Registered Nurse(Long Term Care)

Reference #: 26-02424Job Title: Registered Nurse(Long Term Care)Duration:6+ Month (contract)Location: Pittsburgh, PA 15222Pay Rate: $52.85/hr. on W2(Health Insurance + 401k Only)Shift Hours: 8am - 4pm 1/2 hr unpaid lunchJob 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 NurseKnowledge of Microsoft Office Suite programs including outlook, word and excelLong-term care experience is preferredMinimum Data Set (MDS) experience preferredOBRA experience and knowledge preferredEffective verbal and written communicationAbout our Company: -22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies' delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.Recognized among

Created: 2026-03-07