Director of Clinical Reimbursement Education

Hill Valley Healthcare Corporate Rockville, MD 20850, 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

Director of Clinical Reimbursement Education

Hill Valley Healthcare Corporate Fairfax, 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.

Clinical Nurse Educator, Med Surg

University of Maryland Medical System Largo, MD

$42.64 - $64 / hour

Job Requirements Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents. Serves in a clinical expert role to support optimal service outcomes by providing for the development of professional staff and other direct caregivers in a defined service specialty. The functional role of the CNE falls under five (5) categories: education, clinical, quality and research, administrative, and consulting. Work Experience Med Surg Unit Required: Current license in good standing as a Registered Nurse in Maryland or another compact state. Preferred: Certification in Nursing Professional Development (NPD-BC) Bachelors of Science Degree in Nursing (BSN) from an accredited School of Nursing. Requires detailed knowledge of nursing practice, research, and patient care in terms of theories and practices to serve as the consultant or educator to other practitioners in their area of expertise/patient population within the assigned area. This staff member must demonstrate knowledge of the principles of growth and development over the life span of patients served. Ability to establish and maintain positive interpersonal relationships with all levels of staff and to function in a highly confidential environment. Experience (years): Required: 5 - 7 years Preferred: 7 - 10 years Benefits All your information will be kept confidential according to EEO guidelines. Pay Range: $42.64/hour-$64.00/hour Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.

Clinical Educator (RN) Perianesthesia

Inova Health Leesburg, VA

Job Description Inova Loudoun Hospital is looking for an experienced Perianesthesia Clinical Nurse Educator . This is a full-time exempt position. Monday-Friday (day shift schedule). 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. Inova Loudoun Hospital’s Perianesthesia Unit has a total of 38 bays (16 Pre-Op bays, 14 stage 1 bays and 8 stage 2 bays), that serve a diverse surgical population of all ages. Our Surgical Service Lines include, general/trauma, endoscopy, spine, orthopedic, neurosurgery, robotics, urology, plastics, gynecology, breast, podiatry, vascular, maxillofacial, dental, and ENT. Since ILH has earned its level two trauma designation, our Perianesthesia team is evolving and expanding our skillsets and knowledge base. Our Perianesthesia team members are self-motivated, hardworking and a proficient group of nurses. We have varying/staggered shift times, and as of now, we staff the unit full time with a night and weekend team. Nurses care for patients in Phase 1 and Phase 2 and work very closely with our Pre-op team. We take pride in our excellent patient care and wide knowledge base that continues to expand and adapt to meet the needs of our community. Clinical Educator Job Responsibilities Utilizes system strategies and tools to assess the competency of new nursing staff members while focusing on quality of care and patient safety goals. Integrates theoretical knowledge, evidence-based principles and clinical nursing expertise into educational experiences for both new and experienced team members. Prepares annual self-development plans, sets professional goals and seek opportunities for achieving them. Contributes to quality and safety initiatives across the organization. Leads onboarding, orientation, and competency validation for new hires and transitioning nurses. Develops ongoing educational opportunities such as simulations, inservices, microlearnings, evidence-based education programs, and skilled based training in support of unit learning, competency, and proficiency. Serves as a clinical resource and mentor, supporting staff development, critical thinking, and adherence to best practices. Collaborates with interdisciplinary teams (anesthesia, critical care, providers/proceduralists) to improve patient outcomes, workflow efficiency, and regulatory compliance. Facilitates emergency preparedness through hands-on drills, training, and simulations. Supports staff professional development and growth through certification review preparation, Clinical Ladder advancement coaching, and unit committee support. 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, flexible work schedules. Minimum Qualifications Education: Master’s Degree or BSN and enrolled in Master’s program upon start. If RN has a BSN and enrolled in Master’s program, RN must meet with their Nurse Leader within 3 months to conduct the following: Provide a written plan with anticipated Masters completion date Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses Complete Masters within 3 years of start date. Experience: 2 years of progressive experience in nursing in designated specialty; 3 months of experience serving as preceptor. Certification: BLS from the American Heart Association; Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse or an active multi-state RN License. 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

2 weeks ago

RN

Right at Home Prince George's County Kettering, MD

Pay and Benefits: We believe that our Registered Nurses (RN) are the heart of our business. Without you, we couldn’t build meaningful relationships with our clients, put a smile on their face or be the highlight of their day. It is hard to put a price on helping others but we know how important you are and value the impact you would make day in and day out for our clients. In taking this position, you would receive: Competitive pay Pay may vary by location, level of training and type of shift Flexible schedules (Shifts can be arranged to fit your schedule) Medical benefits, including vision and dental (Medical benefits availability is determined by individual franchises) 401 (k) retirement plan Weekly pay Mobile clock in/out Work close to home (Serve seniors in your own community) Ongoing PAID training and development Your local office may offer you a variety of initial and ongoing career training opportunities to help you grow your skills. This could include but not limited to: A "library" of senior care reference materials and resources in the office and online On-the-job training for unique client situations Make a difference, develop meaningful relationships and meet new people Give back to those who need you most (our clients need you now more than ever before!) Paid travel time in between clients and paid mileage Extremely positive work environment Employee discount programs Access to leadership Recognition, celebrations and great team interactions! In this role, we stand prepared to equip you with the right personal protective equipment (PPE) and are ready to assist as you care for our vulnerable population of seniors and adults with disabilities. What You’ll Do and Who You Are: You’re the honest, likable, and approachable type. You are able communicate easily with people at all levels both verbally and in a written state. You have great analysis skills as you can observe and report any signs or symptoms indicative of changes in condition of the client. You listen well, have great decision making skills and are passionate about your customer focus. You provide “best in class” care management to clients and you always strive for excellence. You’re never short of a smile and take real pride in your work by being accountable, assertive and act as a role model for new caregivers through coaching and training. Must Haves: Registered Nurse (RN) with current licensure to practice professional nursing in the state 2 years of nursing experience (home health/hospice preferred) Registered Nurse (RN) must possess and maintain current CPR certification Registered Nurse (RN) must be knowledge and have the ability, and the necessary skill and judgment to perform all nursing procedures under the direction of a physician as outlined in the scope of practice in the State’s Nurse Practice Act Meets the requirements for employees providing direct client care Must have a valid driver’s license and use of an insured automobile for work or access to adequate transportation Available for work on weekends and holidays as required Registered Nurses (RN) must be able to read, write, speak and understand English as needed on the job Participate in in-service education programs as mandated by State law (this requirement need not be met exclusively through Right at Home sponsored in-services programs) WORKING ENVIRONMENT Primarily works in client’s place of residence; travel may be required. Shift times and days vary with client needs. Why Right at Home? We truly believe that where you work matters, and as a company that believes in improving the lives of those we serve, we think we know a thing or two about what makes our employees happy. Here is what our employees say about us: “It’s wonderful to work for a company that treats their employees with the same care and respect they want us to provide to clients.” - Linda “I know I’m never alone! If I have a question or an issue, there is always someone available to help me. This means the world to me!” - Dave If you need assistance with this application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting us. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees. Each Right at Home office and business is independently owned and operated under a franchise agreement with Right at Home, LLC. Right at Home, LLC is not the employer or joint employer of the employees of any of its franchised offices. For comments, questions or to learn more about Right at Home, please visit www.rightathome.net.

Outpatient

Full-time

3 days ago

Nurse-RN

Patient First Odenton, MD

$34.50 - $40.50 / hour

The responsibilities of this job include, but are not limited to, the following: Implementing Patient First's policies and procedures; Offering quality nursing care and generating a genuinely warm and friendly atmosphere for patients and employees; Providing nursing care in the ambulatory setting to individual patients and families; Using sound judgment when administering medical care and screening patients; Administering medications and knowing correct dosage, actions, and side effects of each medication administered; Assisting the physician in all emergency cases; Providing positive, warm and friendly customer service in all interactions; Fostering teamwork and a positive, professional atmosphere; Completing other duties as directed. Minimum education and professional requirements include, but are not limited to, the following: Employee must be at least 18 years of age; High school graduate or equivalent; Keyboarding experience required; Excellent verbal and written communication skills; One year of clerical experience preferred; One year of clinical experience with administration of medications preferred; Licensed to practice as a Nurse in the state of Maryland. Salary Range: $34.50 - $40.50, depending on experience. Benefits and Other Compensation: • Health, Dental and Vision insurance for employees and dependents • Disability, Life and Long Term care insurance • Employee Assistance Program, Flexible Spending accounts, 40 1(k) Retirement Plan (with employer match) • Paid Annual Leave, Volunteer Time Off Pay, Bereavement Leave, Emergency Leave Bank • Overtime Pay, Holiday Pay, Double time compensation for all holidays worked • Discounted medical treatment at any Patient First location for employees and immediate family • Bonuses include: - Recruitment bonus - Patient Care Performance bonus (center employees only) - Weekend bonus (center employees only)