Regional Director of Clinical Reimbursment

Clayton Clinical; South Bend (IN); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Competitive compensation based on经验

Generous paid time off

401(k) retirement plan

Daily Pay options

Comprehensive medical, dental, vision,

Disability coverage

Wellness programs

Inclusive workplace culture

Ongoing professional development

Job summary

Apploi is seeking a Regional Director of Clinical Reimbursement (RN) in Indiana to lead regional MDS and reimbursement strategies, ensuring accuracy and regulatory compliance across facilities. This senior role requires strong leadership, analytics, and collaboration with facility, regional, and corporate teams.

You will guide MDS coordinators, oversee timelines and audits, and drive performance through education and policy guidance. Indiana residency or relocation is required.

Qualifications

• Active IN RN license.
• 3+ years MDS/reimbursement in SNF/LTC.
• Regional leadership experience preferred.
• Must reside in or relocate to Indiana.
• Strong knowledge of MDS, PDPM, Medicare rules.
• Analytical, organizational, and communication skills.
• Collaborates across facility, regional, and corporate teams.
• Proficient in Word, Excel, PowerPoint, Outlook.

Responsibilities

• Lead regional reimbursement strategy to optimize revenue and accuracy.
• Ensure compliance with MDS, PDPM, Medicare and billing rules.
• Oversee ARD scheduling and MDS completion timelines.
• Chair regional reimbursement and revenue meetings.
• Mentor MDS Coordinators and IDT members.
• Assist with interviews, onboarding, and ongoing education.
• Serve as SME during audits, denials, and transitions.

Skills

Analytical

Organizational

Communication

Collaboration across teams

Education

RN license in IN

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Job description

Regional Director of Clinical Reimbursement (RN)

Location: Indiana (Must live in or be willing to relocate)

Are you a results-driven registered nurse with deep expertise in clinical reimbursement and MDS strategy? Do you thrive in a regional leadership role where your work directly impacts care quality, compliance, and financial performance across multiple skilled nursing facilities?

This is an opportunity to step into a high-visibility regional leadership position where your knowledge, judgment, and ability to influence teams will drive measurable outcomes.

The Impact You’ll Make

As the Regional Director of Clinical Reimbursement, you will serve as a strategic partner to facility and regional leaders, ensuring reimbursement accuracy, regulatory compliance, and operational excellence across the region. This role requires strong leadership, advanced MDS expertise, and the ability to guide teams through complex reimbursement challenges.

This position is regionally based in the Indiana area.

Key Responsibilities

• Lead regional clinical reimbursement strategy to optimize revenue and ensure accuracy

• Ensure compliance with state and federal regulations related to MDS, Medicare, and billing

• Oversee ARD scheduling, MDS completion timelines, and documentation integrity

• Chair regional reimbursement and revenue-focused meetings

• Provide education, mentorship, and guidance to MDS Coordinators and IDT members

• Support interviews, onboarding, and ongoing education for MDS leadership

• Serve as a subject matter expert during audits, denials, and operational transitions

Required Qualifications

• Active Registered Nurse (RN) license in IN.

• Minimum of 3 years of MDS or reimbursement experience in a Skilled Nursing or LTC setting

• Regional experience strongly preferred

• Must reside in or be willing to relocate to the Indiana area

• Strong working knowledge of MDS, PDPM, Medicare, and reimbursement regulations

• Excellent analytical, organizational, and communication skills

• Ability to collaborate effectively across facility, regional, and corporate teams

• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook

What We Offer

• Competitive compensation based on experience and expertise

• Generous paid time off

• 401(k) retirement plan

• Daily Pay options

• Comprehensive benefits package including medical, dental, vision, and disability coverage

• Wellness and employee support programs

• Inclusive, collaborative workplace culture

• Ongoing professional development and leadership training

Salary / Wage Range

Compensation will be determined based on qualifications, skills, competencies, and experience and may fall outside of the range shown.