Regional MDS Consultant RN or LPN (Bureau County)

Regional MDS Consultant (RN) or (LPN) Company: Allure Healthcare Services (Allure HCS) Position Type: Full-Time This is not a remote position and travel will be required About Allure Healthcare Services: 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. 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 Position Summary 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 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. Qualifications 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.

LPN

MDS

Full-time

2 weeks ago

Regional MDS Consultant RN or LPN (Whiteside County)

Allure HCS IL

Regional MDS Consultant (RN) or (LPN) Company: Allure Healthcare Services (Allure HCS) Position Type: Full-Time This is not a remote position and travel will be required About Allure Healthcare Services: 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. 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 Position Summary 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 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. Qualifications 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.

MDS Registered Nurse or Licensed Practical Nurse

Skilled Healthcare Facility IL

The MDS / Care Plan Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assesses and determines the health status and level of care of all new admissions. Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change. Communicates level of care for new resident to all disciplines. Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards. Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay. Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments. Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records. Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards. Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference. Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate. Evaluates resident care plans for comprehensiveness and individuality. Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident’s care plan is reassessed and revised appropriately. Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made. Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law. Other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Registered Nurse with current unencumbered state licensure. Long Term Care Experience preferred. Ability to read, write, speak and understand the English language. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required to sit, stand, bend and walk regularly; lift and/or move up to 25 Visual and auditory ability sufficient for written and verbal communication. The noise level in the work environment is usually moderate.

LPN

Home Health

2 weeks ago

Field Care Manager - Multiple Openings in IL (RN, LPN, LVN, BH, LSW)

Molina Healthcare IL

$21.60 - $46.81 / hour

JOB DESCRIPTION Job Summary Field Care Manager supporting several locations throughout the state of Illinois - Local travel required Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments. • Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • Collaborates with licensed care managers/leadership as needed or required. • 25- 40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations .• Ability to work independently, with minimal supervision and self-motivation. • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.6 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

LPN

Home Health

Per Diem

Licensed Practical Nurse (LPN)

IntelyCare IL

$35 - $56 / hour

Earn an hourly wage of up to $56 as a Licensed Practical Nurse (LPN) in Winnebago and surrounding areas, with the freedom to choose your own shifts while still enjoying the benefits and support of W2 employment. Work-life balance is very important to us at IntelyCare, since we know it's key to a long and satisfying nursing career. We also ensure our nurses have access to professional development and continuing education resources, since your success is our success. So, go ahead and plan an outing with your kids at Severson Dells Nature Center or replenish your sense of calm at Anderson Japanese Gardens in nearby Rockford. It's your life, and we know you have plenty of other responsibilities, interests, and passions outside of work. Nursing is hard work, and our unique scheduling model gives you the space to live your best life. See what other fantastic benefits and advantages we offer our nursing professionals. Benefits Licensed Practical Nurse (LPN) hourly pay range: $35-$56 (25% higher than average) Make your own schedule, with many shifts and facilities to choose from Work shifts in multiple states, based on where you're licensed Eligibility for healthcare, vision, and dental benefits for you — and eligible family members Employer-paid malpractice insurance, workers' compensation, and withholding of taxes Get paid weekly or even daily Tuition discounts at Excelsior University (up to 34% off) for undergraduate and graduate programs Perform various tasks, such as tracking pay and shifts, through our mobile app Travel, holidays, overtime, and hazard pay available Eligibility to participate in IntelyCare's 401k retirement program Easy access to continuing education and training through our app — at no cost to you We understand that changing jobs can be an uncertain time. That's why we thought you might like to hear directly from the nursing professionals who've joined our team. Here's what a some of them wanted to share: "I love IntelyCare because I can choose where and when I want to work, get paid on a weekly basis, and take vacation whenever I want." "I love how professional everyone is at this company – it makes me feel safe and supported! The pay is also great and having a flexible schedule makes a huge difference." "I love being part of the IntelyCare team because I’m able to make my own schedule and spend more time with my family." "I joined IntelyCare looking for an extra source of income and I fell in love with it! I have a full-time Home Care job, but I don’t always have enough clients for the week. Thanks to the flexibility this job offers, I am able to take some per diem shifts on the side and complement my income. I am extremely grateful!" Job Responsibilities Providing compassionate nursing care as an LPN in post-acute facilities in the area Monitoring residents' physical and mental conditions and tracking their vital signs Performing resident intakes, documenting their medical histories and any health concerns Helping with the administration and proper verification of medications, tracking their use and effects Cultivating a comfortable, safe facility for residents Tracking residents' medical records and charts Assisting with the set up of IVs, immunizations, and phlebotomy procedures Keeping track of medical supplies and maintaining a proper inventory Being accountable to follow and adhere to resident care plans Working with staff in the orientation and training of new colleagues Qualifications and Skills Current Illinois state license to practice as a Licensed Practical Nurse (LPN) Completion of approved Licensed Practical Nurse (LPN) educational program High school graduation, GED, or equivalent At least 6 months of experience ( LPN or similar role) Ability to lift a minimum of 50 lbs Join a Nursing Company That Has Your Back If you're looking for an LPN job that offers both professional support and the work-life balance to live a full and balanced life, we'd like to hear from you. Get the competitive pay and benefits, career opportunities, and truly flexible schedule that you deserve by joining the nursing team ranked #1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Winnebago, Illinois 61088

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