Regional RN Leader: Clinical Reimbursement & MDS Strategy

Clayton Clinical; Fairfax (VA); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Competitive pay

PTO

401(k)

Daily pay

Medical, dental, vision

Wellness programs

Inclusive culture

Leadership training

Job summary

Clayton Clinical in Northern Virginia is seeking a Regional Director of Clinical Reimbursement (RN) to lead reimbursement strategy across multiple facilities. The role requires deep MDS expertise, regulatory knowledge, and strong leadership to optimize revenue and ensure compliance.

As a regional leader, you will mentor MDS coordinators, guide audits, and partner with facility and regional leadership to drive operational excellence and accurate coding across the region.

Qualifications

• Active RN license in VA.
• Minimum 3 years of MDS or reimbursement experience in a Skilled Nursing or LTC setting.
• Regional leadership experience strongly preferred.
• Must reside in or be willing to relocate to the Northern Virginia area.
• Strong working knowledge of MDS, PDPM, Medicare, and reimbursement regulations.
• Excellent analytical, organizational, and communication skills.
• Ability to collaborate across facility, regional, and corporate teams.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.

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.

Skills

RN license VA

Advanced leadership

MDS knowledge

Analytical skills

Communication

Education

RN license VA

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Job description

Clayton Clinical in Northern Virginia is seeking a Regional Director of Clinical Reimbursement (RN) to lead reimbursement strategy across multiple facilities. The role requires deep MDS expertise, regulatory knowledge, and strong leadership to optimize revenue and ensure compliance.

As a regional leader, you will mentor MDS coordinators, guide audits, and partner with facility and regional leadership to drive operational excellence and accurate coding across the region.