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Clinical Reimbursement Specialist (MDS LEAD)

Remote, USA Full-time Posted 2026-06-17

About Us

Rockcastle Health & Rehabilitation Center is a 104-bed skilled nursing facility. Our management team has exceptional dedication to those that we serve, and we pride ourselves in working together as a united family. It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives. Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report, we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.

Overview

The ideal Clinical Reimbursement Specialist Candidate is very detail oriented, organized, self-motivated, and has a love for supporting and training Stakeholders. The ability to travel to assigned sites Monday – Friday is a must. How You Will Make a Difference

  • Assist with systems development and implementation of programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM’s), Medicaid Casemix and Medicare/Medicaid guidelines for all SHC Stakeholders.
  • Assist with design and presentation of RAI, PPS, Quality Measures, Medicare and Medicare education utilizing various types of media, technology, workshops, classes, and one on one.
  • Conduct facility site visits to orient new MDS Coordinators as well as to evaluate and reinforce RAI/MDS/PPS processes. What You Need To Make a Difference
  • Current licensure as a Registered Nurse with ability to obtain multi-state licensures.
  • Minimum of five (5) years related experience as a licensed Registered Nurse in a long-term care setting.
  • MDS Experience in LTC in the past two (2) years
  • Willing to travel eighty to ninety percent (80% - 90%) travel with overnight stays. MDS LEADER NEEDED! MUST LOVE TO TRAVEL! Do you love to train, perform audits, mentor MDS Coordinators and have TONS of autonomy? If so, this opportunity is for you! Travel Expectations
  • TRAVEL REQUIRED TO MULTI-SITE FACILITIES 4 DAYS PER WEEK WITH ONE DAY WORKING REMOTE Benefits
  • Medical, Dental and Vision – Voluntary Life/Disability
  • Free Telemedicine with Medical Plan
  • 401(K) and Roth 401(K)
  • Tuition Forgiveness/Education Reimbursement
  • A variety of additional specialized Insurances
  • Pay Advance and Next Day Pay
  • Work Life Balance (WLB)
  • Partner Perks and Discounts
  • Reward & Recognition Program (HEART)
  • Vital Links At Signature HealthCARE, our team members are permitted – no, encouraged – to employ their talents and abilities to solve problems. Our culture is built on three distinct pillars: Learning, Spirituality and Intra-preneurship. Each pillar has its own staff and initiatives, ensuring that our unique culture permeates the entire organization. Come see what the revolution is all about! Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories Apply tot his job

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