Regional RAI Specialist (RN) - Clinical Reimbursement

Job Description

Job Description

Regional RAI Specialist (RN) – Clinical Reimbursement

Location: Fort Wayne, IN (Supporting Northern Indiana Territory)
Company: Clinical Consulting Services (CCS)

Schedule: This is NOT a fully remote role

Lead Clinical Reimbursement Excellence Across Northern Indiana

Clinical Consulting Services (CCS) is seeking an experienced Regional RAI Specialist (RN) to support multiple skilled nursing facilities throughout Northern Indiana. Candidates should be based in or near the Fort Wayne area and be comfortable traveling throughout the assigned territory.

This is an outstanding opportunity for an experienced Registered Nurse who is passionate about MDS accuracy, clinical reimbursement, regulatory compliance, and mentoring facility teams. If you thrive in a collaborative environment where you can make a meaningful impact on both resident care and facility performance, we'd love to hear from you.

Why Join CCS?

• Comprehensive Benefits Package

• Mileage & Travel Reimbursement

• Opportunities for Career Growth and Advancement

• Supportive Regional Leadership

• Collaborative, Team-Focused Culture

• Opportunity to positively impact multiple skilled nursing facilities

Responsibilities

• Provide clinical reimbursement and RAI/MDS support to facility-based MDS Coordinators throughout Northern Indiana.

• Ensure accurate and timely completion and submission of all MDS assessments.

• Conduct routine MDS and reimbursement audits to ensure compliance with state and federal regulations.

• Educate and mentor facility teams on RAI processes, PDPM reimbursement, regulatory updates, and documentation best practices.

• Partner with Administrators, Directors of Nursing, MDS Coordinators, and interdisciplinary teams to improve clinical and financial outcomes.

• Assist facilities in optimizing Case Mix Index (CMI), PDPM reimbursement, and Quality Measures.

• Identify opportunities for process improvement and provide ongoing education and operational support.

• Serve as a clinical reimbursement resource for multiple skilled nursing facilities within the region.

Qualifications

• Active Registered Nurse (RN) license required.

• Minimum of five (5) years of MDS/RAI experience in a skilled nursing facility.

• Extensive knowledge of PDPM, Medicare and Medicaid reimbursement, and skilled nursing regulations.

• Previous experience mentoring, educating, or supporting MDS teams.

• Strong analytical, organizational, problem-solving, and communication skills.

• Ability to travel throughout the Northern Indiana territory.

Join Our Team

At Clinical Consulting Services (CCS), we partner with skilled nursing facilities to deliver expert clinical reimbursement support, regulatory guidance, and operational excellence. If you're an experienced RN looking to expand your impact beyond a single facility while working with a supportive and respected regional team, we encourage you to apply today.

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