Director of Clinical Reimbursement SNF

Cassia is seeking an experienced Director of Clinical Reimbursement to provide leadership and oversight of reimbursement performance across our skilled nursing communities. This is an exciting opportunity to share your expertise, support clinical and operational success, and help ensure accurate, compliant, and optimized reimbursement practices throughout the organization. If you're passionate about education, mentorship, and helping teams succeed, this role offers the opportunity to make a meaningful impact across multiple communities. This position is based out of our Home Office, located in Edina, MN.

As the Director of Clinical Reimbursement, you'll provide oversight of MDS, PDPM, Medicare, Medicaid, Managed Care, clinical documentation, and reimbursement processes. You'll partner closely with community, regional, clinical, operational, and financial leaders to improve performance, strengthen compliance, and support sustainable reimbursement practices. Regular travel and routine visits to Cassia skilled nursing communities, including occasional overnight travel, are an important part of this role. Our ideal candidate will preferably have multi-site or regional experience, along with five or more years in skilled nursing or post-acute care, including at least three years focused on MDS, reimbursement, or clinical reimbursement, and strong knowledge of skilled nursing reimbursement systems.

Position Type: Full-Time, benefits eligible position

Wage Range: $145,000 - $160,000 annually depending on experience

Location: 7171 Ohms Lane, Edina, MN 55439

Director of Clinical Reimbursement 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.

Director of Clinical Reimbursement Qualifications:

• 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.

• Strong knowledge of MDS, PDPM, Medicare, Medicaid, Managed Care, and skilled nursing reimbursement.

• Exp erience with reimbursement auditing, clinical documentation, and performance metrics.

• St rong analytical, leadership, communication, and problem-solving skills.

• Ability to travel routinely to Cassia communities, including occasional overnight travel.

Cassia Benefits:

• Competitive Pay with experience-based raises

• Tuition Assistance & Student Loan Forgiveness (site-specific)

• Generous Paid Time Off (PTO) & 403(b)/401(k) with Employer Match

• Comprehensive Health Benefits (Medical, Dental, Vision, Disability, Life Insurance) for Full-Time Employees

• Employee Assistance Program with free confidential counseling/coaching for self and family members

• Pet Insurance

About Us:

Cassia is a nonprofit, mission-driven senior care organization with over 200 years of experience. Located in Edina, MN, our home office supports a network of senior living communities and services across Minnesota, North Dakota, Iowa, Colorado, and Florida.

At Cassia we are dedicated to fostering fullness of life for older adults by providing compassionate, high-quality care. Our Service Standards of Respect, Excellence, Integrity, Stewardship, Compassion, Collaboration, Unity, and Innovation are the bedrock of all that we do. We value inclusivity, collaboration, and professional growth, ensuring our employees feel supported in their careers. To learn more, visit our website: https://www.cassialife.org/

Join us and become part of a nonprofit organization that truly makes a difference!

Cassia is an equal employment opportunity/affirmative action & veteran friendly employer.

Powered by JazzHR