MDS Solutions - Director of Clinical Reimbursement Consulting

MDS Solutions; Cincinnati (OH); Remote; USD 80,000 - 120,000; Full time

Job summary

An established industry player is seeking a dynamic Director of Clinical Reimbursement Consulting to lead their remote MDS division. In this pivotal role, you will oversee a team of MDS Coordinators and Clinical Reimbursement Specialists, providing essential consulting services that enhance reimbursement processes and ensure compliance with federal standards. Your expertise in clinical practices and reimbursement strategies will be crucial in delivering high-quality services and training to healthcare agencies. Join a supportive environment that prioritizes professional growth, work-life balance, and innovative approaches to rehabilitation services.

Benefits

Competitive Pay

Comprehensive Health Coverage

Flexible Work Arrangements

Continuing Education

Paid Time Off

Retirement Plans

Reimbursements

Qualifications

• 5+ years clinical experience with 3+ years in RAI process.
• Current RN license and RAC-CT certification required.

Responsibilities

• Serve as an advisor on reimbursement systems for healthcare agencies.
• Assist clients with reimbursement optimization strategies.

Skills

Clinical Expertise

Analytical Skills

Strong Communication

Decision-Making

Leadership Skills

Education

Bachelor's degree in Nursing

Tools

MDS Coordination

RAI Assessments

Care Plan Development

Quality Measure Analysis

Job description

MDS Solutions - Director of Clinical Reimbursement Consulting

Join our team as the Director of Clinical Reimbursement Consulting at MDS Solutions, a division of Key Rehabilitation. We are seeking a dynamic, self-driven leader to manage our remote MDS division, overseeing MDS Coordinators and Clinical Reimbursement Specialists.

This role involves providing billable consulting services such as MDS coordination, RAI assessments, Care Plan development, PDPM, Case Mix reimbursement optimization, and Quality Measure analysis. The DCRC will also train and educate staff to ensure accurate reimbursement and compliance with federal quality reporting standards. The ideal candidate excels both independently and collaboratively, leveraging clinical expertise, analytical skills, strong communication, and sound judgment.

About Us

At Key Rehab, we revolutionize rehab services with innovative approaches, top-tier systems, and strategic locations to maximize patient outcomes and client satisfaction. We prioritize clear communication, experienced service delivery, and exceeding expectations for patients, families, healthcare providers, and businesses.

We are committed to providing a supportive environment that values work-life balance, professional growth, and personalized support. Our benefits include competitive pay, comprehensive health coverage, flexible work arrangements, continuing education, paid time off, retirement plans, and reimbursements.

Key Responsibilities

• Serve as a trusted advisor on reimbursement systems and processes for healthcare agencies and facilities.
• Assist clients with assessing, planning, and implementing reimbursement optimization strategies tailored to their needs.
• Provide technical consultation and interim MDS management support.
• Stay current with standards, regulations, and best practices in quality reporting and reimbursement.
• Deliver high-quality services, including education, research, system analysis, and comprehensive presentations.
• Identify training needs and develop targeted training sessions.
• Maintain strict confidentiality and adhere to HIPAA regulations within scope of work.

Minimum Qualifications

• Bachelor's degree in Nursing from an accredited institution.
• Minimum of 5 years clinical experience, including 3+ years with the RAI process.
• Current, unrestricted RN license.
• RAC-CT certification.
• Strong critical thinking, decision-making, and leadership skills.

Key Rehab is an equal opportunity employer.