RN MDS Full-time
Luxe at Jupiter Rehabilitation Center

Regional MDS Nurse Consultant

Luxe at Jupiter Rehabilitation Center Jupiter, FL 33458, US

LUXE CONSULTING GROUP

NOW HIRING: Regional MDS Nurse

Multi-Facility Clinical Oversight | Direct Reporting to the CEO

Locations: Cascades at Delray, Luxe Jupiter, Westgate, Prosper, and

Luxe at Wellington.

Luxe Consulting Group is seeking an experienced, detail-oriented Regional MDS Nurse to oversee MDS operations across five skilled nursing and senior care locations.


Position Overview

Reporting directly to the Chief Executive Officer, the Regional MDS Nurse will provide regional clinical oversight, regulatory guidance, and operational support to ensure accurate and timely resident assessments, comprehensive care planning, regulatory compliance, and appropriate reimbursement across all assigned facilities.

This key leadership role will work closely with facility Administrators, Directors of Nursing (DONs), MDS Coordinators, therapy departments, and interdisciplinary teams to standardize processes, strengthen clinical documentation, improve quality outcomes, and support the organization's operational and financial goals.

The ideal candidate is an experienced MDS professional with strong clinical judgment, advanced knowledge of MDS 3.0, and the ability to drive accountability and consistency across multiple facilities.

Key Responsibilities

Regional MDS Oversight and Regulatory Compliance

  • Oversee MDS operations across Cascades at Delray, Luxe Jupiter, Westgate, Prosper, and Luxe Wellington.

  • Ensure accurate, complete, and timely MDS 3.0 assessments, Care Area Assessments (CAAs), and individualized care plans in accordance with applicable federal and Florida regulations.

  • Monitor assessment schedules, Assessment Reference Dates (ARDs), submission deadlines, and required documentation across all facilities.

  • Conduct routine audits to identify compliance risks, documentation deficiencies, missed assessments, and opportunities for improvement.

  • Ensure timely electronic submission of MDS assessments and appropriate resolution of state validation errors.

  • Monitor CMS, RAI, Medicare, Medicaid, and managed care regulatory changes and communicate necessary updates to facility teams.

Reimbursement and Financial Performance

  • Oversee MDS processes supporting accurate reimbursement and appropriate documentation of resident acuity and services provided.

  • Ensure compliance with payer-specific requirements for Medicare, Medicare Advantage, managed care, and Medicaid.

  • Monitor assessment coding and applicable reimbursement classifications under current payment methodologies.

  • Support appropriate Medicare coverage determinations, supporting documentation, and required notice processes.

  • Ensure timely and accurate completion of Utilization Review and Triple Check processes.

  • Collaborate with clinical, therapy, and billing teams to resolve reimbursement discrepancies and reduce preventable revenue loss.

  • Identify opportunities to improve reimbursement accuracy, documentation integrity, and financial performance.

Clinical Quality and Care Planning

  • Partner with facility leadership to ensure resident assessments accurately reflect clinical conditions, functional status, and services provided.

  • Review Quality Indicators (QIs) and Quality Measures (QMs) to identify trends, risks, and opportunities for improvement.

  • Support the organization's Quality Assurance and Performance Improvement (QAPI) initiatives.

  • Promote individualized, person-centered care planning and appropriate interdisciplinary collaboration.

  • Support effective discharge planning, safe transitions of care, and initiatives to reduce avoidable hospitalizations.

  • Escalate significant clinical, regulatory, and operational concerns to the CEO and appropriate facility leadership.

Leadership, Education, and Accountability

  • Provide guidance, education, and ongoing support to facility MDS Coordinators and interdisciplinary team members.

  • Standardize MDS workflows, documentation expectations, assessment practices, and compliance procedures across all locations.

  • Conduct regular facility visits, chart reviews, internal audits, and performance assessments.

  • Develop corrective action plans and monitor implementation and resolution of identified deficiencies.

  • Educate staff on regulatory updates, RAI requirements, assessment coding, care planning, and reimbursement documentation.

  • Provide executive leadership with updates on MDS performance, compliance risks, quality trends, and improvement initiatives.

  • Support facilities during regulatory surveys, audits, and reimbursement reviews.

  • Participate in quality assurance and clinical operations meetings as directed by the CEO.

Qualifications

Required Qualifications

  • Current, active Registered Nurse (RN) license in Florida.

  • Bachelor's degree in Nursing (BSN) preferred.

  • Minimum of two years of clinical experience in a long-term care or skilled nursing facility setting.

  • Previous experience as an MDS Coordinator, MDS Director, or in a comparable MDS leadership role.

  • Strong knowledge of MDS 3.0, the RAI process, Care Area Assessments, and interdisciplinary care planning.

  • Comprehensive understanding of applicable CMS regulations, Florida long-term care requirements, Medicare, Medicaid, and managed care guidelines.

  • Experience with reimbursement documentation, Utilization Review, Triple Check, and MDS-related audits.

  • Strong analytical, organizational, communication, and problem-solving skills.

  • Demonstrated ability to manage competing priorities and maintain accountability across multiple facilities.

  • Previous regional or multi-facility MDS oversight experience.

  • Experience improving MDS accuracy, regulatory compliance, quality outcomes, and reimbursement performance.

  • Knowledge of current skilled nursing reimbursement methodologies and payer-specific assessment requirements.

  • Experience developing standardized procedures, staff education programs, and performance-monitoring tools.

Work Environment and Travel

  • Regional position supporting five care locations throughout South Florida.

  • Regular travel between assigned facilities is required.

  • Work is performed in skilled nursing and senior care environments, with frequent walking throughout facilities and interaction with residents and clinical teams.

  • Schedule flexibility may be necessary to address assessment deadlines, audits, compliance concerns, and facility needs.

Why Join Luxe Consulting Group?

This is an opportunity to play a significant role in strengthening clinical quality, regulatory compliance, and reimbursement performance across multiple facilities while working directly with executive leadership.

We are seeking a proactive, results-driven MDS professional who can identify opportunities for improvement, coach facility teams, implement consistent processes, and help ensure that every location delivers accurate assessments, effective care planning, and strong operational performance.

Join Luxe Consulting Group and help drive excellence in MDS management across our regional portfolio.

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