Director of Clinical Reimbursement SNF
About The Position
Cassia is seeking an experienced Director of Clinical Reimbursement to lead and oversee reimbursement performance across its skilled nursing communities. Based at the Home Office in Edina, Minnesota, this role oversees MDS, PDPM, Medicare, Medicaid, Managed Care, clinical documentation, and reimbursement processes. The Director partners with community, regional, clinical, operational, and financial leaders to improve performance, strengthen compliance, and support sustainable reimbursement practices. Routine travel to Cassia skilled nursing communities, including occasional overnight travel, is required. Cassia is a nonprofit, mission-driven senior care organization with more than 200 years of experience. Its home office supports senior living communities and services across Minnesota, North Dakota, Iowa, Colorado, and Florida. The organization is dedicated to fostering fullness of life for older adults through compassionate, high-quality care and values respect, excellence, integrity, stewardship, compassion, collaboration, unity, and innovation.
Requirements
- Strong knowledge of MDS, PDPM, Medicare, Medicaid, Managed Care, and skilled nursing reimbursement.
- Experience with reimbursement auditing, clinical documentation, and performance metrics.
- Strong analytical, leadership, communication, and problem-solving skills.
- Ability to travel routinely to Cassia communities, including occasional overnight travel.
Nice To Haves
- Current Registered Nurse (RN) license preferred.
- Five or more years of skilled nursing or post-acute care experience preferred.
- Three or more years of MDS, reimbursement, or clinical reimbursement experience preferred.
- Multi-site or regional experience strongly preferred.
Responsibilities
- Provide leadership and oversight of MDS, PDPM, Medicare, Medicaid, and Managed Care reimbursement.
- Monitor revenue, reimbursement, and compliance performance across skilled nursing communities.
- Develop and maintain reports, dashboards, and key performance metrics related to revenue and compliance.
- Analyze trends, identify reimbursement opportunities and areas of risk, and develop action plans for improvement.
- Conduct reimbursement and documentation audits to support accuracy and regulatory compliance.
- Support Triple Check, skilled coverage, payer reviews, denials, and reimbursement-related appeals.
- Provide education, coaching, and mentorship to MDS nurses and community teams.
- Conduct routine site visits to assess performance, provide hands-on support, and follow up on identified opportunities.
- Collaborate with Clinical Services, Operations, Finance, Billing, Therapy, Compliance, and community leadership.
- Monitor regulatory and reimbursement changes and support consistent implementation across Cassia.
Benefits
- Competitive pay with experience-based raises.
- Tuition assistance and student loan forgiveness (site-specific).
- Generous paid time off (PTO).
- 403(b)/401(k) with employer match.
- Comprehensive medical, dental, vision, disability, and life insurance for full-time employees.
- Employee Assistance Program with free confidential counseling and coaching for employees and family members.
- Pet insurance.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
