Director of Clinical Reimbursement

Director of Clinical ReimbursementJoin our team as a Director of Clinical Reimbursement at Ryders Health Management, the corporate headquarters of our family-owned skilled nursing company, supporting a network of nursing and rehabilitation facilities across Connecticut.In this key leadership role, you'll oversee the clinical reimbursement process for our facilities, ensuring the timely and accurate completion of Minimum Data Set (MDS) assessments and compliance with all federal and state regulations. You'll collaborate closely with facility nursing, rehab, and administrative teams to support proper documentation, optimize reimbursement, and promote high-quality outcomes for the residents we serve.What We Offer• Competitive pay• 401(k) with employer match• Medical, Dental and Vision Insurance• Employer-Paid Life Insurance• Short- & Long-Term Disability• Paid Time Off• Paid Meal Period• Paid Holiday Off• Employee Assistance Program• Longevity Credit• Uniform Reimbursement• Employee Referral ProgramDirector of Clinical Reimbursement DutiesOversee clinical reimbursement operations across multiple facilitiesEnsure timely, accurate completion of MDS assessments in compliance with federal and state regulationsCollaborate with nursing, rehab, and administrative teams to ensure documentation supports accurate coding and reimbursementLead Utilization Review and Triple Check meetings across facilitiesConduct audits and monitor documentation practices to ensure regulatory complianceReview potential admissions for clinical and reimbursement accuracyTrack and analyze quality measures to support clinical improvement initiativesProvide education and mentorship to facility MDS Coordinators and clinical teamsStay current on changes in reimbursement regulations, coding standards, and best practicesRequirementsCurrent RN license in the state of ConnecticutBachelor's degree in Nursing (BSN) requiredRAC-CT certification preferred3+ years of MDS or clinical reimbursement experience in skilled nursing or long-term careProficiency with MDS software, PointClickCare, and Microsoft OfficeStrong leadership, communication, and analytical skillsOur Caring CommunityRyders Health Management is a family-owned organization celebrating 75 years of providing compassionate, high-quality care across Connecticut. We support a network of skilled nursing and rehabilitation centers rooted in a tradition of excellence, teamwork, and patient-centered service. Join our team of dedicated professionals making a difference every day.Equal Opportunity Employer StatementWe are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Created: 2025-11-06