Senior Director of Clinical Reimbursement Operations

Company: MDS Solutions
Location: Nashville
Posted on: June 1, 2025

Job Description:

OverviewMDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Senior Director of Clinical Reimbursement Operations. A minimum of a Bachelor's degree in nursing or therapy is required.The Senior Director of Clinical Reimbursement Operations (SDCRO) is responsible for oversight and management of MDS Coordinators and financial operations within the division of MDS Solutions. The SDCRO will manage MDS coordination and client relations related to RAI assessments, reimbursement optimization, and Care Plan development in accordance with applicable laws, regulations, and company standards. The SDCRO will provide ongoing education and training to the MDS Coordinators to ensure skills are aligned with current reimbursement policies and federal quality reporting programs. They will audit for compliance and reimbursement optimization to ensure optimal client outcomes. The SDCRO performs well independently or with a team, utilizing clinical, analytical, communication, and customer service skills, as well as sound judgment and professionalism.What do we offer you?

• Creative, fun, and flexible working environment
• Competitive salaries and bonuses
• Promotion, transfer, and advancement opportunities
• Meaningful work and job satisfaction
• Reasonable working hours
• CE opportunities
• Paid time off
• Comprehensive health, dental, and life insurance
• 401K with discretionary match
• Mileage and licensure reimbursements
• Flexible Spending Account and HSAResponsibilities
• Provide supervision for MDS Solutions staff, including hiring, performance management, and terminations.
• Responsible for scheduling and managing billing hours for each MDS Coordinator under supervision. Provide ongoing feedback to staff.
• Assist the Director of Education with orientation and onboarding of new MDS coordinators; track all training timelines and materials.
• Identify training and performance needs of MDS coordinators and create targeted improvement plans.
• Conduct regular audits of MDS coordinators to ensure coding and care planning meet standards.
• Maintain client relations through meetings and weekly reports to review operational performance and satisfaction.
• Advise VP of Consulting Operations on client concerns and follow through with corrective plans.
• Stay current with professional standards, MDS changes, and relevant regulations and programs.
• Work with VP to establish billable hours expectations.
• Assist in other duties as directed by VP of Consulting Operations.Qualifications
  • Bachelor's degree in nursing or therapy discipline with at least five (5) years' clinical experience, including 3+ years with the RAI process.
  • Current and unrestricted RN or Therapist (OT, PT, SLP) license.
  • Current RAC-CT certification.
  • Strong critical thinking, clinical judgment, and knowledge of quality improvement.
  • Proficiency in Microsoft Office and ability to learn billing software.
  • Leadership and interpersonal skills.
  • Knowledge of PDPM and State Case Mix Reimbursement systems.
  • Understanding of Medicare, Managed Care, and relevant regulations.
  • Effective communication and customer service skills.
  • Initiative, creativity, and innovation.
  • Excellent presentation and communication skills.
  • Valid driver's license and availability for occasional overnight trips.Key Rehab is an equal opportunity employer/service provider.
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Keywords: MDS Solutions, Franklin , Senior Director of Clinical Reimbursement Operations, Executive , Nashville, Tennessee