PDPM Clinical Resource Nurse (RN/LPN) – Remote & Travel

Cascadia Services, LLC; Yuma (AZ); Remote; USD 80,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Paid time off, sick and vacation days

Life insurance

401(k) retirement plan

Disability coverage

Employee Assistance Program (EAP)

Professional Development Opportunities

Mission-driven culture

Job summary

Cascadia Healthcare is seeking an experienced PDPM Clinical Resource Nurse (RN or LPN) to support our skilled nursing facilities remotely. You will serve as a trusted resource for PDPM reimbursement, MDS coding, and CMS compliance, coaching teams to optimize capture and accuracy.

Ideal candidates have strong MDS knowledge, reimbursement optimization skills, and the ability to educate and influence facility leadership while traveling regionally for onsite support.

Qualifications

• Active RN or LPN license.
• Strong knowledge of MDS assessment processes and PDPM reimbursement methodology.
• Experience in skilled nursing, long-term care, or post-acute care settings.
• Excellent interpersonal, verbal, written, and presentation skills.

Responsibilities

• Serve as a regional subject matter expert on PDPM reimbursement, MDS coding, and Medicare payment methodologies.
• Perform clinical and reimbursement reviews to identify opportunities for accurate PDPM capture and appropriate reimbursement.
• Analyze resident documentation, MDS assessments, and supporting clinical records to ensure coding accurately reflects resident conditions and services provided.
• Assist facilities in understanding reimbursement implications of MDS coding decisions while supporting facility autonomy in final coding determinations.
• Monitor reimbursement trends and identify opportunities for process improvement and revenue integrity.
• Conduct facility audits to evaluate MDS accuracy, supporting documentation, and PDPM performance.
• Provide objective feedback and recommendations that promote compliance, clinical accuracy, and reimbursement integrity.
• Partner with facility leadership to address documentation gaps and strengthen coding practices.
• Ensure recommendations align with CMS regulations, state requirements, and ethical reimbursement practices.
• Support facilities in maintaining audit readiness and regulatory compliance.
• Develop strong relationships with MDS Coordinators, DONs, Administrators, and interdisciplinary teams.
• Deliver ongoing education regarding PDPM, MDS coding, documentation requirements, and reimbursement best practices.
• Provide individualized coaching and mentorship to facility teams to increase knowledge, confidence, and consistency.
• Translate complex reimbursement concepts into practical, understandable guidance for clinical staff and leaders.
• Serve as a trusted resource for questions related to PDPM, Medicare reimbursement, and clinical documentation practices.
• Collaborate with regional and facility leadership to support clinical and financial goals.
• Participate in reimbursement reviews, operational meetings, and strategic initiatives.
• Assist with onboarding and training of new MDS and reimbursement personnel.
• Maintain flexibility to travel throughout the region and provide onsite support as needed.
• Manage priorities independently while adapting to changing facility and organizational needs.

Skills

MDS knowledge

PDPM reimbursement

Medicare payment methodologies

Education and coaching

Job description

Cascadia Healthcare is seeking an experienced PDPM Clinical Resource Nurse (RN or LPN) to support our skilled nursing facilities remotely. You will serve as a trusted resource for PDPM reimbursement, MDS coding, and CMS compliance, coaching teams to optimize capture and accuracy.

Ideal candidates have strong MDS knowledge, reimbursement optimization skills, and the ability to educate and influence facility leadership while traveling regionally for onsite support.