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Case Mix Reviewer - Nursing Evaluator

State of Minnesota • Buffalo, MN • 7h ago

Working Title: Case Mix Reviewer

Job Class: Nursing Evaluator

Agency: Health Department

Job ID : 92062

Location : Duluth or Bemidji

Telework Eligible : Yes - This position works in the field most of the work time.

Full/Part Time : Full-Time

Regular/Temporary : Unlimited

Who May Apply : This vacancy is open for bids and for all qualified job seekers simultaneously. Bidders will be considered through 2/16/2026.

Date Posted : 02/10/2026

Closing Date : 02/23/2026

Hiring Agency: Minnesota Department of Health (MDH)

Division/Unit : Health Regulation / Case Mix Review

Work Shift/Work Hours : Day Shift / 8:00 a.m. - 4:30 p.m.

Days of Work : Monday - Friday

Travel Required : Yes -The position works in the field most of the time.

Salary Range: $37.82 - $55.93 / hourly; $78,968 - $116,781 / annually

Classified Status : Classified

Bargaining Unit/Union : 205 - Minnesota Nurses Association (MNA)

Anticipated start date: 3/11/2026

FLSA Status: Exempt - Professional

Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

Elevate your career and use your nursing knowledge and expertise to be part of a team that provides surveillance and evaluation of health care providers to conduct audits of a percentage of residents in Medicaid-certified long-term care facilities for coding accuracy of Minimum Data Set (MDS) assessment forms and the resulting Case Mix classifications.

This position will also provide surveillance and guidance to health care providers using nursing and health-related knowledge based upon compliance with State and Federal laws and rules which directly relate to the case mix review (CMR) audit process.

Working as a Case Mix Reviewer you will:

Evaluate and conduct audits on health care providers to ensure for accuracy of coding MDS assessment forms and the resulting Case Mix classifications.

Document audit findings in the online Case Mix Review audit application.

Complete a Case Mix Review of special or expanded pool audits when requested by Case Mix Review Program Supervisor.

Complete medical record reviews of certified nursing facilities for the purpose of determining a facility's Institutions for Mental Diseases (IMD) status.

Position location will be determined by the top candidate based out of the following MDH district office locations: Duluth or Bemidji. Most of the work time spent onsite performing surveillance of facilities predominantly located in the surrounding area of Minnesota.

Occasional travel outside of the base region will be expected, to survey facilities located throughout the state of Minnesota.

Most of the work hours are between 8:00 a.m.- 4:30 p.m., Monday-Friday, but candidates must be available for overnight travel. The need for overnight or travel outside of the base region is determined by audit workload.

Reimbursement for authorized business travel expenses is provided according to bargaining unit guidelines.

Minimum Qualifications

Current MN RN License

AND

Two (2) years RN experience in a health care setting with the primary responsibility for assessing nursing and health needs and experience with documenting and writing reports. This experience must also include evidence of documentation, reporting writing or equivalent.

A degree in Nursing, Public Health, Health Care Administration, Psychology, Social Work, Medical Field, Adult Education or closely related field may substitute for experience as follows:

Master's degree = 18 months

Bachelor's degree = 12 months

Associate degree = 6 months

Additional qualifications to be assessed during the interview process:

Organizational skills sufficient for scheduling and implementing an audit process.

Ability to make decisions and solve problems independently.

Ability to develop and maintain working relationships.

Ability to stay calm in stressful situations or when working individuals who are frustrated, distraught, anxious or hostile.

Preferred Qualifications

Previous experience completing MDS assessments and familiar with the Case Mix program.

Previous experience working in a leadership role.

Physical Requirements

The Nurse Evaluator position requires transporting a laptop computer and Case Mix Review documentation/reference materials.

The position requires loading and unloading the necessary materials and equipment in and out of a vehicle, so they are available for use during the onsite survey.

Additional Requirements

This position requires successful completion of a background check and employment reference check.

The employment does not require a valid driver's license, but it does demand travel, which the candidate will be responsible for meeting.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.

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