Regional MDS Consultant

Arcadia Care; Bloomington (IL); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health insurance

401K

Life Insurance

Job summary

Arcadia Care is seeking an MDS Consultant to ensure accurate Medicare/Medicaid case-mix documentation and optimal RUG categorization for proper reimbursement.

The position requires coordinating nursing, dietary, social recreation, restorative, rehabilitation and physician services to support comprehensive resident assessments and compliance with regulatory standards. Hybrid travel in Central Illinois is required.

Qualifications

• Must have a current, unencumbered, active Illinois Registered Nurse License
• Five years management experience with experience in long-term care
• General knowledge of professional basic nursing, restoratives and personal care services

Responsibilities

• Ensures facility policy compliance with state regulations and organizational procedures
• Oversees MDS assessments including PPS Medicare, quarterly, annual, and significant change
• Verifies electronic submissions of MDS and maintains appropriate records
• Coordinates interdisciplinary participation in completing the MDS for each resident within regulatory timeframes
• Ensures completeness and thoroughness of documentation per federal and state standards
• Maintains ongoing tracking of MDS/PPS documentation and submission

Job description

Job Summary:

The MDS Consultant is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement.

Essential Duties:

• Ensures that the facility is following the organization's policy and procedures and complies with all state regulations
• Hybrid position in Central Illinois with travel
• Understands and implements company policies and procedures
• Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.
• Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records.
• Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards

Benefits Offered:

• Extremely low-cost Health, Dental, Vision, 401K, and more
• $25,000 Company Paid Life Insurance - at no cost to you
• Leadership Training to enhance your management skills
• Daily Pay - get your money when you want
• Paid Vacations - rolls over each year
• Paid Sick Time
• Paid Holidays
• Tuition Reimbursement
• Daily, Weekly, Monthly Employee Appreciation Events
• Birthday, Anniversary Celebrations
• Free Employee Assistance Programs - professional support & guidance on family, money, health, legal services and more
• Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you
• Virtual Visits with Doctors 24/7, without setting up additional accounts or appointments
• Paid Break Time for Nursing Mothers
• Time Off to Vote

Preferred Qualifications:

• Must have a current, unencumbered, active Illinois Registered Nurse License
• Five years management experience with experience in long-term care
• General knowledge of professional basic nursing, restoratives and personal care services