Hill Valley Healthcare Corporate

Director of Clinical Reimbursement Education

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

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Hill Valley Healthcare Corporate

Director of Clinical Reimbursement Education

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.
Inova Health

Clinical Educator (RN) Operating Room (OR)

Job Description Inova Loudoun Hospital is looking for an RN Clinical Educator Nursing to work with the Operating Room. 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. 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, flexible work schedules. 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. Hours: Full-time, M-F (regular office hours, with some flexibility as needed based on department needs) 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 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.
Right at Home Prince George's County

RN

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.
BrightSpring Health Services

RN / Registered Nurse - Home Health

$55 - $110 / hour
Our Company Adoration Health Overview Are you a Registered Nurse looking for a new opportunity? Adoration Home Health is seeking a passionate, dedicated Home Health RN to join our team in Upper Marlboro, MD . Our Home Health RNs provide expert, patient-centered care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! Office Location: Upper Marlboro, MD Coverage area: Montgomery County Schedule: Full-time; Monday - Friday Home Health and HCHB Experience Preferred How YOU will benefit: Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Mileage Reimbursement Generous PTO Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Responsibilities As a Home Health Registered Nurse, You will: Assess/monitor physical, emotional, and psychological needs of patients Create home health care plans that align with MD orders and the patient's goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with an interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by the local branch Qualifications Registered Nursing Degree (Associate or Bachelor) from an accredited college of nursing with current unrestricted registration and license in the state of practice and in the state of residence is required One year nursing practice in a patient care setting required; and home health, geriatrics or other related settings preferred Valid driver's license, acceptable driving record, and proof of car insurance in accordance with Adoration policy New nursing graduates may be considered in select markets based on program availability Current CPR certification About our Line of Business Adoration Health, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn. Salary Range USD $55.00 - $110.00 / Hour
Johns Hopkins Medicine

Utilization Review Nurse - Managed Care

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for future growth. About this position: Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members’ lives. Your in-depth knowledge of the appropriate levels of care makes you a valuable resource to our members when they are in need. What you’ll do: Monitor the appropriateness of care received by plan members in a variety of settings Evaluate member benefits and medical criteria to determine authorization of services Communicate authorization and/or denial of covered services with all parties involved Initiate discharge planning of members What awaits you: Work-life balance - This is a remote role! Candidates in the following approved states will be given priority: MD, DC, VA, PA, DE, FL Medical, Dental, and Vision Insurance. 403B Savings Plan w/employer contribution. Paid Time off & Paid holidays. Employee and Dependent Tuition assistance benefits. Health and wellness programs and MORE! What you’ll bring: Understanding of managed care delivery systems and utilization management Knowledge and expertise in utilizing various criteria sets (i.e. InterQual) Ability to negotiate and resolve conflicts with external customers. Unencumbered Registered Nurse (RN) license in Maryland (or Compact state) 3+ years’ experience as an acute care RN 1+ years’ experience in Managed Care/Utilization Review is required Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. Salary Range: Minimum 39.64/hour - Maximum 61.45/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. The Hospital reserves the right to modify employee schedules as needed. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.