Director of Clinical Reimbursement
Long Island, NY | $200K–$300K DOE
A growing multi-facility nursing home operator is seeking an experienced Director of Clinical Reimbursement to lead clinical reimbursement and MDS strategy across its portfolio.
This is a key leadership role for an accomplished reimbursement professional who combines deep MDS expertise with strong leadership, communication, and problem-solving skills. The Director will oversee corporate reimbursement operations, support facility teams, and work closely with senior leadership to drive reimbursement performance, accuracy, compliance, and consistency across the organization.
Responsibilities
- Lead clinical reimbursement and MDS operations across multiple skilled nursing facilities.
- Oversee and develop the corporate MDS/reimbursement team.
- Drive strong reimbursement performance across Medicare and Medicaid.
- Ensure accuracy and compliance across MDS assessments, coding, documentation, and reimbursement processes.
- Monitor facility performance and identify opportunities for improvement.
- Partner closely with clinical, operational, and facility leadership to address reimbursement challenges and implement solutions.
- Establish consistent processes and best practices across facilities.
- Provide hands-on guidance, education, and support to reimbursement teams.
- Develop team members while creating strong accountability and follow-through.
- Communicate reimbursement trends, challenges, and opportunities effectively to senior leadership.
- Maintain an active presence within facilities and work collaboratively with teams in the field.
Qualifications
- Active RN license required.
- Extensive MDS and clinical reimbursement experience within skilled nursing/LTC.
- Strong multi-facility reimbursement experience.
- In-depth knowledge of Medicare, Medicaid, PDPM, MDS, coding, and clinical documentation.
- Demonstrated leadership and team-management capabilities.
- Excellent communication and interpersonal skills.
- Strong problem-solving skills with the ability to identify issues and drive solutions collaboratively.
- Comfortable working closely with both facility-level and senior corporate leadership.
- Must be able to work on-site within the New York/Long Island market and travel regularly to facilities.
Benefits: Comprehensive medical coverage with no employee contribution, 401(k) match, dental and vision coverage, and paid sick time.