Regional MDS Consultant (RN)

Allure Healthcare Services is seeking an experienced and highly motivated Regional MDS Consultant (RN) to provide clinical reimbursement oversight and support for 8 skilled nursing facilities in a collaborative, fast-paced environment. This role involves mentoring clinical teams while driving reimbursement accuracy and regulatory compliance.

About Allure Healthcare Services

Allure Healthcare Services is committed to delivering exceptional care through clinical excellence, teamwork, and innovation. The organization invests in its leaders by providing resources, collaboration, and support to make a meaningful impact.

Facilities Supported

• Allure of Mendota, Mendota, IL
• Allure of Mt. Carroll, Mt Carroll, IL
• Allure of Peru, Peru, IL
• Allure of Pinecrest, Mount Morris, IL
• Allure of Prophetstown, Prophetstown, IL
• Allure of Sterling, Sterling, IL
• Allure of Stockton, Stockton, IL
• Allure of Zion, Zion, IL

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), 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.
• Perform additional duties as assigned.

Requirements

• Current, active, and unrestricted Registered Nurse (RN) 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.