Director of Clinical Reimbursement & Quality Improvement

Vetter Senior Living • Omaha, NE

89d

About The Position

As our Director of Clinical Reimbursement & Quality Improvement, you will be the go-to expert for all things MDS, RAI, and PDPM. You'll play a key strategic role in ensuring accurate reimbursement, elevating clinical outcomes, and driving continuous quality improvement throughout the facility. This is your opportunity to make a meaningful impact on resident care and organizational success every single day.

Requirements

• Registered Nurse (RN) in good standing.
• RAC-CT certification highly preferred.
• At least 2 years of MDS coordination or related experience in a skilled nursing facility.
• Strong understanding of MDS 3.0, RAI guidelines, and PDPM reimbursement methodologies.
• Experience with CMS Quality Measures, Five-Star ratings, and QAPI processes.
• A passion for quality improvement, accuracy, and operational excellence.
• Outstanding communication, organization, and analytical abilities.
• Proficiency with EMR systems and MDS software.

Nice To Haves

• A meticulous eye for detail & regulatory compliance
• Leadership skills that inspire confidence and collaboration
• Data-driven decision-making
• A natural talent for teaching and elevating others
• A growth mindset with excitement for continuous improvement
• Comfort working on-site with teams and residents
• Professionalism when interacting with staff, families, and surveyors

Responsibilities

• Own the MDS & RAI process--ensuring assessments are completed accurately, on time, and in full regulatory compliance.
• Be the PDPM expert, monitoring case mix accuracy and optimizing reimbursement without compromising care.
• Collaborate across departments--nursing, therapy, social services, and more--to ensure every assessment truly reflects each resident's needs.
• Educate and empower staff, turning complex RAI guidelines into clear, actionable knowledge.
• Analyze Quality Measures, Five-Star ratings, and key performance trends, transforming data into improvement strategies.
• Lead QAPI initiatives, driving innovation and measurable outcomes.
• Spot opportunities for improvement and work with leaders to design and implement impactful action plans.
• Serve as the facility's quality and documentation champion, staying ahead of regulatory updates and ensuring our standards remain top-tier.

Benefits

• 401(k) with 3% Company Match
• Up to $30,000 in Educational Loan Reimbursement
• Comprehensive Health, Dental & Vision Insurance
• Disability & Life Insurance Coverage
• FREE Gym Membership--your wellness matters!
• Paid Vacation & Sick Time--you work hard; we honor balance.
• License Reimbursement--we invest in your professional growth.
• A fun, team-oriented environment where your ideas are valued and success is celebrated!

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed