Senior Director, Reimbursement & MDS Strategy

Eden Senior Care, LLC; Skokie (IL); Presencial; USD 150.000 - 210.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401(k) with company match

Tuition Reimbursement

Phone allowance

Company laptop/equipment

Professional development

Descripción de la vacante

Eden Senior Care, LLC is seeking a Chief Clinical Reimbursement Officer to provide high-level leadership for MDS and reimbursement operations across 26 Skilled Nursing Facilities in Wisconsin, Minnesota, Illinois, and Pennsylvania.

The role oversees four Regional MDS Coordinators, conducts executive-level training, and drives PDPM accuracy and financial performance. Travel up to 25% is expected, with crossover support across regional teams.

Formación

• Active RN license required.
• Minimum of 3 years' experience as an MDS Coordinator with multi-site or regional leadership, preferred.
• RAC-CT or advanced reimbursement certification preferred.
• Deep expertise in reimbursement systems, PDPM, CMI and quality reporting.

Responsabilidades

• Lead reimbursement strategy and compliance across multiple facilities.
• Ensure resident needs are met, documentation standards upheld, and outcomes achieved.
• Deliver executive-level training and in-services to clinical teams.
• Serve as a resource for clinical programs, caseload development, education and training.
• Drive operational, clinical and financial success across supported facilities.
• Mentor and guide Regional MDS Coordinators, fostering accountability and excellence.
• Lead Utilization Review processes, validating PDPM scores and reimbursement accuracy.
• Partner with interdisciplinary teams to ensure compliance with survey readiness, PDPM, CMI, managed care reimbursement, value-based purchasing and quality reporting programs.
• Maintain ongoing communication with facility leadership, providing coverage and support as needed.

Conocimientos

Leadership

Strategic planning

Healthcare reimbursement

Communication

Travel readiness

Educación

RN license

Herramientas

PDPM

CMI

Reimbursement systems

Descripción del empleo

Eden Senior Care, LLC is seeking a Chief Clinical Reimbursement Officer to provide high-level leadership for MDS and reimbursement operations across 26 Skilled Nursing Facilities in Wisconsin, Minnesota, Illinois, and Pennsylvania.

The role oversees four Regional MDS Coordinators, conducts executive-level training, and drives PDPM accuracy and financial performance. Travel up to 25% is expected, with crossover support across regional teams.