in regards to the Resident Assessment Instrument (RAI) process. MDS Nurse assists in assessment and evaluation of potential admissions. Upon admission,… more
    Good Samaritan (09/13/25)
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  • MDS Coordinator RN

    Brothers of Mercy (Clarence, NY)
    …Qualifications + Licensed and currently registered in New York State as a Registered Nurse . + Previous MDS experience preferred + RAC -CT Certification preferred ... Time Salary Range $78000.00 - $85000.00 Salary/year Job Shift Day Description MDS Nurse Coordinator, RN Full Time, Day Shift $78,000-$85,000 based on experience Our… more
    Brothers of Mercy (09/25/25)
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