Regional MDS Consultant

Arcadia Care; Lincoln (IL); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health, Dental, Vision

401K

Daily Pay

Paid Vacations

Paid Sick Time

Paid Holidays

Tuition Reimbursement

Employee Appreciation Events

Birthday Celebrations

Employee Assistance Programs

Retail Discounts

Telehealth Services

Break Time for Nursing Mothers

Time Off to Vote

Job summary

Arcadia Care is seeking a Regional MDS Consultant to manage Medicare/Medicaid MDS and PPS documentation for accurate reimbursement. You will drive MDS reviews and coordinate nursing, dietary, social, and rehab services to ensure optimal RUG categorization and regulatory compliance.

In Central Illinois, this hybrid role requires travel and strong leadership in long-term care settings. You will oversee submission timelines and maintain compliant records while collaborating with multiple

Qualifications

• Current Illinois RN license with no encumbrances.
• 5 years of management experience, preferably in long-term care.
• General nursing knowledge including restoratives and personal care services.

Responsibilities

• Ensure accurate and timely completion of MDS/ PPS documentation for proper reimbursement.
• Coordinate interdisciplinary participation in MDS per regulatory timeframes.
• Verify electronic submissions of MDS and maintain required records.
• Oversee the MDS/ PPS process and documentation submission.
• Collaborate with nursing, dietary, social, restorative and physician services to optimize assessment and reimbursement.

Skills

Nursing management

Long-term care experience

Regulatory 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