Utilization Review / MDS Nurse (RN) (768 views)

Crystal Falls, MI
January 21, 2019

The Iron County Medical Care Facility (ICMCF) seeks a part-time Utilization Review/MDS Nurse (RN) to join our team in Crystal Falls, Michigan.


In this position, the primary focus will be to attain precertification/recertification for new and existing patient Medicare Part A Coverage.



  • Manage the utilization process by facilitating precertification/recertification for all new and current Medicare Part A patients including establishing relationships and communicating with patients, families, caseworkers, medical professionals and staff to establish necessity.
  • Administer the Notice of Medicare Non-Coverage and Skilled Nursing Facility Advanced Beneficiary Notification in a timely manner and within Medicare Guidelines.
  • Complete MDS assessments in accordance with State, Federal, MDS and facility guidelines.
  • Create person-centered care plans for skilled rehab nursing patients and long-term care residents.
  • Facilitate weekly care conference and serve as liaison between resident, family and interdisciplinary team.
  • Compassion and understanding of the elderly.
  • Complete necessary paperwork in an accurate, complete and timely manner.
  • Assume nursing floor duties, when necessary.


COMPENSATION/BENEFITS. This part-time position (primarily weekdays) offers a starting wage of $25.38 per hour with a wage increase after 6 months of employment. In addition, the ICMCF offers a comprehensive package of benefits including medical, dental, vision, generous retirement plan, paid vacation, paid sick time, life insurance, and uniform allowance.



  • Licensed Registered Nurse in the State of Michigan, required.
  • Previous utilization review experience, preferred.
  • Possess knowledge of nursing and medical assessments specific to Medicare Part A, CMS Guidelines and care plans in accordance with the precertification/recertification and MDS process.
  • Previous experience in skilled nursing, long-term care or other related medical facility, preferred.
  • Must be organized and able to handle multiple projects with a high degree of accuracy.
  • Exceptional verbal and written communication skills with a professional demeanor that ensures trust and competence amongst peers, residents and their families.
  • Ability to manage a diverse workload and prioritize tasks.


INTERESTED? Apply online below.

ABOUT US.  Learn more at ironcountymcf.com

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