Regional MDS Consultant RN or LPN (LaSalle County)

Regional MDS Consultant (RN) or (LPN)Allure Healthcare Services is seeking an experienced and highly motivated Regional MDS Consultant (RN) or (LPN) to provide clinical reimbursement oversight and support for 8 skilled nursing facilities. This is an excellent opportunity for an accomplished MDS professional who thrives in a collaborative, fast-paced environment and enjoys mentoring clinical teams while driving reimbursement accuracy and regulatory compliance.The Regional MDS Consultant (RN) is responsible for overseeing the accuracy, timeliness, and regulatory compliance of the Minimum Data Set (MDS) process across multiple skilled nursing facilities. This position partners closely with facility leadership and MDS Coordinators to optimize clinical reimbursement, ensure compliance with CMS regulations, improve quality measures, and provide education and operational support.The Regional MDS Consultant serves as the organization's clinical reimbursement expert, providing guidance on Medicare Part A PDPM reimbursement, Medicaid case mix, regulatory changes, audit preparedness, and best practices for documentation and assessment completion.Key responsibilities include:Providing regional oversight and support for the MDS process across 8 skilled nursing facilities.Serving as the primary clinical reimbursement resource for facility MDS Coordinators.Ensuring accurate, timely, and compliant completion of all MDS assessments.Monitoring Medicare and Medicaid reimbursement opportunities while maintaining regulatory compliance.Conducting routine facility visits to evaluate MDS performance, reimbursement accuracy, and documentation practices.Developing corrective action plans and providing coaching to improve outcomes.Conducting orientation and ongoing education for MDS Coordinators and interdisciplinary team members.Developing and maintaining training materials, procedural guides, and MDS educational resources.Maintaining current knowledge of CMS regulations, MDS updates, RAI Manual revisions, PDPM requirements, and state-specific reimbursement guidelines.Ensuring regulatory changes are communicated and implemented across all facilities.Overseeing CMS Targeted Probe and Educate (TPE), Additional Documentation Request (ADR), and other reimbursement audits.Analyzing reimbursement trends, quality indicators, and operational metrics.Preparing weekly updates highlighting reimbursement issues, regulatory changes, best practices, and facility performance.Reviewing facility reimbursement processes and advising Administrators and regional leadership regarding opportunities for improvement.Assisting facilities during state and federal surveys and ensuring survey readiness related to MDS and reimbursement.Attending regional meetings and providing ongoing operational support to facility leadership.Collaborating with nursing, rehabilitation, dietary, social services, restorative nursing, physicians, and interdisciplinary teams to ensure accurate assessment completion.Performing additional duties as assigned.Qualifications include:Current, active, and unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license.Minimum of 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, Medicare Part A, Medicaid Case Mix, CMS regulations, Quality Measures (QMs), Care Area Assessments (CAAs), Nursing Facility Level of Care (NFLOC).Experience managing CMS TPE, ADR, and reimbursement audits.RAC-CT or RNAC certification preferred.Strong leadership, coaching, and communication skills.Excellent analytical, organizational, and problem-solving abilities.Ability to travel regularly between assigned facilities throughout the Quad Cities region.Proficiency with electronic medical records and MDS software.Why Join Allure HCS?At Allure Healthcare Services, we are committed to delivering exceptional care through clinical excellence, teamwork, and innovation. We invest in our leaders by providing the resources, collaboration, and support necessary to succeed while making a meaningful impact across our organization.If you are an experienced MDS professional with a passion for education, reimbursement excellence, and improving resident outcomes, we encourage you to apply and become part of the Allure HCS leadership team.Allure Healthcare Services is an Equal Opportunity Employer.