MDS Solutions - Director of Clinical Reimbursement Consulting

MDS Solutions; Louisville (KY); Remote; USD 70,000 - 110,000; Full time

Job summary

An innovative healthcare firm is seeking a dynamic Director of Clinical Reimbursement Consulting to lead a team in optimizing reimbursement processes. This role involves providing expert consulting services, ensuring compliance with federal regulations, and delivering training to MDS Coordinators. The ideal candidate will possess strong clinical and analytical skills, along with proven leadership abilities. Join a company that values work-life balance and offers a supportive environment, competitive salaries, and comprehensive benefits. Experience a fulfilling career where your contributions make a real difference in patient care and organizational success.

Benefits

Competitive salaries with bonus opportunities

Ample opportunities for promotion

Meaningful and fulfilling work

Reasonable working hours

Continuing education opportunities

Generous paid time off

Comprehensive health insurance

401K with discretionary matching

Mileage and licensure reimbursements

Flexible Spending Account options

Qualifications

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

Responsibilities

• Provide expert guidance on reimbursement systems to healthcare agencies.
• Deliver high-quality, client-focused services and training.

Skills

Clinical Expertise

Analytical Skills

Communication Skills

Customer Service Skills

Critical Thinking

Decision-Making

Leadership

Education

Bachelor's Degree in Nursing

Tools

RAI Process

Job description

Overview

MDS Solutions, a division of Key Rehabilitation, is looking for a fun, energetic, and self-driven team member to join our remote MDS division as the Director of Clinical Reimbursement Consulting.

The Director of Clinical Reimbursement Consulting (DCRC) leads and manages MDS Coordinators and Clinical Reimbursement Specialists within the MDS Solutions division. This role involves performing billable consulting services for clients, including MDS coordination, RAI assessments, Care Plan development, PDPM, Case Mix reimbursement optimization, and Quality Measure analysis. The DCRC is responsible for providing training and education to MDS Coordinators, ensuring accurate reimbursement and compliance with federal quality reporting requirements. The Director excels both independently and as part of a team, leveraging clinical and analytical expertise, strong communication, customer service skills, and sound professional judgment.

About Us:

At Key Rehab, we’re shaking up rehab services with a fresh, standout approach. We offer a wide range of services, stick to top-notch systems, and work in strategic locations to get the best results for our patients and support our clients' goals. We’re all about clear communication, using our deep experience to deliver therapy that's both effective and affordable. Our reputation is built on great patient care, happy clients and staff, and solid management. We are proud to exceed expectations for patients, families, healthcare providers, and businesses.

We prioritize both exceptional patient care and the well-being of our employees. We are committed to delivering compassionate, results-driven therapy while offering the flexibility and comprehensive benefits needed to thrive in today’s healthcare environment. Our team is large enough to offer competitive pay and benefits but small enough to ensure personalized attention and support for your career aspirations.

Whether you’re looking for a role that accommodates family commitments, travel plans, home projects, or future savings, we provide tailored solutions to fit your lifestyle. Join us and experience a workplace that values your individual needs and career goals. Come experience a rewarding career where you’re valued and supported every step of the way.

We offer a creative, engaging, and flexible work environment, alongside a comprehensive benefits package designed to support your success and well-being:

• Competitive salaries with bonus opportunities
• Ample opportunities for promotion, transfer, and advancement
• Work that is meaningful, fulfilling, and provides high job satisfaction
• Reasonable working hours promoting work-life balance
• Continuing education (CE) opportunities for ongoing professional development
• Generous paid time off
• Comprehensive health, dental, and life insurance packages
• 401K with discretionary matching
• Mileage and licensure reimbursements
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options

Responsibilities

• Serve as a trusted advisor to healthcare agencies and facilities, providing expert guidance on reimbursement systems and processes.
• Assist clients in assessing, planning, developing, and implementing tailored systems and processes for optimizing reimbursement, as outlined in client contracts.
• Offer technical consultation and interim MDS management support, addressing client-specific needs.
• Stay current with professional standards of care, federal and state regulations, QM measures, and the RAI process to ensure compliance and best practices.
• Deliver high-quality, client-focused services, including reimbursement optimization, education, research, system analysis, creative problem-solving, recommendations, and comprehensive written presentations.
• Identify training needs and develop and conduct targeted training sessions or in-services as required.
• Operate within the defined scope of work provided by the client, maintaining strict confidentiality and adhering to HIPAA regulations.

Qualifications

Minimum qualifications:

• Bachelor's degree in Nursing from an accredited institution
• 5 years minimum of clinical experience, including 3+ years of direct involvement with the RAI process.
• Current, unrestricted RN license required.
• Must hold RAC-CT certification.
• Demonstrates strong critical thinking and decision-making skills, with the ability to exercise sound clinical and professional judgment and a solid understanding of quality improvement concepts and processes.
• Proven leadership and interpersonal skills.

Key Rehab is an equal opportunity employer/service provider.