Regional MDS Consultant

Arcadia Care; Chillicothe (IL); Hybrid; USD 75,000 - 105,000; Full time

Benefits offered by this job

Health, dental, vision

Life Insurance

Tuition Reimbursement

Paid vacations

Paid holidays

Daily Pay

Employee Assistance Program

Retail discounts

Flexible schedule

Job summary

Arcadia Care seeks a Regional MDS Consultant to lead accurate Medicare/Medicaid MDS completion and optimize RUG categorization for reimbursement.

The role involves coordinating interdisciplinary teams, ensuring timely PPS/MDS submissions, and maintaining compliant records across nursing, dietary, social, and medical services.

Hybrid position in Central Illinois with travel; ideal candidates hold an Illinois RN license and have five years of management experience in long-term care.

Qualifications

• Must be a licensed Illinois RN with current, unencumbered license.
• Minimum of five years managing caregiving or long-term care operations.
• Solid knowledge of nursing, restorative, and personal care services.

Responsibilities

• Ensure compliance with facility policies and state regulations.
• Coordinate interdisciplinary MDS activities and PPS documentation.
• Oversee timely completion and submission of MDS assessments.
• Collaborate with nursing, dietary, social, rehabilitation, and physicians to support reimbursement.
• Verify electronic MDS submissions and maintain records.

Skills

5+ years management

Nursing knowledge

Education

Illinois Registered Nurse License

Job description

Regional MDS Consultant

Job Summary:

The Regional 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