Regional MDS Consultant (RN/LPN) – Travel Required

Allure Healthcare Services; LaSalle (IL); Sur place; USD 90 000 - 120 000; Plein temps

Résumé du poste

Allure Healthcare Services is seeking a Regional MDS Consultant (RN) or (LPN) to oversee the MDS process across eight skilled nursing facilities in Illinois, ensuring accuracy, timeliness, and regulatory compliance. You will mentor MDS Coordinators and partner with facility leadership to optimize reimbursement and quality measures.

You will serve as the clinical reimbursement expert for Medicare Part A PDPM, Medicaid case mix, audits, and documentation best practices, while staying current with

Qualifications

• Current, active, and unrestricted RN or LPN license.
• 2–3 years of experience as an MDS Coordinator in a skilled nursing or rehabilitation setting.
• Regional or multi-facility MDS consulting experience preferred.
• Extensive knowledge of MDS 3.0, RAI Manual, PDPM, Medicare Part A, Medicaid Case Mix, CMS regulations, Quality Measures, CAAs, NFLOC.
• Experience managing CMS TPE, ADR, and reimbursement audits.

Responsabilités

• Provide regional oversight and support for the MDS process across 8 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.

Connaissances

MDS coordination

Regional multi-facility

CMS regulations

Leadership & coaching

Travel willingness

MDS software

EMR systems

Outils

MDS software

EMR systems

Description du poste

Allure Healthcare Services is seeking a Regional MDS Consultant (RN) or (LPN) to oversee the MDS process across eight skilled nursing facilities in Illinois, ensuring accuracy, timeliness, and regulatory compliance. You will mentor MDS Coordinators and partner with facility leadership to optimize reimbursement and quality measures.

You will serve as the clinical reimbursement expert for Medicare Part A PDPM, Medicaid case mix, audits, and documentation best practices, while staying current with