Regional MDS & PDPM Strategy Leader

CMR Recruiting; Baltimore (MD); On-site; USD 150,000 - 200,000; Full time

Benefits offered by this job

Medical, dental, vision

Life insurance

Disability insurance

401K with match

PTO & CEU reimbursement

Job summary

Gilder Search Group is seeking a Regional Director of Clinical Reimbursement (MDS) to lead the MDS and clinical reimbursement function across a portfolio of skilled nursing facilities. This regional leadership role drives PDPM optimization, case mix, and audit readiness while shaping reimbursement strategy across the region.

You will coach MDS coordinators, standardize assessment processes, and partner with clinical and finance leadership to improve reimbursement outcomes.

Qualifications

• Active RN license or current licensure.
• Several years of MDS 3.0 and RAI experience in skilled nursing.
• Deep knowledge of PDPM, case mix and Medicare/Medicaid reimbursement.
• Experience training and auditing building-level MDS coordinators.
• Willing to travel regionally.

Responsibilities

• Lead MDS accuracy, PDPM optimization and case mix across the region.
• Audit assessments and documentation for accuracy and reimbursement support.
• Train, mentor and standardize building level MDS coordinators.
• Support triple check, denials and audit readiness.
• Partner with clinical and finance leadership on reimbursement outcomes.

Skills

MDS 3.0

PDPM

Reimbursement

Audit readiness

Coaching

Education

RN license

Job description

Regional Director of Clinical Reimbursement (MDS)

Compensation: $150,000 - $200,000 Annual Salary
Benefits: Medical, dental, vision, life insurance, long-term and short-term disability insurance, 401K with match, PTO, and CEU reimbursement.

A growing regional skilled nursing and post-acute operator is looking for a Regional Director of Clinical Reimbursement to lead the MDS and clinical reimbursement function across a portfolio of skilled nursing facilities. We are offering COMPETITIVE PAY with AMAZING BENEFITS and the chance to own reimbursement strategy across a region.

Position Description

You will lead the resident assessment and clinical reimbursement program across multiple buildings, driving MDS 3.0 accuracy, PDPM optimization, case mix and audit readiness. You will coach and develop building level MDS coordinators, standardize the assessment process, and partner with clinical and finance leadership on reimbursement outcomes. This is a regional leadership role with travel across the portfolio.

Qualifications

• Active RN license
• Several years of MDS 3.0 and RAI experience in skilled nursing, with multi-facility or regional oversight
• Deep working knowledge of PDPM, case mix and Medicare and Medicaid reimbursement
• Experience training and auditing building level MDS coordinators
• Willing to travel across a regional portfolio

Responsibilities

• Lead MDS accuracy, PDPM optimization and case mix across the region
• Audit assessments and documentation for accuracy and reimbursement support
• Train, mentor and standardize building level MDS coordinators
• Support triple check, denials and audit readiness
• Partner with clinical and finance leadership on reimbursement outcomes

If you're an experienced clinical reimbursement leader looking for a regional leadership opportunity, we want YOU to apply!