Director of Facility Reimbursement & PDPM Strategy

Hillcrest Health & Living; Bellevue (NE); Vor Ort; USD 120.000 - 180.000; Vollzeit

Benefits dieser Stelle

Health, dental, and vision insurance

Paid time off

Tuition reimbursement

Career growth opportunities

Culture of Integrity, Compassion, and

Zusammenfassung

Hillcrest Health & Living seeks an experienced Director of Facility-Based Clinical Reimbursement (RN) to lead reimbursement across post-acute and long-term care communities. You will oversee MDS coordinators, ensure accurate MDS submissions, and optimize PDPM-related processes.

Key responsibilities include auditing MDS/RAI accuracy, developing policy, and partnering with clinical and financial leaders to align documentation with compliance, while traveling between facilities as needed.

Qualifikationen

• Active RN license in Nebraska (or compact state).
• Minimum 5 years of MDS/clinical reimbursement experience, including PDPM.
• Experience in post-acute care, long-term care, or skilled nursing facility management.
• Strong knowledge of Medicare/Medicaid regulations, RAI guidelines, and documentation requirements.
• Proven ability to lead and mentor multi-site reimbursement teams.
• Excellent analytical, organizational, and communication skills.
• Willingness to travel between facilities.

Aufgaben

• Provide leadership and oversight to facility MDS coordinators and reimbursement staff across all Hillcrest locations.
• Ensure accurate, timely completion and submission of MDS assessments in accordance with regulations.
• Monitor and analyze reimbursement data to identify trends, risks, and opportunities for revenue optimization.
• Serve as a subject matter expert on PDPM, Medicare, Medicaid, and payer-specific reimbursement systems.
• Develop and implement policies and procedures to ensure consistent documentation and coding practices.
• Partner with clinical and financial leaders to align care documentation with reimbursement compliance.
• Conduct regular audits of MDS accuracy, RAI processes, and supporting documentation.
• Support education, training, and competency development for facility reimbursement teams.
• Collaborate with regional and facility leadership to maintain regulatory readiness and survey compliance.
• Represent the reimbursement department in interdisciplinary and corporate-level meetings.

Kenntnisse

Leadership

Data analysis

Healthcare reimbursement

PDPM knowledge

Regulatory compliance

Travel readiness

Ausbildung

RN license (Nebraska or compact)

Jobbeschreibung

Hillcrest Health & Living seeks an experienced Director of Facility-Based Clinical Reimbursement (RN) to lead reimbursement across post-acute and long-term care communities. You will oversee MDS coordinators, ensure accurate MDS submissions, and optimize PDPM-related processes.

Key responsibilities include auditing MDS/RAI accuracy, developing policy, and partnering with clinical and financial leaders to align documentation with compliance, while traveling between facilities as needed.