What are the responsibilities and job description for the Regional Director of Clinical Reimbursement position at Champion Care?
Regional Director of Clinical Reimbursement
Location: Tennessee & New Jersey (Primarily Tennessee Travel)
Position Type: Full-Time | Travel Required
Company: Champion Care
Champion Care is currently seeking a Regional Director of Clinical Reimbursement to support our team across 9 skilled nursing facilities located in Tennessee and New Jersey. This position will primarily focus on facilities in Tennessee, with occasional required travel to New Jersey.
We are looking for a strong clinical leader with proven experience in MDS coordination, reimbursement systems, and regulatory compliance. If you're ready to support and mentor clinical teams across multiple facilities, this is a great opportunity to make a regional impact.
Responsibilities:
Provide clinical reimbursement oversight and support to facility MDS teams
Conduct audits, training, and education to ensure accuracy and compliance in MDS and PDPM practices
Monitor reimbursement practices and support process improvement initiatives
Collaborate with facility leadership to improve care planning and quality metrics
Stay current with CMS guidelines and regulatory changes, and ensure consistent implementation across facilities
Qualifications:
Must be a Registered Nurse (RN) with an active license
Minimum 3 years of MDS Coordinator experience required
Strong knowledge of MDS 3.0, PDPM, and Medicare/Medicaid reimbursement
Knowledge and understanding of the PAE (Pre-Admission Evaluation) process for Tennessee Medicaid
Familiarity with CMS Quality Measures and how they impact clinical outcomes and reimbursement
Regional or multi-site experience preferred
Ability to travel regularly throughout Tennessee, with occasional travel to New Jersey
Strong communication, organizational, and leadership skills
Why Join Champion Care:
Work with a growing company committed to quality and innovation
Opportunity to impact care across multiple facilities
Competitive salary and travel reimbursement
Supportive leadership and team environment
Equal Opportunity Employer (EOE):
Champion Care is an Equal Opportunity Employer. We welcome applicants from all backgrounds.
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