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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.

NP

Full-time

6 days ago

Allure HCS Galesburg, IL

If you're a team player with a passion for geriatric mental health care, we’d love to hear from you. Join Allure Healthcare Services in the Quad City Area, where your expertise meets a supportive environment to help you thrive professionally and personally. Apply now to be part of a team that’s transforming mental health care, one patient at a time! Nurse Practitioner As the Nurse Practitioner you will act as a Skilled Nursing Facility’s leading provider of internal medicine services. You will collaborate with the facility’s interdisciplinary team and physicians, serving as a day-to-day clinical leader while helping oversee the care of all of the facility’s residents. You will work with the entire facility’s patient population - short and long-term residents - overseeing their day-to-day care with the assistance of the facility’s nursing staff and guidance from the facility’s medical directors and attending physicians. As a Nurse Practitioner, you will provide types of care, including but not limited to: Be comfortable and proficient with documentation and CPT coding Evaluation of new-admission visits Coordination of discharge visits Monthly stability visits for long term residents Evaluations for patients exhibiting changes in condition Advanced Care Planning Other Duties & Responsibilities Provide comprehensive health assessments, differential diagnosis, and prescribe treatments under the protocol in the direct management of acute and chronic illness and disease Prescribe all necessary medications and treatments Perform comprehensive physical examinations of patients Develop and implement patient management policies and procedures Facilitate referrals to other healthcare professionals and medical facilities Communicate with attending physicians and/or specialists regarding patient care Be comfortable and proficient with documentation and CPT coding Requirements Licensure / Certification / Registration: Advanced Practice Licensure (APN) with an applicable state license Must have an active license and DEA # Previous experience in nursing or other medical fields Minimum one-year experience in a Skilled Nursing setting (preferred) Ability to build rapport with patients and their loved ones Ability to thrive in a fast-paced environment Excellent written and verbal communication skills Strong leadership experience with emphasis on teamwork in a healthcare setting Education Master’s degree required

NP

Full-time

6 months ago

Nurse Practitioner NP

Allure HCS Zion, IL

If you're a team player with a passion for geriatric mental health care, we’d love to hear from you. Join Allure Healthcare Services in the Knox County Area, where your expertise meets a supportive environment to help you thrive professionally and personally. Apply now to be part of a team that’s transforming mental health care, one patient at a time! Nurse Practitioner As the Nurse Practitioner you will act as a Skilled Nursing Facility’s leading provider of internal medicine services. You will collaborate with the facility’s interdisciplinary team and physicians, serving as a day-to-day clinical leader while helping oversee the care of all of the facility’s residents. You will work with the entire facility’s patient population - short and long-term residents - overseeing their day-to-day care with the assistance of the facility’s nursing staff and guidance from the facility’s medical directors and attending physicians. As a Nurse Practitioner, you will provide types of care, including but not limited to: Be comfortable and proficient with documentation and CPT coding Evaluation of new-admission visits Coordination of discharge visits Monthly stability visits for long term residents Evaluations for patients exhibiting changes in condition Advanced Care Planning Other Duties & Responsibilities Provide comprehensive health assessments, differential diagnosis, and prescribe treatments under the protocol in the direct management of acute and chronic illness and disease Prescribe all necessary medications and treatments Perform comprehensive physical examinations of patients Develop and implement patient management policies and procedures Facilitate referrals to other healthcare professionals and medical facilities Communicate with attending physicians and/or specialists regarding patient care Be comfortable and proficient with documentation and CPT coding Requirements Licensure / Certification / Registration: Advanced Practice Licensure (APN) with an applicable state license Must have an active license and DEA # Previous experience in nursing or other medical fields Minimum one-year experience in a Skilled Nursing setting (preferred) Ability to build rapport with patients and their loved ones Ability to thrive in a fast-paced environment Excellent written and verbal communication skills Strong leadership experience with emphasis on teamwork in a healthcare setting Education Master’s degree required

NP

Full-time

6 months ago

Allure HCS Mount Carroll, IL

Allure HCS is looking for an Regional MDS Consultant (RN) to oversite all 15 facilities for the Quad City Area. Facilities: Allure of Galesburg, Allure of Geneseo, Allure of Knox County, Allure of Lake Storey, Allure of Mendota, Allure of Moline, Allure of Mt Carroll, Allure of Peru, Allure of Pinecrest , Allure of Prophetstown, Allure of Quad Cities, Allure of Sterling, Allure of Stockton, Allure of Walnut, Allure of Zion The Regional MDS Consultant (RN) is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for care and services provided within the Facilities. This role will integrate nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement. Responsibilities: Supervise and coordinate the Nursing Facility Level of Care (NFLOC) process, including staff training and education initiatives Serve as the primary resource to facility MDS Coordinators within Allure HCS 15 facility homes Conduct orientation sessions to all employees involved in the MDS process Provide ongoing education for employees Maintain current working knowledge of MDS and ensure regulatory change are applied to the program and functional Develop training materials and distribute to facility staff as needed Update the MDS User Manual as necessary Travel to facilities to evaluate facility production and train facility staff Responsible for CMS TPE and ADR audits Must be well-versed in the PDPM payment process for Medicare Part A Create weekly update of current MDS issues being addressed, fix-it procedural guides and other information and issue to the facilities Review facility processing and advise Administrator of abnormal trends Prepare and submit reports on facility operations, as required Attend and/or conduct meetings, as required, to carry out responsibilities Ensure adequate preparation for, and participate in, regulatory compliance surveys Must stay in compliance with all state, federal, and government agencies Demonstrate respect and compassion in every interaction Conduct oneself with the highest degree of honesty and integrity in every interaction Demonstrate a passion for caring as evidenced by interaction with co-workers, residents, families, and visitors Perform other duties as assigned Qualifications: Must possess a current, unencumbered, active nurse license to practice as an RN Experience in Skilled Nursing/Rehabilitation facilities Must have extensive working knowledge in the MDS completion process in the long-term care environment Experience in a multi-site, regional capacity Two to three years of experience as a MDS Coordinator RAC-CT or RNAC preferred Leadership and supervisory experience preferred You must be qualified, compassionate, and dedicated to a job well done