Regional MDS Consultant (RN/LPN) - Travel-Required

Allure Healthcare Services; Illinois; Sur place; USD 90 000 - 120 000; Plein temps

Résumé du poste

Allure Healthcare Services seeks a Regional MDS Consultant (RN) or (LPN) to oversee MDS accuracy, timeliness, and regulatory compliance across eight skilled nursing facilities in Illinois. You will partner with facility leadership and MDS Coordinators to optimize reimbursement and educate teams.

As the clinical reimbursement expert, you will guide PDPM strategies, CMS requirements, and audit readiness while supporting documentation and assessment completion.

Qualifications

• Minimum 2–3 years of experience as an MDS Coordinator in a skilled nursing or rehabilitation setting.
• Previous regional or multi-facility MDS consulting experience strongly preferred.
• Extensive knowledge of MDS 3.0, RAI Manual, PDPM reimbursement, CMS regulations, and Quality Measures (QMs).
• Experience in Care Area Assessments (CAAs) and Nursing Facility Level of Care (NFLOC).
• Strong leadership, coaching, and communication skills; ability to travel regionally.

Responsabilités

• 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), Additional Documentation Request (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.

Connaissances

MDS 3.0

RAI Manual

PDPM reimbursement

CMS regulations

Quality Measures

CAAs

NFLOC

Leadership

Communication

Formation

RN license

LPN license

Outils

EMR software

Description du poste

Allure Healthcare Services seeks a Regional MDS Consultant (RN) or (LPN) to oversee MDS accuracy, timeliness, and regulatory compliance across eight skilled nursing facilities in Illinois. You will partner with facility leadership and MDS Coordinators to optimize reimbursement and educate teams.

As the clinical reimbursement expert, you will guide PDPM strategies, CMS requirements, and audit readiness while supporting documentation and assessment completion.