About this opportunity
Clayton Clinical lists this Regional Director of Clinical Reimbursement opportunity in louisville, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Regional Director of Clinical Reimbursement (RN)
Location: Louisville, Kentucky / Kentucky Region
Regional Travel Required
Are you a results-driven Registered Nurse with extensive MDS, PDPM, and clinical reimbursement expertise ? Do you thrive in a regional leadership role where your knowledge directly impacts reimbursement accuracy, regulatory compliance, clinical outcomes, and financial performance across multiple skilled nursing facilities?
We are seeking an experienced Regional Director of Clinical Reimbursement (RN) to support our skilled nursing facilities throughout the Kentucky/Louisville region .
This is a high-impact regional leadership opportunity for an RN who understands the complexities of clinical reimbursement and knows how to develop strong MDS teams, identify opportunities, and drive results.
The Impact You’ll Make
As the Regional Director of Clinical Reimbursement, you will serve as a strategic resource and subject matter expert for facility and regional leadership. You will provide oversight, education, and support to ensure accurate reimbursement, strong documentation practices, regulatory compliance, and successful MDS processes throughout the region.
You will partner closely with MDS Coordinators, Directors of Nursing, Administrators, interdisciplinary teams, and regional leadership to identify opportunities and implement strategies that strengthen both clinical and financial outcomes.
Key Responsibilities
Lead clinical reimbursement and MDS strategy across multiple skilled nursing facilities throughout the Kentucky region
Monitor reimbursement performance and identify opportunities to improve accuracy and capture appropriate reimbursement
Ensure compliance with federal and state regulations related to MDS, Medicare, Medicaid, PDPM, and clinical reimbursement
Provide oversight and guidance regarding ARD scheduling, MDS completion timelines, supporting documentation, and coding accuracy
Review facility processes to ensure documentation supports the resident's clinical condition and services provided
Lead regional reimbursement, MDS, and revenue-focused meetings
Educate, mentor, and support MDS Coordinators and interdisciplinary team members
Assist with interviewing, onboarding, training, and development of MDS leadership
Conduct facility visits, audits, and reviews to identify opportunities and implement corrective action when necessary
Serve as a clinical reimbursement subject matter expert during audits, denials, surveys, acquisitions, and operational transitions
Partner with facility and regional leadership to monitor trends, resolve reimbursement concerns, and drive measurable results
Promote consistency and best practices across facilities throughout the region
Required Qualifications
Active Registered Nurse (RN) license in Kentucky or ability to obtain appropriate Kentucky licensure
Minimum of 3 years of MDS and/or clinical reimbursement experience within a Skilled Nursing Facility or Long-Term Care environment
Strong working knowledge of MDS, PDPM, Medicare, Medicaid, reimbursement regulations, and documentation requirements
Multi-facility or regional clinical reimbursement experience strongly preferred
Must reside in or be willing to relocate to the Kentucky/Louisville area
Ability and willingness to travel throughout the assigned region
Strong analytical skills with the ability to identify trends and reimbursement opportunities
Excellent leadership, organizational, education, and communication skills
Ability to effectively collaborate with facility, regional, and corporate leadership
Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook
What We Offer
Competitive compensation based on experience and expertise
Generous paid time off
401(k) retirement plan
Daily Pay options
Comprehensive medical, dental, vision, and disability benefits
Wellness and employee support programs
Collaborative and supportive leadership environment
Professional development and leadership training
Opportunity to make a measurable impact across multiple skilled nursing facilities
#J-18808-Ljbffr
Worksite address
louisville, KY, 40201, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.