Regional MDS Consultant- $15k Sign On Bonus
Location: Tuscaloosa
Posted on: February 1, 2026
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Job Description:
Regional Case Manager - Covers Birmingham , Prattville,
Wetumpka, Tallassee, Columbiana, Lineville, Hoover) MDS (minimum
data set) experience required NHS is seeking an experienced
Regional Case Manager/MDS Consultant to add to our team of leaders.
In this position you will be responsible for the regional
coordination, development and completion of the resident assessment
process in accordance with the requirements of the Federal and
States regulations as well as Company policy and procedure Directs
the MDS assessment and Medicare related activities of the assigned
facilities, ensuring accurate and timely assessments for all
residents requiring skilled services. Assists assigned facilities
in accurately recording skilled services in the MDS and medical
chart and providing rehab services at the highest practicable level
for each resident. Provides case management services for certain
high-risk Medicare Part A residents to ensure services are provided
in accordance with the assessment and the plan of care. Must be
knowledgeable in the areas of general nursing, rehabilitation and
restorative nursing, including medical practices in long term care
Must have excellent computer skills and a comprehensive
understanding of the MDS software program Extensive travel required
to include overnight travel as needed. Conducts visits to each
facility to determine the effectiveness of the Medicare program
processes within the assigned facilities. Reviews the Medicare
assessment schedules of facilities at least weekly and ensures
timely transmission. Reports any evidence of late assessments to
the facility Administrator, Director of Nursing, Regional
Administrator, Director of Medicare and Rehabilitation and
MDS/Clinical Information Consultant. Conducts audits to ensure
accurate completion of all MDS Medicare assessments, following the
current regulatory guidelines for assessments. validating therapy
minutes, recording of procedures classified as skilled nursing
services, accurate ADL scores and diagnoses that support skilled
services. Reports discrepancies to the Administrator, Director of
Nursing, Regional Administrator, Director of Medicare and
Rehabilitation, and MDS/Clinical Information Consultant. Conducts
an observation of the resident when an MDS is reviewed for
accuracy. Conducts random audits of medical record documentation
and the provision of care and services compared to the resident
assessment and skilled nursing and rehab services that are being
provided. Reports discrepancies to the Administrator, Director of
Nursing, Regional Administrator, Director of Medicare and
Rehabilitation and MDS/Clinical Information Consultant. Provides
consultation to facilities on Medicare eligibility, certification,
coverage questions, documentation and utilization and provides
training to facility staff as indicated. Reviews Part B therapy
utilization and assists facilities with utilization of Part B
benefits for residents, along with nursing restorative programs.
During facility visits, conducts an exit interview with the
facility Administrator, Director of Nursing, and MDS Coordinator
presenting findings from the visit and any recommendations for
systems changes. Formulates a visit report for each facility that
summarizes issues that were identified during audits and/or visits
and systems that were implemented to address the concerns. Reports
will be submitted to the facility Administrator, Director of
Nursing, Regional Administrator, Director of Medicare and
Rehabilitation, Chief Operations Officer (COO), and MDS/Clinical
Information Consultant. Assists with the implementation of new NHS
and regulatory policies related to the MDS or Medicare programs, in
the region’s facilities. Consults with the Director of Medicare and
Rehabilitation and MDS/Clinical Information Consultant on the
development and revision of policies and procedures, as requested.
Participates in daily PPS, Weekly Medicare/Rehab, and monthly
Triple Check meetings during facility visits. Assists with the
implementation of facility medical record automation efforts as
related to the RAI or Medicare process, if requested. Stays current
in MDS and Medicare related regulatory changes and revises
practices consistent with those changes. Educates facility staff on
these changes as directed by Director of Medicare and
Rehabilitation and MDS/Clinical Information Consultant. Reviews
charts of residents being considered for discontinuation of part A
coverage and discusses with facility staff. Reviews recommendations
of the PDPM group and coordinates with them to identify and
implement needed changes and training needs. Blue Cross/Blue Shield
health and dental insurance (Low premium and not a high deductible
plan) Short and Long Term Disability We are an equal opportunity
employer and value diversity in the workplace
Keywords: , Birmingham , Regional MDS Consultant- $15k Sign On Bonus, Healthcare , Tuscaloosa, Alabama
