Clinical Director

Pride Health is hiring a Director of Clinical Reimbursement (RN) to support our client's medical facility based in Brooklyn, NY. This contract opportunity is a great way to start working with a top-tier healthcare organization!We seek a Registered Nurse (RN) with strong MDS and clinical reimbursement experience to join a leading healthcare facility in Brooklyn, NY as the Director of Clinical Reimbursement. This position offers an exciting contract-to-perm path for senior-level professionals passionate about driving operational and financial outcomes through quality care documentation and regulatory compliance.Key Responsibilities:Lead and manage MDS departments at both SSI and RNHOptimize Medicare/Medicaid revenue while ensuring regulatory complianceChair triple-check meetings and oversee accurate coding and documentationAudit and monitor MDS submissions and managed care authorization processesEducate teams on PPS, RUGs, RAI guidelines, and reimbursement policy changesCollaborate in QAPI initiatives and report on reimbursement trends and denialsQualifications:Active RN license (NYS)RAC-CT certification (required)Minimum 3-5 years of clinical experience in long-term care, with at least 2 years in a reimbursement-focused roleProven supervisory or administrative experience in healthcareStrong knowledge of RAI Manual, QI indicators, MDS systems, and Medicare/Medicaid reimbursement processesBachelor's degree (required); Master's preferredAdditional Information:Location: Brooklyn, NYJob Type: 13 Weeks (Temp-to-Perm Opportunity)Schedule: Days, Monday-FridayPay Range: $95/hour*Offered pay rate will be based on education, experience, and healthcare credentials.Pride Health provides a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending accounts, company-paid life and long-term disability insurance, and optional supplemental life insurance for employees, spouses, and children. Additional perks include short-term disability, accident and critical illness coverage, identity theft protection, a 403b retirement plan, and tuition reimbursement of up to $4,000 annually for full-time employees.Interested? Apply now!About Pride HealthPride Health is Pride Globals healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010.As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Healths expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty.Equal Employment Opportunity StatementAs a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Created: 2025-05-11