Remote PDPM Clinical Resource Nurse (RN/LPN)

Cascadia Services, LLC; Montana; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Paid time off, sick and vacation days

401(k) retirement plan

Life insurance

Short-term and long-term disability

Job summary

Cascadia Healthcare is seeking a PDPM Clinical Resource Nurse (RN or LPN) to support skilled nursing facilities with PDPM and reimbursement practices. You will serve as a trusted clinical and reimbursement resource across 15–25 facility teams, ensuring accurate, compliant coding and optimal reimbursement.

The role emphasizes education and coaching, partnering with facility leadership to improve documentation and PDPM outcomes.

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.
• Ability to build relationships and effectively influence diverse teams.

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.

Skills

MDS knowledge

PDPM reimbursement

Interdisciplinary collaboration

Education & coaching

Communication skills

Education

Active RN or LPN license

Job description

Cascadia Healthcare is seeking a PDPM Clinical Resource Nurse (RN or LPN) to support skilled nursing facilities with PDPM and reimbursement practices. You will serve as a trusted clinical and reimbursement resource across 15–25 facility teams, ensuring accurate, compliant coding and optimal reimbursement.

The role emphasizes education and coaching, partnering with facility leadership to improve documentation and PDPM outcomes.