Heritage Skilled Care - We are seeking a Regional Director of Clinical Reimbursement to oversee and support the MDS, PDPM, and quality measure processes across multiple skilled nursing facilities. This is a remote position with regular travel to facilities required for training, audits, and coverage as needed.

In times of staff vacancies at the facility level, this role is expected to step in and ensure operations continue seamlessly—making it feel like no one is missing. If you're proactive, detail-oriented, and passionate about both compliance and outcomes, this role is for you.

Key Responsibilities Ensure compliance with state and federal regulations (RAI, PDPM, CMS, etc.)

Manage accurate and timely MDS submissions and data integrity

Support billing accuracy and optimize reimbursement outcomes

Conduct audits and develop corrective action plans as needed

Deliver staff training on MDS, clinical documentation, and quality measures

Analyze trends in quality measures and reimbursement performance

Serve as a liaison between clinical, administrative, and billing teams

Provide hands-on support during staffing gaps to maintain operational continuity

Prepare and deliver reports on regional performance

Qualifications Active nursing license required (RN preferred; multi-state license preferred)

Minimum 3 years of experience in MDS and clinical reimbursement (regional experience a plus)

Strong knowledge of PDPM, RAI guidelines, CMS quality measures, and reimbursement practices

Ability to train and mentor facility staff

Strong organizational and communication skills

Willingness and ability to travel within the assigned region regularly

Proficient with EMR/MDS systems and Microsoft Office

Work Environment Remote work with field-based travel

Must be able to respond to urgent needs at facilities in a timely manner

Occasional evening or weekend support may be required during audits or coverage situations

Apply today to join a mission-driven team focused on quality outcomes and operational excellence.