Remote PDPM Clinical Resource Nurse (RN/LPN) – Travel Ready

Cascadia Services, LLC; Montana City (MT); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive Salary

Medical, dental, and vision benefits

Paid time off

Life insurance

401(k) retirement plan

Disability coverage

Employee Assistance Program (EAP)

Professional Development Opportunities

Mission-driven culture

Job summary

Cascadia Healthcare is seeking an experienced PDPM Clinical Resource Nurse (RN or LPN) to support our skilled nursing facilities nationwide. You will serve as a clinical and reimbursement resource, helping 15-25 facility teams understand and apply PDPM while ensuring accurate, compliant reimbursement practices.

The role emphasizes MDS knowledge, education, and coaching to influence teams through collaboration, balancing reimbursement optimization with regulatory compliance and strong

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.
• Strong organizational skills and ability to work independently.
• Previous experience as an MDS Coordinator, Clinical Reimbursement Specialist, Clinical Resource Nurse, or Regional MDS/PDPM Consultant.
• Multi-facility oversight, management, or regional support experience.
• Experience conducting audits, reimbursement reviews, or clinical documentation improvement initiatives.
• Demonstrated success training and mentoring clinical teams.
• Strong understanding of Medicare reimbursement and regulatory compliance.

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 reflects resident conditions and services.
• 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.
• Partner with facility leadership to address documentation gaps and strengthen coding practices.
• Ensure recommendations align with CMS regulations, state requirements, and ethical reimbursement practices.
• Support facilities in maintaining audit readiness and regulatory compliance.
• Develop strong relationships with MDS Coordinators, DONs, Administrators, and interdisciplinary teams.
• Deliver ongoing education regarding PDPM, MDS coding, documentation requirements, and reimbursement best practices.
• Provide individualized coaching and mentorship to facility teams to increase knowledge, confidence, and consistency.
• Translate complex reimbursement concepts into practical guidance for clinical staff and leaders.
• Serve as a trusted resource for questions related to PDPM, Medicare reimbursement and clinical documentation practices.
• Collaborate with regional and facility leadership to support clinical and financial goals.
• Participate in reimbursement reviews, operational meetings, and strategic initiatives.
• Assist with onboarding and training of new MDS and reimbursement personnel.

Skills

MDS knowledge

Interpersonal skills

Education & coaching

Regulatory compliance

Education

RN or LPN license

Job description

Cascadia Healthcare is seeking an experienced PDPM Clinical Resource Nurse (RN or LPN) to support our skilled nursing facilities nationwide. You will serve as a clinical and reimbursement resource, helping 15-25 facility teams understand and apply PDPM while ensuring accurate, compliant reimbursement practices.

The role emphasizes MDS knowledge, education, and coaching to influence teams through collaboration, balancing reimbursement optimization with regulatory compliance and strong