Director of Clinical Reimbursement Education

apartment Hill Valley Healthcare Corporate location_onFairfax, VA 22033, 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

Hospice

Full-time

Hospice Register Nurse Case Manager (RN)

apartment Trinity Health at Home location_onGermantown, MD

$36.70 - $58.71 / hour

Employment Type: Full time Shift: Description: This position is available in multiple Holy Cross Home Care & Hospice service areas, including: Howard County/Silver Spring, MD Area Prince George Montgomery County Why Join Us? Start Here… Grow Here... Stay Here! At our core, we believe in building careers, not just jobs. Many of our team members stay with us for the long haul—and for good reason. Our culture is built on support, growth, and opportunity. Position Overview - $10,000 Sign-On Bonus & Day 1 Benefits As a Hospice RN Case Manager at Holy Cross Home Care & Hospice, you’ll deliver one-on-one, high-quality care to patients in the comfort of their homes. Using advanced technology and your clinical expertise, you’ll assess, plan, and manage individualized care that promotes healing and independence. You will be responsible for case managing a team of 15-20 hospice patients. RN case manager will collaborate with interdisciplinary team and attend weekly Interdisciplinary meetings. RN Case manager will interact with the primary care physician and/or hospice medical director as needed to effectively manage patient symptoms. Position is Full time primarily Monday-Friday with occasional weekend coverage when needed. What You Can Expect: Consistent, Reliable Workloads Enjoy steady assignments with guaranteed hours—no surprises. Competitive Pay & Low-Cost Benefits Get exceptional coverage and real savings that make a difference. Supportive Leadership Our management team is here to help you succeed every step of the way. C a reer Growth Opportunities Every leader on our team started in a field role—your path to leadership starts here. Epic EMR System Streamlined documentation and communication for better care and less stress. Fast Hiring Process Quick interviews and job offers—because your time matters. Meaningful Work Deliver one-on-one care that truly impacts lives. What Will You Do: Makes appropriate referrals for evaluation/care to other disciplines and services, and coordinates care with others to ensure effective and efficient care is provided. Utilizes interview, observation and evaluation in assessing clients and applies nursing judgment, consistent with practice standards, in formulating nursing interventions and making recommendations to the physician, client/family and IDT/IDG. Report changes in client condition as appropriate and in a timely manner, to the client’s physician and/or Case Manager/designee and obtain orders for changes in the plan of treatment to respond to the client’s condition. Re-evaluates and updates patients’ plan of care based on patient goals and progress towards outcomes. Assess patient and family learning styles and needs for teaching regarding disease process, self-care, end of life care, and dealing with ethical concerns as well as patient goals as part of plan of care. Respond appropriately to changes in patients’ physical, psychological, or spiritual conditions. Minimum Qualifications: Graduate of an approved nursing education program Active RN license in the State of Maryland 1+ years of clinical nursing experience (Hospice preferred) Strong communication, assessment, and organizational skills Compassionate, dependable, and mission-minded Must have current Driver’s license and reliable transportation Benefits Highlights: Pay Range: $36.70 - 58.71 per hour Medical, dental and vision insurance starting Day One Short- and long-term disability coverage 403(b) retirement plan with employer match Generous paid time off + 7 paid holidays Tuition reimbursement up to $5,250/year Comprehensive onboarding and orientation About Holy Cross Home Care and Hospice (Maryland) Holy Cross Home Care and Hospice is a member of Trinity Health At Home , a national home care, hospice and palliative care organization serving communities throughout eleven states. As a faith-based, not-for-profit agency, we serve patients and families in the comfort of home, offering skilled nursing, therapy (physical, occupational, speech) and medical social work. We are Medicare-certified and accredited by The Joint Commission. Learn more about us at HCHomeCareHospice . Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Home Health

Full-time

Full-Time Home Health Registered Nurse ( RN )

apartment Trinity Health at Home location_onGermantown, MD

Employment Type: Full time Shift: Description: Holy Cross Home Care Team is looking for a Fu ll-Time Home Health RN to service our patients in the Germantown, MD Area Position Overview - Day 1 Benefits, 10k Sign-on Bonus & More As a Home Health Registered Nurse, you’ll provide in-home skilled nursing care to patients by developing personalized care plans, administering medications and supporting recovery and independence. Whether you're experienced in home health or coming from an acute care setting, this role offers a rewarding opportunity to apply your clinical expertise in a more independent, patient-focused environment. Why Join Us? Start Here… Grow Here... Stay Here! At our core, we believe in building careers, not just jobs. Many of our team members stay with us for the long haul—and for good reason. Our culture is built on support, growth and opportunity. What You Can Expect: Consistent, Reliable Workloads Enjoy steady assignments with guaranteed hours—no surprises. Competitive Pay & Low-Cost Benefits Get exceptional coverage and real savings that make a difference. Supportive Leadership Our management team is here to help you succeed every step of the way. Career Growth Opportunities Every leader on our team started in a field role—your path to leadership starts here. Epic EMR System Streamlined documentation and communication for better care and less stress. Fast Hiring Process Quick interviews and job offer—because your time matters. Meaningful Work Deliver one-on-one care that truly impacts lives. Zero On-Call Requirements Focus on your work without the stress of being on call. Position Highlights: Follows orders for treatment and provides services as indicated on the plan of care. Utilizes and implements appropriate educational tools and pathways per guidelines and/or policy and procedure. Takes ownership to optimize agency performance through active involvement in quality improvement activities. Provides ongoing care management oversight/activities to assigned patients to achieve high quality care, reduced rehospitalizations and achievement of top decile outcomes. Utilizes motivational interviewing/health coaching techniques to achieve desired patient outcomes. Adjusts weekly, monthly patient visit schedule to achieve care consistency, visit utilization ordered and operational efficiencies, avoiding duplication, interruption or overlap in visits. Initiates, maintains, and documents communication regarding the client’s care/needs with the physician, clinical manager, other disciplines, and family, as appropriate. Acts independently and responsibly to perform duties on a consistent basis and in a timely manner. Benefits: Pay Range: $36.69 - $58-71 per hour Sign-On Bonus up to $10k Day 1 Benefits - Health, dental and vision insurance Daily Pay Employee Referral Reward Program Short and long-term disability Tuition Reimbursement Paid CEUs 403b Generous paid time off Mileage reimbursement Minimum Qualifications: Graduate of an approved Nursing education program, BSN preferred. Current Registered Nurse licensure in the state of practice. Must have a minimum of one (1) year professional nursing experience. Home Health, Med-Surg, ER, Urgent Care, ICU, Critical Care, Progressive Care, or Step-Down Unit experience Strong computer and technology skills required. Must have current Driver’s license and reliable transportation. About Holy Cross Home Care and Hospice (Maryland) Holy Cross Home Care and Hospice is a member of Trinity Health At Home , a national home care, hospice and palliative care organization serving communities throughout eleven states. As a faith-based, not-for-profit agency, we serve patients and families in the comfort of home, offering skilled nursing, therapy (physical, occupational, speech) and medical social work. We are Medicare-certified and accredited by The Joint Commission. Learn more about us at HCHomeCareHospice . Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Educator

MDS

Full-time

Director of Clinical Reimbursement Education

apartment Hill Valley Healthcare Corporate location_onRockville, MD

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.

Full-time

Registered Nurse (RN) Level 2 Trauma Operating Room

apartment Inova Health location_onLeesburg, VA

Job Description Inova Loudoun Hospital is seeking an experienced Operating Room RN to join our team. This team member will support our patients on weekdays . Eligible Nurses will qualify for sign-on & relocation bonuses. Work Schedule: Full-Time, Day shift | 3/12hr shifts (7am – 7pm) with call We are proud to serve as a high acuity, fast paced, multispecialty operating room and as Loudoun County’s first and only designated trauma center – now Level 2. The Perioperative Services Team at Inova Loudoun Hospital supports 8 state-of-the-art operating suites, two special procedure rooms, and the latest technology in minimally invasive robotic surgery: the robotic-assisted daVinci® Surgical System and MAKOplasty® Total Hip and Knee. In addition to our regularly scheduled surgeries, our surgery department is staffed for emergency surgery, 24 hours a day, 7 days a week. Our facility features 16 private Pre-Op rooms and 14 PACU bays where our patients are prepared for surgery and recover post operatively. We are a growing community hospital offering surgical services in: Trauma, General, Breast, Colon-Rectal, Gynecology, Urology, Orthopedics, Podiatry, Neurosurgery, ENT, Vascular, Thoracic, Maxillofacial and Plastic. Hospital Awards And Recognitions Include Level 2 Trauma Facility Magnet recognized for the fourth consecutive term Joint Commission Center of Excellence for hip, knee, and spinal surgery Leap Frog awarded Grade A for hospital safety since 2012! CMS 5-Star Award recipient Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules. Operating Room Registered Nurse Responsibilities Performs comprehensive patient health assessments by interpreting multiple, sometimes conflicting, data sets and synthesizing their interrelationships. Formulates individualized plans of care based upon assessment findings and interpreting trends in patient populations to achieve best practice. Supports and empowers patients and families as they progress through the healthcare continuum from health promotion to end of life decisions. Advocates for patients' rights from the patient/family perspective and provides counsel and acts as a resource to resolve issues. Anticipates ethical, spiritual, and cultural needs of patients/families and assists staff in assessing patients' learning needs. Operating Room Registered Nurse Requirements Experience: Requires a minimum of 1 year of direct Operating Room (OR) experience as a Registered Nurse. Preferred Additional Experience: AORN's Periop 101 curriculum completion. Education: BSN or ADN from an accredited school of nursing. If RN has an Associate’s Degree (ADN); must complete BSN within 5 years of start date. License: Must be licensed in the Commonwealth of Virginia as a Registered Nurse. Certification: Basic Life Support with American Heart Association. About Us We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Full-time

Dialysis RN

apartment FutureCare location_onGreater Landover, MD

Overview At FutureCare our Dialysis Registered Nurses are skilled in handling patients with chronic kidney diseases. They are responsible for the delivery of all dialysis related nursing services for END Stage Renal Dialysis (ESRD) patient in chronic settings. They assess, administer medications, and monitor patients throughout dialysis as well as educate them on kidney disease and the lifestyle choices that help them to manage their disease. Proud to be the only healthcare company in Baltimore to be named a “ Top Workplace ” for 14 years in a row and recognized in US Newsweek as “ Best Nursing Homes ”, FutureCare stands out as a leader in managing health care across a continuum of care. We are known for recognizing hard work and dedication and reward our team members for their compassion and care. We also offer a Competitive Salary, Excellent Benefits Package, Flex/Advance Pay, Paid Time Off, Tuition Reimbursement, Career Growth Ladder, Employee Referral Bonus Program, Employee Assistance, and matching 401K Plan. ***Salary Range $82,215.62 -$123,323.44 Full Time Annual*** Salary Disclosure Statement The salary mentioned above reflects the potential base pay range for this role. Bonuses or other incentives (if applicable) are offered separately and paid pursuant to the relevant program schedule. All employment offers will consider such factors as overall experience, job-related qualifications, location, certifications/training, etc. Responsibilities Supervise and perform direct patient care to include vital signs, initiation and termination of dialysis, documentation, physical assessment of patients and patient treatments, taking and transcription of physician’s orders, blood draws and documentation of ordered laboratory work Assess patients general physical and mental condition, review dialysis orders, and document observations in patient medical records Analyze patient assessments, laboratory data and, when concerns are noted, bring issues to the attention of the physicians Communicate all emergencies, patient life-threatening complications and related incidents to Superior, Medical Director, Regional Director Assess patient and family leaning readiness and provide appropriate information on renal disease, prescribed dialysis treatment, and medical regimen and its impact on the patient status of health and well-being Provide dialysis therapy to include formulating dialysis plan per physician orders, weight and rate of ultrafiltration, verify safety measures, administer medications or other appropriate treatments, disconnect dialysis according to established procedure, document all activity as appropriate Educate patients on pre and post dialysis care Administer patient quality care in considerate, respectful manner Participate in the development and implementation of the patient’s short- and long-term plan Qualifications Must hold an active Registered Nurse license issued in the state of Maryland Nursing Degree from an accredited college or university required New graduate with at least one year of experience after obtaining license will be considered 2 year of dialysis experience preferred Current CPR License required Complete training programs approved by a Medical Director and the governing body as required guidelines prior to operating the water treatment system Basic computer skills and proficiency in MS Office Suite required Equal Opportunity Employer FutureCare has a longstanding policy of providing a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, pregnancy, age, religion, national origin, citizenship, marital status, sexual orientation, gender identity, gender expression, physical or mental disability, military or veteran status, or any other characteristic protected by law. We actively promote equality of opportunity for all and welcome all applications.