Medical Facilities Of America

Regional Director of Clinical Reimbursement (MDS)

Medical Facilities Of America$90K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active Registered Nurse (RN) license in Virginia
  • Experience in MDS coordination and clinical reimbursement
  • In-depth understanding of MDS 3.0, PDPM, RAI process, and related regulations
  • Strong analytical and leadership skills
  • Excellent communication and mentoring abilities
  • Familiarity with MDS software and Microsoft Office
  • Ability to travel regionally to facilities

Responsibilities

  • Oversee MDS and clinical reimbursement teams regionally
  • Ensure timely completion of MDS assessments per regulations
  • Analyze case mix and reimbursement trends to enhance performance
  • Conduct audits for compliance and documentation accuracy
  • Develop training programs for MDS staff
  • Collaborate with leadership to identify and implement improvements
  • Engage in Quality Assurance initiatives for resident care excellence

Benefits

  • Comprehensive health benefits (Medical, Dental, Vision)
  • 401(k) and Flexible Spending Account options
  • Generous Paid Time Off (PTO)
  • Ongoing leadership development and career advancement opportunities
Full Job Description
This key position will oversee and support the MDS and clinical reimbursement processes across multiple skilled nursing and rehabilitation facilities within the Central Virginia region of the company. This position requires an RN license.

In this role, you will ensure compliance, accuracy, and optimization of all Minimum Data Set (MDS) processes, driving both quality outcomes and financial integrity. You'll serve as a resource and mentor to facility MDS Coordinators and interdisciplinary teams, while leading initiatives that strengthen care delivery and reimbursement performance across the region.

What We Offer
  • Competitive compensation commensurate with experience.
  • Comprehensive health benefits (Medical, Dental, Vision)
  • 401(k), Flexible Spending Account, and additional elective benefits
  • Generous Paid Time Off (PTO)
  • Ongoing leadership development and career advancement opportunities


What You'll Do
  • Provide regional oversight and leadership to facility MDS and clinical reimbursement teams.
  • Ensure accurate and timely completion of MDS assessments in accordance with federal and state regulations.
  • Monitor and analyze case mix, PDPM categories, and reimbursement trends to optimize performance.
  • Conduct regular audits and provide feedback to maintain compliance and documentation integrity.
  • Develop and deliver training programs for facility MDS staff to strengthen clinical documentation and RAI process understanding.
  • Collaborate with Regional and Company Leadership to identify opportunities for improvement and implement strategic initiatives.
  • Partner with clinical and financial teams to ensure alignment between care delivery, documentation, and reimbursement outcomes.
  • Participate in Quality Assurance and Performance Improvement (QAPI) initiatives to promote excellence in resident care.


What You Need
  • Active, unencumbered licensure as a Registered Nurse (RN) in Virginia.
  • Proven experience in MDS coordination and clinical reimbursement.
  • Expert-level knowledge of MDS 3.0, PDPM, RAI process, and Medicare/Medicaid regulations.
  • Strong analytical, leadership, and communication skills.
  • Proven ability to train, mentor, and support interdisciplinary teams.
  • Proficiency with MDS software systems and Microsoft Office Suite (Word, Excel, etc.).
  • Willingness and ability to travel regionally to assigned facilities.

About Medical Facilities Of America

Medical Facilities of America (MFA) is a healthcare management company that operates skilled nursing and rehabilitation centers, assisted living facilities, and retirement communities in Virginia and North Carolina. The company was founded in 1971 and is headquartered in Glen Allen, Virginia. MFA is committed to providing quality care and services to its residents and patients, and has received numerous awards and recognitions for its efforts.
Learn more about Medical Facilities Of America
Size
1,589 employees
Industry
NASDAQ

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