Director of Clinical Reimbursement Education

apartment Hill Valley Healthcare Corporate location_onAmherst, VA 24521, US

Now Hiring: Director of Clinical Reimbursement Education

Type: Full-Time | Industry: Skilled Nursing / Long-Term Care

Do you have a passion for education, clinical excellence, and driving reimbursement accuracy? We’re looking for a Director of Clinical Reimbursement Education to lead, inspire, and educate our clinical teams across skilled nursing facilities. If you're a strategic thinker with a deep knowledge of MDS, reimbursement systems, and compliance regulations—this could be your next big move.

What You’ll Do:

As our Director of Clinical Reimbursement Education, you’ll play a vital role in:

Designing and delivering engaging educational programs on clinical reimbursement and regulatory compliance.
Training facility-based and regional clinical staff in accurate MDS assessments, documentation practices, and interdisciplinary collaboration.
Conducting on-site and remote audits to ensure documentation and billing accuracy.
Serving as a go-to resource for clinical and administrative staff on reimbursement-related issues.
Staying ahead of federal, state, and local policy changes—and making sure our team does too.

Key Responsibilities:

Lead impactful training sessions and workshops for clinical teams.
Evaluate and refine educational programs to ensure effectiveness.
Support staff development through guidance, mentoring, and expert insight.
Foster a culture of compliance, accuracy, and resident-centered care.
Collaborate with cross-functional departments to integrate education with operational goals.

What We’re Looking For:

Education: Degree in Nursing, Healthcare Administration, or a related field.
Experience: 5+ years in clinical reimbursement, with at least 2 years focused on education/training.
Skills:
- Strong knowledge of PDPM, MDS, and regulatory frameworks.
- Dynamic leadership and training abilities.
- Excellent communication and interpersonal skills.
- Tech-savvy with tools for education and compliance tracking.
- Detail-oriented with great multitasking and organizational abilities.

You’ll Work With:

Facility and regional clinical staff
Residents and their families
Vendors, inspectors, surveyors, and corporate leadership

Why Join Us

Make a real impact on patient outcomes and operational success.
Be part of a mission-driven organization that values teamwork, integrity, and resident dignity.
Enjoy a collaborative environment where your expertise shapes the future of skilled nursing care.

Ready to Lead and Inspire

Apply today and help elevate clinical education and reimbursement excellence across our organization.

We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.

Share this job

Related Jobs

Full-time

RN - Emergency Department - CRBH - Nights

apartment Carilion Clinic location_onLexington, VA

Employment Status: Full time Shift: Evening/Night (United States of America) Facility: 1 Health Cir - Lexington Requisition Number: R156656 RN - Emergency Department - CRBH - Nights (Open) How You’ll Help Transform Healthcare: What makes our Emergency Department a critical resource to the community we serve? We offer: • Safe working environments • Supportive leadership, interprofessional teams and an innovative learning environment • Loan Assistance Stipend • Educational and professional development opportunities • Career Advancement Program (CAP) • Opportunities for professional advancement, shift differential, comprehensive benefits, and flexible schedules About Carilion Rockbridge Community Hospital (CRCH) ED, located in Lexington, VA: • 16 bed Emergency Department & Critical Access Facility • 12,000 annual ED visits This position is full time working nights with every other weekend and holiday rotation. As a registered nurse, you are expected to consistently deliver the best in care and customer service and demonstrate respect, dignity, kindness and empathy in each encounter with our patients, their families, visitors, and with each other. As part of the health care team, RNs assume primary accountability for nursing coordination and provision of individualized care for patients of all ages. The registered nurse also utilizes delegation and critical thinking skills to provide quality service through a team oriented, collaborative approach to patient care. Assesses, plans, implements, and evaluates patient care in order to achieve optimum patient outcomes for patients of all ages as appropriate to service area. Age specific admission and ongoing assessments are completed, documented and used to develop a plan of care. Collaborates with members of the health care team/patient/family to develop, implement, and evaluate an age-specific interdisciplinary plan of care. Revises plan according to changes in patient status. Treatments and medications for patients of all ages are accurately administered and documented utilizing automated computer systems, including electronic medical records. Patient/family (caregiver) educational needs are identified in a timely manner, incorporated into the plan of care, implemented and documented appropriately. Contributes to Carilion Clinic’s performance improvement activities. Consistently demonstrates the role of patient advocate, protector of patient’s rights, and provider of psychological/social/cultural support. Applies knowledge of growth and development to appropriately care for patients served. Determines and performs within clinical, leadership, and/or education pathways to support (direct/indirect) evidenced based, quality patient care service and performance improvement. Exhibits clinical expertise in rapidly changing circumstances. Plans strategies to reduce length of stay, turnaround time, resource consumption and improve patient outcomes. Functions as role model for clinical practice to coworker, students, and physicians. Manages resources, establishes priorities, and modifies environment to meet patient care needs. Completes manager/director predetermined projects within specified time frame and according to pre-established guidelines. Uses problem-solving methods to facilitate resolution to patient and personnel situations that present in the work area. Takes an active role in the orientation of new employees. Provides feedback to staff using appropriate communication and documentation. Provides input into practice, environment, and work issues by participating on unit, hospital, and/or system activities which facilitates staff participation/input in decision making. Assists with providing education activities for unit/department. What We Require: Education: Graduate of school of professional nursing of an accredited college or graduate of an approved program eligible to sit for the VA licensure exam. Licensure/Certification: Currently licensed as Registered Nurse in Virginia or eligible to obtain Virginia RN licensure. Life Support: AHA BLS-HCP required. May be required to obtain/maintain BLS, ACLS, PALS, NRP based on specific work unit. Other: Computer skills required for electronic medical record (EPIC). Recruiter: WHITNEY SHELL Recruiter Email: wdshell@carilionclinic.org For more information, contact the HR Service Center at 1-800-599-2537. Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday. For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive. T hat’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision Benefits Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training

ICU

Part-time

RN - ICU - CRBH - Regular Part Time

apartment Carilion Clinic location_onLexington, VA

Employment Status: Part time Shift: Evening/Night (United States of America) Facility: 1 Health Cir - Lexington Requisition Number: R151936 RN - ICU - CRBH - Regular Part Time (Open) How You’ll Help Transform Healthcare: As a registered nurse, you are expected to consistently deliver the best in care and customer service and demonstrate respect, dignity, kindness and empathy in each encounter with our patients, their families, visitors, and with each other. As part of the health care team, RNs assume primary accountability for nursing coordination and provision of individualized care for patients of all ages. The registered nurse also utilizes delegation and critical thinking skills to provide quality service through a team oriented, collaborative approach to patient care. Assesses, plans, implements, and evaluates patient care in order to achieve optimum patient outcomes for patients of all ages as appropriate to service area. Age specific admission and ongoing assessments are completed, documented and used to develop a plan of care. Collaborates with members of the health care team/patient/family to develop, implement, and evaluate an age-specific interdisciplinary plan of care. Revises plan according to changes in patient status. Treatments and medications for patients of all ages are accurately administered and documented utilizing automated computer systems, including electronic medical records. Patient/family (caregiver) educational needs are identified in a timely manner, incorporated into the plan of care, implemented and documented appropriately. Contributes to Carilion Clinic’s performance improvement activities. Consistently demonstrates the role of patient advocate, protector of patient’s rights, and provider of psychological/social/cultural support. Applies knowledge of growth and development to appropriately care for patients served. Determines and performs within clinical, leadership, and/or education pathways to support (direct/indirect) evidenced based, quality patient care service and performance improvement. Exhibits clinical expertise in rapidly changing circumstances. Plans strategies to reduce length of stay, turnaround time, resource consumption and improve patient outcomes. Functions as role model for clinical practice to coworker, students, and physicians. Manages resources, establishes priorities, and modifies environment to meet patient care needs. Completes manager/director predetermined projects within specified time frame and according to pre-established guidelines. Uses problem-solving methods to facilitate resolution to patient and personnel situations that present in the work area. Takes an active role in the orientation of new employees. Provides feedback to staff using appropriate communication and documentation. Provides input into practice, environment, and work issues by participating on unit, hospital, and/or system activities which facilitates staff participation/input in decision making. Assists with providing education activities for unit/department. What We Require: Education: Graduate of school of professional nursing of an accredited college or graduate of an approved program eligible to sit for the VA licensure exam. Licensure/Certification: Currently licensed as Registered Nurse in Virginia or eligible to obtain Virginia RN licensure. Life Support: AHA BLS-HCP required. May be required to obtain/maintain BLS, ACLS, PALS, NRP based on specific work unit. Other: Computer skills required for electronic medical record (EPIC). Recruiter: WHITNEY SHELL Recruiter Email: wdshell@carilionclinic.org For more information, contact the HR Service Center at 1-800-599-2537. Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday. For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive. T hat’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision Benefits Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training

Full-time

Registered Nurse (RN) - Full-time Days

apartment Select Medical location_onVA

$46.41 - $62.50 / hour

Overview Position: Registered Nurse (RN) Location: Alexandria, VA Schedule: Full-Time DaysCompensation: $46.41 - $62.50 Inova Specialty Hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Advance Your Career :100% company-paid scholarship (BSN), tuition reimbursement, and continuing education. Elevate Your Skills : Clinical ladder program and certifications such as PCCN and CCRN. Ease the Burden : Student Debt benefit program. Recharge & Refresh : Generous PTO for full-time team members to maintain a healthy work-life balance Your Health Matters : Comprehensive medical/RX, health, vision, and dental plan offerings for full-time team members Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State Registered Nurse (RN) License BLS is required at hire. ACLS is required within 6 months of hire Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

Full-time

Registered Nurse (RN) - Full-time Nights

apartment Select Medical location_onVA

$46.41 - $62.50 / hour

Overview Position: Registered Nurse (RN) Location: Alexandria, VA Schedule: 12 Hour Night Shift Compensation: $46.41 - $62.50 per hour + Shift Differentials Inova Specialty Hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Advance Your Career :100% company-paid scholarship (BSN), tuition reimbursement, and continuing education. Elevate Your Skills : Clinical ladder program and certifications such as PCCN and CCRN. Ease the Burden : Student Debt benefit program. Recharge & Refresh : Generous PTO for full-time team members to maintain a healthy work-life balance Your Health Matters : Comprehensive medical/RX, health, vision, and dental plan offerings for full-time team members Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State Registered Nurse (RN) License BLS is required at hire. ACLS is required within 6 months of hire Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

Educator

MDS

Full-time

Director of Clinical Reimbursement Education

apartment Hill Valley Healthcare Corporate location_onLynchburg, VA

Now Hiring: Director of Clinical Reimbursement Education Type: Full-Time | Industry: Skilled Nursing / Long-Term Care Do you have a passion for education, clinical excellence, and driving reimbursement accuracy? We’re looking for a Director of Clinical Reimbursement Education to lead, inspire, and educate our clinical teams across skilled nursing facilities. If you're a strategic thinker with a deep knowledge of MDS, reimbursement systems, and compliance regulations—this could be your next big move. What You’ll Do: As our Director of Clinical Reimbursement Education, you’ll play a vital role in: Designing and delivering engaging educational programs on clinical reimbursement and regulatory compliance. Training facility-based and regional clinical staff in accurate MDS assessments, documentation practices, and interdisciplinary collaboration. Conducting on-site and remote audits to ensure documentation and billing accuracy. Serving as a go-to resource for clinical and administrative staff on reimbursement-related issues. Staying ahead of federal, state, and local policy changes—and making sure our team does too. Key Responsibilities: Lead impactful training sessions and workshops for clinical teams. Evaluate and refine educational programs to ensure effectiveness. Support staff development through guidance, mentoring, and expert insight. Foster a culture of compliance, accuracy, and resident-centered care. Collaborate with cross-functional departments to integrate education with operational goals. What We’re Looking For: Education: Degree in Nursing, Healthcare Administration, or a related field. Experience: 5+ years in clinical reimbursement, with at least 2 years focused on education/training. Skills: Strong knowledge of PDPM, MDS, and regulatory frameworks. Dynamic leadership and training abilities. Excellent communication and interpersonal skills. Tech-savvy with tools for education and compliance tracking. Detail-oriented with great multitasking and organizational abilities. You’ll Work With: Facility and regional clinical staff Residents and their families Vendors, inspectors, surveyors, and corporate leadership Why Join Us Make a real impact on patient outcomes and operational success. Be part of a mission-driven organization that values teamwork, integrity, and resident dignity. Enjoy a collaborative environment where your expertise shapes the future of skilled nursing care. Ready to Lead and Inspire Apply today and help elevate clinical education and reimbursement excellence across our organization. We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.