RN Regional Director, Case Management & Reimbursement

MQS Health; Woburn (MA); Hybrid; USD 115,000 - 190,000; Full time

Benefits offered by this job

Tuition reimbursement

Health, vision, and dental benefits

401(k) with company match

Employee referral bonus

Company-sponsored life insurance

Job summary

Join Marquis Health Consulting Services as the Regional Director of Case Management and Clinical Reimbursement. This full-time role offers an annual salary between $115K and $190K, focusing on clinical leadership across skilled nursing facilities.

You will oversee case management, MDS, and reimbursement operations, ensuring compliance and optimizing clinical outcomes. The position requires an RN license and a minimum of 3 years leadership experience in clinical reimbursement.

Qualifications

• Must be a Registered Nurse (RN) with an active and unrestricted license.
• Minimum of 3+ years of leadership experience in clinical reimbursement or case management.
• Expert knowledge of Medicare and Medicaid systems required.

Responsibilities

• Provide regional oversight for case management and clinical reimbursement processes.
• Ensure compliance with Medicare and Medicaid requirements.
• Mentor MDS Coordinators and Case Managers.

Skills

Clinical reimbursement

Leadership

MDS knowledge

Regulatory compliance

Communication skills

Problem-solving skills

Education

Registered Nurse (RN)

Tools

Medicare knowledge

Medicaid systems

Managed Care expertise

AANAC certification

Job description

Join Marquis Health Consulting Services as the Regional Director of Case Management and Clinical Reimbursement. This full-time role offers an annual salary between $115K and $190K, focusing on clinical leadership across skilled nursing facilities.

You will oversee case management, MDS, and reimbursement operations, ensuring compliance and optimizing clinical outcomes. The position requires an RN license and a minimum of 3 years leadership experience in clinical reimbursement.