Regional Director of Clinical Reimbursement
Clayton Clinical
Job Description
Job Description
Regional Director of Clinical Reimbursement (RN)
Location: Northern VA (Must live in or be willing to relocate)
Are you a results-driven registered nurse with deep expertise in clinical reimbursement and MDS strategy? Do you thrive in a regional leadership role where your work directly impacts care quality, compliance, and financial performance across multiple skilled nursing facilities?
This is an opportunity to step into a high-visibility regional leadership position where your knowledge, judgment, and ability to influence teams will drive measurable outcomes.
The Impact You’ll MakeAs the Regional Director of Clinical Reimbursement, you will serve as a strategic partner to facility and regional leaders, ensuring reimbursement accuracy, regulatory compliance, and operational excellence across the region. This role requires strong leadership, advanced MDS expertise, and the ability to guide teams through complex reimbursement challenges.
This position is regionally based in the Northern Virginia area .
Key ResponsibilitiesLead regional clinical reimbursement strategy to optimize revenue and ensure accuracy
Ensure compliance with state and federal regulations related to MDS, Medicare, and billing
Oversee ARD scheduling, MDS completion timelines, and documentation integrity
Chair regional reimbursement and revenue-focused meetings
Provide education, mentorship, and guidance to MDS Coordinators and IDT members
Support interviews, onboarding, and ongoing education for MDS leadership
Serve as a subject matter expert during audits, denials, and operational transitions
Active Registered Nurse (RN) license in VA.
Minimum of 3 years of MDS or reimbursement experience in a Skilled Nursing or LTC setting
Regional experience strongly preferred
Must reside in or be willing to relocate to the Northern Virginia area
Strong working knowledge of MDS, PDPM, Medicare, and reimbursement regulations
Excellent analytical, organizational, and communication skills
Ability to collaborate effectively across facility, regional, and corporate teams
Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook
Competitive compensation based on experience and expertise
Generous paid time off
401(k) retirement plan
Daily Pay options
Comprehensive benefits package including medical, dental, vision, and disability coverage
Wellness and employee support programs
Inclusive, collaborative workplace culture
Ongoing professional development and leadership training
Compensation will be determined based on qualifications, skills, competencies, and experience and may fall outside of the range shown.
Apply TodayIf you are ready to lead at a regional level and make a meaningful impact on clinical reimbursement and care quality, we encourage you to apply.
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