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Clinical Auditor / Utilization Reviewer
Lawrence Township, NJ
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4.3 Township of Lawrence, NJ Job Details Full-time $105,000
$120,000 a year 4 hours ago Benefits Dental insurance Tuition reimbursement Employee assistance program Vision insurance 401(k) matching Life insurance Referral program Qualifications Long-term care regulations Medicare RN License Long-term care facility experience CMS regulatory compliance Medicare regulations Centers for Medicare and Medicaid Services (CMS) Medicaid regulations Medicaid Health status assessment Healthcare reimbursement methods Full Job Description Join our team at Lawrence Rehabilitation and Healthcare Center as an RNAC.
Proudly supported by Marquis Health Consulting Services Full-time opportunity available Same Day Pay! $105,000
120,000 per year (all-inclusive) At Lawrence Rehabilitation and Healthcare Center, we believe that accurate clinical documentation and assessment are essential to delivering high-quality, compliant, and person-centered care.
Guided by our core values of Passion, Respect, and Excellence , the MDS Coordinator plays a critical role in ensuring timely, accurate, and compliant completion of all Minimum Data Set (MDS) assessments to support resident care planning, reimbursement, and regulatory compliance. Responsibilities for
RNAC:
Ensure timely and accurate completion of all MDS assessments in accordance with regulatory requirements and established deadlines. Verify compliance with federal, state, and facility regulations related to MDS documentation and submission. Supervise MDS data entry, validation, and transmission processes to ensure accuracy and timeliness. Identify, investigate, and resolve data discrepancies and validation issues. Prepare and present MDS-related reports and updates to the Director of Nursing (DON) and leadership team. Provide feedback to clinical teams and address operational concerns related to documentation and care planning. Participate in facility surveys, audits, and regulatory reviews, providing required documentation and support. Assist with audit responses and maintain ongoing compliance with Medicare and Medicaid requirements. Stay current on changes to Medicare, Medicaid, and RAI/MDS regulations and guidelines. Support and contribute to MDS-related quality improvement and performance initiatives. Collaborate with interdisciplinary teams to ensure accurate representation of resident care needs. Qualifications for
RNAC:
Graduate of an accredited School of Nursing (RN, BSN, or LPN). Current, active RN license required. Minimum of three (3) years of clinical experience in a long-term care setting. Prior MDS/RAI experience required. Strong clinical assessment skills with attention to detail and accuracy. Working knowledge of Medicare and Medicaid regulations and reimbursement systems. Our Core Values in Action Passion
Ensuring residents are accurately assessed so they receive the care and resources they need to thrive. Respect
Upholding integrity, accuracy, and confidentiality in all resident documentation and interactions with care teams. Excellence
Delivering precise, compliant, and high-quality MDS processes that support optimal outcomes and regulatory success.
Benefits for
RNAC:
Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Company-sponsored life insurance Employee assistance program (EAP) resources Join our team at Lawrence Rehabilitation and Healthcare Center, a 120-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.