Talent.com
Hillcrest Health Services
Director of Facility Based Clinical ReimbursementHillcrest Health Services • Bellevue, NE, United States
Director of Facility Based Clinical Reimbursement

Director of Facility Based Clinical Reimbursement

Hillcrest Health Services • Bellevue, NE, United States
14 hours ago
Job type
  • Full-time
Job description

Director of Facility-Based Clinical Reimbursement

Hillcrest Health & Living is seeking an experienced and strategic Director of Facility-Based Clinical Reimbursement (RN) to lead and oversee all reimbursement-related functions across our post-acute and long-term care communities. This individual will serve as a key resource for ensuring compliance, accuracy, and optimization of the MDS and PDPM processes, while supporting our mission of Inspiring people to live their best lives.

Key Responsibilities

  • Provide leadership and oversight to facility MDS coordinators and reimbursement staff across all Hillcrest locations.
  • Ensure accurate, timely completion and submission of MDS assessments in accordance with federal and state regulations.
  • Monitor and analyze reimbursement data to identify trends, risks, and opportunities for revenue optimization.
  • Serve as a subject matter expert on PDPM, Medicare, Medicaid, and payer-specific reimbursement systems.
  • Develop and implement policies and procedures to ensure consistent documentation and coding practices.
  • Partner with clinical and financial leaders to align care documentation with reimbursement compliance.
  • Conduct regular audits of MDS accuracy, RAI processes, and supporting documentation.
  • Support education, training, and competency development for facility reimbursement teams.
  • Collaborate with regional and facility leadership to maintain regulatory readiness and survey compliance.
  • Represent the reimbursement department in interdisciplinary and corporate-level meetings.

Qualifications

  • Current Registered Nurse (RN) license in the state of Nebraska (or compact state).

  • Minimum 5 years of MDS/clinical reimbursement experience, including PDPM.

  • Prior experience in post-acute care, long-term care, or skilled nursing facility management required.

  • Strong knowledge of Medicare/Medicaid regulations, RAI guidelines, and clinical documentation requirements.

  • Proven ability to lead, educate, and mentor multi-site clinical reimbursement teams.

  • Excellent analytical, organizational, and communication skills.

  • Ability to travel periodically between facilities.

Why Hillcrest

At Hillcrest, we believe in providing a career that helps you thriveboth professionally and personally. We offer:

  • Comprehensive health, dental, and vision insurance options

  • Paid time off

  • Tuition reimbursement and student loan repayment for nurses

  • Career growth and development opportunities

  • A mission-driven culture centered on Integrity, Compassion, Respect, Teamwork, and Service

Create a job alert for this search

Director of Facility Based Clinical Reimbursement • Bellevue, NE, United States

Similar jobs

Physical Therapist

Keystone Ridge Post Acute Nursing and RehabilitationOmaha, NE, United States
Full-time

Keystone Ridge Post Acute Nursing & Rehabilitation.Come join our team and start making a difference!.Physical Therapist - Prn - Keystone Ridge Nursing and Rehabilitation Center - Omaha, NE.To apply... Show more

 • Promoted

Retail Project Supervisor

DrivelineNebraska City, NE, United States
Full-time

Earn: $45000- $47000/ year Benefits: Health Insurance Dental Insurance Vision Insurance 401K program with Company match Employee Assistance Program Prescription drug discounts Employee discounts An... Show more

 • Promoted

Director of Facility Based Clinical Reimbursement

Hillcrest Health ServicesBellevue, NE, United States
Full-time

Director of Facility-Based Clinical Reimbursement.Hillcrest Health & Living is seeking an experienced and strategic Director of Facility-Based Clinical Reimbursement (RN) to lead and oversee all re... Show more

 • Promoted

Director Emergency Services CUMCBergan

CommonSpirit HealthOmaha, NE, United States
Full-time

Where You'll WorkAt CHI Health Creighton University Medical Center - Bergan Mercy, our focus is patient-centered care.Our level I trauma center and academic medical center campus is designed to hea... Show more

 • Promoted

Director of Acute Behavioral Health (RN)

Childrens NebraskaOmaha, NE, United States
Full-time

Director Of Acute Behavioral Health - RN.Are you a behavioral health leader passionate about delivering high-quality crisis and acute mental health services for children, adolescents, and families?... Show more

 • Promoted

Substitute Health Room Paraprofessional

Springfield Platteview Community SchoolsSpringfield, NE, United States
Full-time

Substitute Health Room Paraprofessional.Springfield Platteview Community Schools.Qualifications: Substitute Health Room Paraprofessionals will hold a High School Diploma or GED.Immediate Supervisor... Show more

 • Promoted

CT Technologist

Common Spirit HealthNebraska City, NE, United States
Full-time

CommonSpirit Health is building a healthier future for all through its integrated health services.As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health del... Show more

 • Promoted

Travel Nurse RN - Emergency Room (ER) / Trauma - $1,945 to $2,069 per week in Central City, NE

TravelNurseSourceBellevue, Nebraska, US
Full-time

Registered Nurse (RN) | Emergency Room (ER) / Trauma.Fusion Medical Staffing is seeking a skilled ER RN for a 13-week travel assignment in Central City, NE.As a member of our team, you'll have the ... Show more

 • Promoted

Field Reimbursement - Patient Access Associate Director - Midwest Remote

LantheusOmaha, NE, United States
Remote
Full-time

DescriptionLantheus is headquartered in Bedford, Massachusetts with offices in Canada, and Sweden.For more than 60 years, Lantheus has been instrumental in pioneering the field of medical imaging a... Show more

 • Promoted

Physician (MD/DO) - Occupational Medicine in Lincoln, NE

LocumJobsOnlineBellevue, Nebraska, US
Full-time +1

Doctor of Medicine | Occupational Medicine.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with Rhino Medical to find a qualified Occupational Medicine MD in Lincoln, Nebra... Show more

 • Promoted

Home Health Clinical Manager

CenterwellOmaha, NE, United States
Full-time

As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, high-quality care in the home ... Show more

 • Promoted

Director of Acute Behavioral Health

Childrens NebraskaOmaha, NE, United States
Full-time

Director Of Acute Behavioral Health.Are you a behavioral health leader passionate about delivering high-quality crisis and acute mental health services for children, adolescents, and families?.Chil... Show more

 • Promoted

Critical Incident Responder, Licensed Mental Health Professional - NE - 100

R3 ContinuumNebraska City, NE, United States
Full-time

Behavioral Health Professional.Are you looking for a unique way to support your community and local businesses?.R3 Continuum is searching for diverse and compassionate behavioral health professiona... Show more

 • Promoted

PRN Medical Assistant

Marathon HealthNebraska City, NE, United States
Full-time

Marathon Health is a leading provider of advanced primary care in the U.Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy s... Show more

 • Promoted

Physical Therapist

ATI Physical TherapyPlattsmouth, NE, United States
Full-time

Physical Therapist Opportunity At ATI.Are you a Physical Therapist looking to thrive in a supportive, balanced environment? Join ATI, a leader in Outpatient Physical Therapy, where you'll be part o... Show more

 • Promoted

Physical Therapist Assistant (PTA) PRN - PRN

Nye Health ServicesLouisville, NE, United States
Full-time

PRN Physical Therapist Assistant (PTA).We are seeking a PRN Physical Therapist Assistant (PTA) to join our rehabilitation team.This position will assist the Physical Therapist in providing quality ... Show more

 • Promoted

Director of Nursing

Hillcrest Health ServicesPapillion, NE, United States
Full-time

Director Of Nursing Hillcrest Country Estates.Location: Papillion, NE Service Line: Hillcrest Country Estates Schedule: Full-Time.Hillcrest Health & Living is looking for an experienced, driven, a... Show more

 • Promoted

Director of Compensation

Methodist Health SystemOmaha, NE, United States
Full-time

Why Work For Nebraska Methodist Health System.At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ.We call it The Meaning of ... Show more

 • Promoted

Clinic Director - Physical Therapist - DPT

Doctors of Physical TherapyOmaha, NE, United States
Full-time

Omaha, NE, 68137, United States.Employee Type Full Time Exempt. Show more

 • Promoted

Director, Annuity & Insurance Product Due Diligence

OsaicOmaha, NE, United States
Full-time

Annuity & Insurance Product Due Diligence Opportunity in Financial Services.Director, Annuity & Insurance Product Due Diligence.Atlanta: 2300 Windy Ridge Pkwy SE, Suite750, Atlanta, GA 30339.La Vis... Show more