RN MDS Reviewer

CareSource

RN MDS Reviewer ensuring accuracy of MDS assessments and completion for submission to MassHealth. Collaborating with clinical teams for optimal documentation and rating assignment in a remote capacity.

Posted 7/14/2026full-timeRemote • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $62,700 - $100,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in MDS assessments and documentation, ensuring accuracy and compliance with MassHealth standards. Proficient in utilizing telehealth technologies and electronic health records to enhance patient care and support clinical staff.

Highest-signal resume keywords

MDS AssessmentElectronic Health RecordsTelehealth TechnologiesCare ManagementMedical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

MDS DocumentationClinical CareData EntryRecord ReviewCare Management Platform

Soft Skills

Effective CommunicationTraining and Development

Tools & Technologies

Microsoft ExcelTelehealth Platforms

Certifications & Qualifications

Associates Degree in NursingBachelor's Degree in Nursing

Industry Keywords

MassHealthAcute CareLong-Term Care

About the role

Key responsibilities & impact

Supports successful completion and submission of the MDS (Minimum Data Set) to MassHealth
Examines MDS assessments prepared by clinicians to ensure completeness, accuracy and appropriate explanation of functional status and related clinical findings
Provides feedback to Clinical Care Manager to facilitate optimal documentation and, where necessary, rating category assignment
Supports the Proxy MDS Reviewer (LPN) in completing Proxy MDS submissions for members who cannot be reached for assessment
Completes portions of the electronic MDS-HC form based on diagnoses/information gathered from record review
Prepares printed MDS forms for data entry
Conducts routine training sessions for new Care Management staff and relevant Clinical Care Manager to drive high quality, consistent MDS assessments
Conducts reviews in a timely way in accordance with all timeliness and quality standards
Provides clinical care to members via telehealth technologies (video, chat, etc.)

Requirements

What you’ll need

Associates degree in nursing is required
Bachelor's degree in nursing is preferred
Five (5) years of experience working in an acute or long-term care setting required
Experience working with MassHealth populations preferred
Experience with care management platform preferred
Ability to communicate effectively with clinical staff and physician offices
Good technology skills, including use of electronic health records and Microsoft Excel
Knowledge of MDS strongly preferred
Deep familiarity with medical terminology
Willing to learn and utilize telehealth technologies (video, chat, etc.)

Benefits

Comp & perks

Comprehensive total rewards package
Health insurance
Bonuses tied to company and individual performance