Director of MDS RN

Loudoun; Leesburg (VA); Hybrid; USD 90,000 - 110,000; Full time

Benefits offered by this job

Competitive pay

Leadership impact

Supportive leadership

Health benefits

PTO & holidays

401k

Job summary

Loudoun Rehabilitation and Nursing Center in Leesburg, VA is seeking an experienced Director of MDS (RN) to lead the clinical assessment and PDPM reimbursement process in our skilled nursing and rehabilitation facility. This leadership role oversees MDS accuracy, audits, and compliance, mentors an MDS nurse, and drives documentation integrity to support high-quality care and optimal reimbursement.

The position emphasizes collaboration with nursing, therapy, and billing teams and requires

Qualifications

• Active Virginia RN license or Compact license
• Minimum 1 year MDS experience in a skilled nursing setting
• Strong knowledge of PDPM, CMS guidelines, and care planning regulations
• RAC-CT certification preferred
• Experience supervising or mentoring clinical staff

Responsibilities

• Oversee completion, accuracy, and timeliness of all MDS assessments
• Supervise one MDS nurse, providing guidance, auditing, and education
• Ensure compliance with CMS, state, and federal regulations
• Monitor PDPM case mix, clinical categories, and reimbursement accuracy
• Lead and coordinate interdisciplinary care plan meetings
• Conduct internal audits to ensure documentation supports coding and reimbursement
• Educate nursing and IDT staff on documentation standards
• Identify opportunities to improve case mix and reimbursement outcomes
• Support survey readiness and participate during surveys and audits
• Participate in QAPI and performance improvement initiatives

Skills

MDS coding

Regulatory interpretation

Analytical skills

Communication

Leadership

Documentation

Education

Virginia RN license (or Compact)

RAC-CT certification

Job description

Loudoun Rehabilitation and Nursing Center is seeking an experienced Director of MDS (RN) to lead the clinical assessment and reimbursement process within our skilled nursing and rehabilitation facility.

*NOT A PART OF THE ON-CALL ROTATION*

This position plays a critical role in ensuring accurate assessments, regulatory compliance, strong interdisciplinary care planning, and optimized reimbursement under PDPM.

Key Responsibilities

• Oversee completion, accuracy, and timeliness of all MDS assessments

• Supervise and support one MDS nurse, providing guidance, auditing, and education

• Ensure compliance with CMS, state, and federal regulations

• Monitor PDPM case mix, clinical categories, and reimbursement accuracy

• Lead and coordinate interdisciplinary care plan meetings

• Conduct internal audits to ensure documentation supports coding and reimbursement

• Educate nursing and IDT staff on documentation standards

• Identify opportunities to improve case mix and reimbursement outcomes

• Support survey readiness and participate during surveys and audits

• Participate in QAPI and performance improvement initiatives

Qualifications

• Active Virginia RN license or Compact license required

• RAC-CT certification preferred

• Minimum 1 year MDS experience in a skilled nursing setting

• Strong knowledge of PDPM, CMS guidelines, and care planning regulations

• Experience supervising or mentoring clinical staff preferred

• Strong analytical, organizational, and communication skills

What We’re Looking For

We want someone who is:

• Detail-driven and clinically strong

• Confident in MDS coding and regulatory interpretation

• Comfortable balancing hands‑on work with light leadership

• Proactive in identifying reimbursement and documentation opportunities

• A collaborative partner to nursing, therapy, and billing teams

What We Offer

• Competitive salary based on experience

• Leadership role with direct impact on quality and reimbursement

• Supportive leadership team

• Health, dental, and vision benefits

• Paid time off and holidays

• 401(k)

Salary Range 90k - 110k depending on experience.

EEOC

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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