Regional PDPM & MDS Reimbursement Leader – LTC

STG International, Inc.; Greensboro (NC); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with company match

Generous PTO policy

Job summary

A workforce solutions company is seeking a Regional Clinical Reimbursement Consultant to oversee clinical reimbursement processes across multiple long-term care facilities. The role demands an active RN license and 5-7 years of relevant experience, along with strong knowledge of CMS regulations and the PDPM model. Responsibilities include ensuring MDS compliance, monitoring reimbursement trends, and collaborating with facility leadership to optimize operations. This position also includes extensive travel throughout the assigned region.

Qualifications

• Active Registered Nurse (RN) license in good standing.
• Minimum 5–7 years of MDS and clinical reimbursement experience.
• Strong knowledge of PDPM, RAI Manual, and CMS regulations.

Responsibilities

• Oversee clinical reimbursement operations in skilled nursing facilities.
• Ensure accurate MDS assessments per CMS requirements.
• Monitor PDPM performance and identify reimbursement optimization opportunities.

Skills

Analytical skills

Attention to detail

Leadership skills

Clear communication

Education

Bachelor's degree in Nursing

Job description

A workforce solutions company is seeking a Regional Clinical Reimbursement Consultant to oversee clinical reimbursement processes across multiple long-term care facilities. The role demands an active RN license and 5-7 years of relevant experience, along with strong knowledge of CMS regulations and the PDPM model. Responsibilities include ensuring MDS compliance, monitoring reimbursement trends, and collaborating with facility leadership to optimize operations. This position also includes extensive travel throughout the assigned region.