A Registered Nurse provides medical care and treatment, educates patients about their conditions, and provides emotional support to patients and families. Works in hospitals, schools, clinics or community health centers. Works under the supervision of a physician or other specialist, and serves as the primary point of care for patients in a hospital setting. May specialize in emergency room work, or treatment for a particular condition, or specialize in working with infants, the elderly or other patient groups. May work as an advanced practice specialists and prescribe medications in addition to offering specialty care.
(Salary) Empire Spanish Meadows - 2.0 Brownsville, TX Job Details Full-time 5 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Qualifications Anatomy knowledge Medicare RN License Health information management Medical terminology Full Job Description Job Summary We are seeking a dedicated and detail-oriented Registered Nurse (RN) specializing as an MDS/Care Plan Coordinator to join our nursing home team. In this vital role, you will oversee the comprehensive assessment and development of individualized care plans for residents, ensuring compliance with federal and state regulations, including Medicare and Medicaid guidelines. Your expertise in clinical documentation, medical coding, and utilization management will drive quality patient care and optimize clinical outcomes. This position offers an exciting opportunity to leverage your nursing experience in long-term care and acute care settings to make a meaningful difference in patients' lives through meticulous coordination and documentation. Responsibilities Lead the Minimum Data Set (MDS) assessments to accurately evaluate resident needs, ensuring adherence to CMS (Centers for Medicare and Medicaid Services) standards. Develop, implement, and regularly update personalized care plans aligned with clinical findings, regulatory requirements, and patient preferences. Review medical records, documentation, and clinical data to ensure compliance with healthcare regulations such as HIPAA, state healthcare policies, and long-term care standards. Collaborate with interdisciplinary teams—including nursing staff, physicians, social workers, and therapists—to coordinate patient care activities and discharge planning. Utilize facility EMR (Electronic Medical Records) systems to document assessments, progress notes, and care plan updates efficiently. Conduct documentation review for accuracy in coding (CPT, ICD-9/10), DRGs (Diagnosis-Related Groups), and ensure proper utilization management for reimbursement purposes. Support clinical documentation improvement initiatives by maintaining high standards of medical terminology accuracy and physiology knowledge. Participate in quality assurance activities such as HEDIS audits, case management reviews, and compliance with NCQA standards. Qualifications Valid RN license with current registration in the applicable state. Proven experience with
MDS/CAREPLAN
coordination in long-term care or hospital environments is highly desirable. Strong knowledge of Medicare regulations, CMS guidelines, ICD coding (ICD-9/10), CPT coding, DRG reimbursement processes, and healthcare policy standards. Familiarity with EMR/EHR systems such as Epic, Cerner, Athenahealth or similar platforms; proficiency in Microsoft Office tools is preferred. Demonstrated understanding of clinical documentation standards related to patient care across acute and outpatient settings. Experience with utilization review processes including discharge planning and medical management strategies. Knowledge of anatomy, physiology, medical terminology, and health information management practices essential for accurate documentation review. Excellent communication skills to collaborate effectively within multidisciplinary teams while ensuring compliance with HIPAA and other privacy regulations. Prior experience working within regulated environments such as long-term care facilities or hospitals—particularly those following CMS or NCQA standards—is highly valued. Join us to play a crucial role in delivering exceptional patient-centered care through expert assessment coordination and meticulous documentation!
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance
