Regional MDS Consultant (RN/LPN) — Multi-site Reimbursement

Allure HCS

Illinois

On-site

USD 90,000 - 120,000

Full time

14 days+

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Job summary

Allure Healthcare Services (Allure HCS) seeks a Regional MDS Consultant (RN) or (LPN) to oversee MDS accuracy and regulatory compliance across eight skilled nursing facilities in Illinois. This full-time, on-site role partners with facility leadership to optimize Medicare Part A PDPM reimbursement, Medicaid case mix, and quality measures while mentoring clinical teams.

You will travel between sites, provide education, develop training materials, and lead audits and surveys readiness.

Qualifications

Must hold an active RN or LPN license.
2–3 years of MDS Coordinator experience in a skilled nursing or rehab setting.
Regional or multi-facility MDS consulting experience is strongly preferred.
Extensive knowledge of MDS 3.0, RAI Manual, PDPM reimbursement, Medicare Part A, Medicaid Case Mix, CMS regulations, QMs, CAAs, NFLOC.

Responsibilities

Provide regional oversight and support for the MDS process across 8 skilled nursing facilities.
Serve as the primary clinical reimbursement resource for facility MDS Coordinators.
Ensure accurate, timely, and compliant completion of all MDS assessments.
Monitor Medicare and Medicaid reimbursement opportunities while maintaining regulatory compliance.
Conduct routine facility visits to evaluate MDS performance, reimbursement accuracy, and documentation practices.
Develop corrective action plans and provide coaching to improve outcomes.
Conduct orientation and ongoing education for MDS Coordinators and interdisciplinary team members.
Develop and maintain training materials, procedural guides, and MDS educational resources.
Maintain current knowledge of CMS regulations, MDS updates, RAI Manual revisions, PDPM requirements, and state-specific reimbursement guidelines.
Ensure regulatory changes are communicated and implemented across all facilities.
Oversee CMS Targeted Probe and Educate (TPE), ADR, and other reimbursement audits.
Analyze reimbursement trends, quality indicators, and operational metrics.
Prepare weekly updates highlighting reimbursement issues, regulatory changes, best practices, and facility performance.
Review facility reimbursement processes and advise Administrators and regional leadership regarding opportunities for improvement.
Assist facilities during state and federal surveys and ensure survey readiness related to MDS and reimbursement.
Attend regional meetings and provide ongoing operational support to facility leadership.
Collaborate with nursing, rehabilitation, dietary, social services, restorative nursing, physicians, and interdisciplinary teams to ensure accurate assessment completion.
Perform additional duties as assigned.