Clinical Reimbursement Director

3 weeks ago


Mansfield Tolland County CT, United States Evergreen Center for Health & Rehabilitation Full time

Evergreen Center for Health & Rehabilitation: A Leader in Long-Term Care

We are seeking a highly skilled Clinical Reimbursement Director to join our team at the Evergreen Center for Health & Rehabilitation. In this critical role, you will be responsible for managing the Minimum Data Set (MDS) assessments, ensuring revenue integrity, and compliance with state and federal regulations.

Key Responsibilities:

  • Lead and oversee the MDS program for accuracy and compliance
  • Determine Patient Driven Payment Method (PDPM) and associated expenses
  • Monitor Case Mix Index (CMI) scores for potential risks
  • Train, mentor, and manage MDS Coordinators
  • Coordinate and participate in comprehensive resident assessments and care planning
  • Provide education to facility staff and leaders
  • Analyze assessment data to identify opportunities for optimization

What We Offer:

  • Competitive compensation
  • Improved health insurance and retirement benefits
  • Comprehensive training and mentorship
  • Support for professional growth and development
  • A collaborative work environment

Qualifications:

  • Valid state RN license preferred
  • Advanced degree or certification preferred
  • Direct care in a long-term care setting and/or MDS Coordinator experience required
  • Proficient in state and federal regulations governing the MDS and billing process
  • Knowledge of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid, and Medicare requirements
  • Excellent communication and interpersonal abilities
  • Ability to work effectively in a multidisciplinary team environment

We are an equal opportunity employer and welcome applications from all qualified candidates. We are committed to creating a diverse and inclusive work environment.


  • RN Clinical Manager

    3 weeks ago


    Mansfield, Tolland County, CT, United States ECHN Full time

    Job Summary:ECHN seeks a skilled RN Clinical Manager to lead our patient care team in a dynamic home health agency setting. As a key member of our leadership team, you will be responsible for managing professional and paraprofessional nursing services, ensuring high-quality patient care, and promoting a culture of excellence within our organization.Key...

  • MDS Director

    1 month ago


    Tolland, United States Evergreen Center for Health & Rehabilitation Full time

    A Great Place to Work National Health Care Associates is proud to welcome the Evergreen Center for Health & Rehabilitation to our affiliate family! We think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and those that love them. You will enjoy lasting bonds with...


  • Tolland, United States Evergreen Center for Health & Rehabilitation Full time

    A Great Place to WorkNational Health Care Associates is proud to welcome the Evergreen Center for Health & Rehabilitation to our affiliate family! We think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and those that love them. You will enjoy lasting bonds with the...

  • MDS Director

    3 weeks ago


    Tolland, Connecticut, United States Evergreen Center for Health & Rehabilitation Full time

    MDS Director - RN Leadership PositionEvergreen Center for Health & Rehabilitation seeks a skilled MDS Director to lead our team in delivering high-quality resident care plans.Key Responsibilities:Oversee the Minimum Data Set (MDS) assessments to ensure personalized care plansEnsure compliance and accuracy in assessmentsMonitor Case Mix Index (CMI) scores for...

  • Clinical Director

    3 weeks ago


    Cloud County, KS, United States Caravel Autism Health Full time

    Job Summary:The Clinical Director at Caravel Autism Health is a senior clinical leader responsible for overseeing and managing the operations and administrative functions of the clinic. This role involves supervising, mentoring, and coaching clinicians to ensure high-quality services are provided to clients and families.Key Responsibilities:Directly...


  • Mansfield, United States Clinical Management Consultants Full time

    Job DescriptionCome and join this well-respected medical facility as the new Senior Radiology Oncology Therapist!This 100+ bed, Joint Commission-accredited hospital is looking for a dedicated individual who leads with clinical excellence and high-quality care. As the Senior Radiotherapy Therapist you will be a part of a staff that is known for their...


  • Mansfield, United States Clinical Management Consultants Full time

    Come and join this well-respected medical facility as the new Senior Radiology Oncology Therapist!This 100+ bed, Joint Commission-accredited hospital is looking for a dedicated individual who leads with clinical excellence and high-quality care. As the Senior Radiotherapy Therapist you will be a part of a staff that is known for their clinical expertise...


  • Mansfield, United States Clinical Management Consultants Full time

    Come and join this well-respected medical facility as the new Senior Radiology Oncology Therapist! This 100+ bed, Joint Commission-accredited hospital is looking for a dedicated individual who leads with clinical excellence and high-quality care. As the Senior Radiotherapy Therapist you will be a part of a staff that is known for their clinical expertise...

  • MDS Director

    1 week ago


    Mansfield, United States Mansfield Center for Nursing & Rehabilitation Full time

    -A Great Place to WorkNational Health Care Associates is proud to welcome the Mansfield Center for Nursing & Rehabilitation to our affiliate family! We think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and those that love them. You will enjoy lasting bonds with...


  • Stamford, CT, United States Stamford Health Full time

    Expand your career in Nursing Leadership by joining the Stamford Health team as a Director of Clinical Operations – Emergency Services.Like the look of this opportunity Make sure to apply fast, as a high volume of applications is expected Scroll down to read the complete job description.As a Certified Great Place to Work organization, Stamford Health...


  • Macomb County, United States McLaren Medical Group Full time

    Responsible for the operation of multiple ambulatory sites, implementation of strategic plan and mission, employee and patient experience, financial performance of sites, improvement of quality of services, coordination and integration of services with McLaren Health Care subsidiaries. Provides leadership support to Senior Director of Operations, Clinic...


  • Brooksville, Hernando County, FL, United States HCA Florida Oak Hill Hospital Full time

    Description This position is incentive eligible. Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HCA Florida Oak Hill Hospital today and find out what it truly means to be a part of the HCA Healthcare team. Benefits HCA Florida Oak Hill...


  • Mansfield, United States Adelphi Medical Staffing, LLC Full time

    Job Quick Facts Specialty: Medical DirectorJob Type: PermanentFacility Location: Mansfield, OHService Setting: InpatientReason For Coverage: VacancyCoverage Period: ASAP - OngoingCoverage Type: Clinical OnlyShift Schedule: 24-hour shifts; flexibleDuties: - Will provide OB Triage - Will handle admissions IP care - Delivery for hospitalized patientsOther...

  • BCBA Clinical Director

    11 hours ago


    Midland County, TX, United States Action Behavior Centers Full time

    Why Board Certified Behavior Analyst Clinical Directors choose ABC: * Flexible Onsite Schedules with 5 different schedule options * Benefits designed with clinicians in mind: Student Loan Repayment, Maternity/Paternity Award of up to $3,000, HSA for child care, BCBA sabbatical, Headspace/NURX/DoorDash Subscriptions * $30,000 Long-Term Incentive Plans over 3...


  • Tolland, CT, United States Hartford HealthCare Full time

    Job Schedule: Part Time Job Shift: Shift 2 Shift Details: Schedule: evenings; Every day, over 37,000 Hartford HealthCare employees come to work with one thing in common: We invite you to become part of Connecticut’s most comprehensive healthcare network.  Natchaug Hospital is Eastern Connecticut’s leading provider for children, adolescents...


  • Mansfield, United States United Surgical Partners Full time

    Welcome to Baylor Scott and White Surgicare at North Dallas, where excellence meets work-life balance in a supportive environment that prioritizes both your professional growth and personal well-being. Director of Nursing at Baylor Scott and White Surgicare at North Dallas The Ambulatory Surgical Services Director of Nursing is responsible for oversight of...


  • Mansfield, Ohio, United States Methodist Health System Full time

    Job Summary:We are seeking a highly skilled and experienced Pathology Laboratory Director to lead our team at Methodist Health System. As a key member of our leadership team, you will be responsible for formulating plans, organizing resources, directing personnel, and developing policies in the Pathology Laboratory.Key Responsibilities:Develop and implement...

  • Dental Director

    2 months ago


    Idaho County, United States Terry Reilly Health Services Full time

    At Terry Reilly we are happy to provide integrated care through our medical, dental and behavioral health services making us a unique team to be a part of in the Treasure Valley.We believe a healthy community is a thriving community, and our success is a direct result of our mission-driven and talented team. It is important to us that our staff is given a...


  • Mansfield, United States Ophthalmology Associates Full time

    EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in...


  • Mansfield, United States Ophthalmology Associates Full time

    EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in...