What are the responsibilities and job description for the Director of Clinical Reimbursement position at Ryders Health Management?
Director of Clinical Reimbursement
Join our team as a Director of Clinical Reimbursement at Ryders Health Management, the corporate headquarters of our family-owned skilled nursing company, supporting a network of nursing and rehabilitation facilities across Connecticut.
In this key leadership role, you’ll oversee the clinical reimbursement process for our facilities, ensuring the timely and accurate completion of Minimum Data Set (MDS) assessments and compliance with all federal and state regulations. You’ll collaborate closely with facility nursing, rehab, and administrative teams to support proper documentation, optimize reimbursement, and promote high-quality outcomes for the residents we serve.
- Competitive pay
- 401(k) with employer match
- Medical, Dental and Vision Insurance
- Employer-Paid Life Insurance
- Short- & Long-Term Disability
- Paid Time Off
- Paid Meal Period
- Paid Holiday Off
- Employee Assistance Program
- Longevity Credit
- Uniform Reimbursement
- Employee Referral Program
Director of Clinical Reimbursement Duties
Oversee clinical reimbursement operations across multiple facilities
Ensure timely, accurate completion of MDS assessments in compliance with federal and state regulations
Collaborate with nursing, rehab, and administrative teams to ensure documentation supports accurate coding and reimbursement
Lead Utilization Review and Triple Check meetings across facilities
Conduct audits and monitor documentation practices to ensure regulatory compliance
Review potential admissions for clinical and reimbursement accuracy
Track and analyze quality measures to support clinical improvement initiatives
Provide education and mentorship to facility MDS Coordinators and clinical teams
Stay current on changes in reimbursement regulations, coding standards, and best practices
Requirements
Current RN license in the state of Connecticut
Bachelor’s degree in Nursing (BSN) required
RAC-CT certification preferred
3 years of MDS or clinical reimbursement experience in skilled nursing or long-term care
Proficiency with MDS software, PointClickCare, and Microsoft Office
Strong leadership, communication, and analytical skills
Our Caring Community
Ryders Health Management is a family-owned organization celebrating 75 years of providing compassionate, high-quality care across Connecticut. We support a network of skilled nursing and rehabilitation centers rooted in a tradition of excellence, teamwork, and patient-centered service. Join our team of dedicated professionals making a difference every day.
Equal Opportunity Employer Statement
We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.