Regional Director of Clinical Reimbursement

Apply Now

Company: Champion Care

Location: Nashville, TN 37211

Description:

Regional Director of Clinical Reimbursement
Location: Tennessee & New Jersey (Primarily Tennessee Travel)
Position Type: Full-Time | Travel Required
Company: Champion Care

Champion Care is currently seeking a Regional Director of Clinical Reimbursement to support our team across 9 skilled nursing facilities located in Tennessee and New Jersey. This position will primarily focus on facilities in Tennessee, with occasional required travel to New Jersey.

We are looking for a strong clinical leader with proven experience in MDS coordination, reimbursement systems, and regulatory compliance. If you're ready to support and mentor clinical teams across multiple facilities, this is a great opportunity to make a regional impact.

Responsibilities:
  • Provide clinical reimbursement oversight and support to facility MDS teams
  • Conduct audits, training, and education to ensure accuracy and compliance in MDS and PDPM practices
  • Monitor reimbursement practices and support process improvement initiatives
  • Collaborate with facility leadership to improve care planning and quality metrics
  • Stay current with CMS guidelines and regulatory changes, and ensure consistent implementation across facilities

Qualifications:
  • Must be a Registered Nurse (RN) with an active license
  • Minimum 3 years of MDS Coordinator experience required
  • Strong knowledge of MDS 3.0, PDPM, and Medicare/Medicaid reimbursement
  • Knowledge and understanding of the PAE (Pre-Admission Evaluation) process for Tennessee Medicaid
  • Familiarity with CMS Quality Measures and how they impact clinical outcomes and reimbursement
  • Regional or multi-site experience preferred
  • Ability to travel regularly throughout Tennessee, with occasional travel to New Jersey
  • Strong communication, organizational, and leadership skills

Why Join Champion Care:
  • Work with a growing company committed to quality and innovation
  • Opportunity to impact care across multiple facilities
  • Competitive salary and travel reimbursement
  • Supportive leadership and team environment


Equal Opportunity Employer (EOE):
Champion Care is an Equal Opportunity Employer. We welcome applicants from all backgrounds.

INDMGMT

Similar Jobs