MDS & Reimbursement Director — Lead Across Facilities

Cascadia Services, LLC; Eagle (ID); On-site; USD 140,000 - 190,000; Full time

Job summary

Cascadia Healthcare is seeking an experienced Director of MDS & Reimbursement to lead resident assessment, clinical documentation integrity, and reimbursement programs across multiple skilled nursing facilities.

This leader serves as the organization's subject matter expert for MDS, PDPM, Medicare and Medicaid reimbursement, case-mix methodologies, audit readiness, and regulatory compliance. Travel may be required to support enterprise-wide initiatives.

Qualifications

• Current RN license in good standing.
• Bachelor's degree in nursing, Healthcare Administration, Business, Finance, or related field.
• 5+ years of progressive skilled nursing experience with MDS, reimbursement, clinical documentation, or related functions.
• Advanced knowledge of the RAI process and MDS requirements.
• Strong PDPM, Medicare, and Medicaid reimbursement knowledge.
• Ability to travel as business needs require.

Responsibilities

• Lead MDS and resident assessment leadership for multiple facilities.
• Oversee reimbursement strategy and program integrity across Medicare, Medicaid, and other models.
• Align interdisciplinary documentation with residents' needs and plan of care.
• Design and oversee an audit program for MDS accuracy and compliance.
• Develop onboarding and ongoing education for MDS coordinators and teams.
• Collaborate with executives and departments to drive program strategy and performance.

Skills

Leadership

Project management

Analytical skills

Communication

Travel readiness

Education

Bachelor's degree in nursing, Healthcare Administration, Business, Finance, or related field

Tools

PointClickCare

Reimbursement analytics platforms

Job description

Cascadia Healthcare is seeking an experienced Director of MDS & Reimbursement to lead resident assessment, clinical documentation integrity, and reimbursement programs across multiple skilled nursing facilities.

This leader serves as the organization's subject matter expert for MDS, PDPM, Medicare and Medicaid reimbursement, case-mix methodologies, audit readiness, and regulatory compliance. Travel may be required to support enterprise-wide initiatives.