New

Registered Nurse(Long Term Care)

22nd Century Technologies, Inc.
Pay Rate: $52.85/hr. on W2
401(k)
United States, Pennsylvania, Pittsburgh
Jan 28, 2026
Job Title: Registered Nurse(Long Term Care) Duration: 6+ Month (contract) Location: Pittsburgh, PA 15222 Pay Rate: $52.85/hr. on W2(Health Insurance + 401k Only) Shift Hours: 8am - 4pm \| 1/2 hr unpaid lunch Job Description: Evaluate and review medical, physical, rehabilitative, restorative, and other care being provided to determine appropriateness. Review, understand and relate pertinent Departmental, State and Federal policies, licensure requirements, and regulations to ensure compliance by Medical Assistance (MA)/OLTL providers. Participate in the development of new and/or revision to existing medical assistance policies and regulations. Coordinate and interact with other Agencies and Departments to ensure appropriate services for individuals using long term living services. Perform monitoring reviews in all Long-Term Living settings to determine that the provision and adequacy of medical, social, physical, rehabilitative, and restorative care services are being provided in accordance to all regulations and licensure criteria. Review Minimum Data Set (MDS) submitted to the MDS database for accuracy and documentation support in the clinical records. Review PA Pre-Admission Screening Resident Review process to assure nursing facilities (NF) compliance with the Omnibus Budget Reconciliation Act (OBRA). Perform evaluations of identified targeted individuals residing in long term care facilities including submission of packet with recommendations to the appropriate Program Office (OMHSAS, ODP, ORC, or DMVA) for review. Monitor appropriateness of NF admissions and determine need for continued stay by reviewing clinical records, evaluate discharge plans and interview staff and residents. Perform financial reviews to identify recoveries to ensure adjustments are made for any inappropriate payments or billings in accordance with established regulations and guidelines. Assist the Financial Representative with processing recoveries through reviewing supportive documentation and/or remittance advices submitted by the NF. Coordinate on-site NF reviews, including pre-review activities, entrance and exit conferences appropriate paperwork during the review and all post review activities. Perform follow up reviews to ensure compliance with corrective action plans as submitted by the nursing facility. Perform any specialized reviews and projects with MA/OLTL providers as necessary. Monitor individuals who receive services in the Ventilator and Durable Medical Equipment Programs to ensure that they continue to receive services and that they are using their DME as approved by the Program. Perform assessments for individuals in the Home and Community Based Waiver Programs (HCBS) as requested. Assist with other projects as an assessor or monitor of services, as necessary. Act as a resource for exchange of information through verbal and written communication with NF to enhance NF's awareness of applicable Federal and State regulations. Provide technical assistance to NF staff as needed to achieve NF compliance with applicable Federal, State and Department requirements pertaining to the Field Operations review process (MDS, OBRA, Financial). Process Facility Alert/Act 28 forms to notify appropriate agencies of any issues identified during reviews. Participate in formal training programs. Acquire knowledge and be proficient in the use of office equipment including laptop computer and relevant software. Perform other related job duties. Required Qualification: Licensed Registered Nurse Knowledge of Microsoft Office Suite programs including outlook, word and excel Long-term care experience is preferred Minimum Data Set (MDS) experience preferred OBRA experience and knowledge preferred Effective verbal and written communication