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Clinical Reimbursement Jobs (NOW HIRING)

Our Clinical Reimbursement Manager oversees the coordination of all clinical payment programming. Also, our Clinical Reimbursement Managers serves as a point of contact to maintain coordination of ...

Our RN - Clinical Reimbursement coordinators make a tremendous difference in the quality of life of our residents by ensuring safety and needs are being met in all aspects of care. * The RN reviews ...

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Clinical Reimbursement information

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$60.5K

$91.4K

$116.5K

How much do clinical reimbursement jobs pay per year?

As of Sep 7, 2026, the average yearly pay for clinical reimbursement in the United States is $91,412.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,000.00 and $101,000.00 per year, depending on experience, location, and employer.

What is a clinical reimbursement?

A Clinical Reimbursement job involves managing the financial aspects of patient care, specifically ensuring that healthcare providers receive appropriate reimbursement for services rendered. Professionals in this role work with insurance companies, Medicare, and Medicaid to process claims, conduct assessments, and ensure compliance with regulations. They often collaborate with clinical staff to document patient care accurately and optimize reimbursement. Strong knowledge of medical coding, billing, and healthcare regulations is essential for success in this role.

What does a clinical reimbursement do?

A typical day for a Clinical Reimbursement professional involves reviewing patient records, ensuring accurate documentation and coding, completing MDS assessments, and collaborating with clinical and administrative staff to maximize appropriate reimbursement. You may also monitor changes in payer requirements, provide education to staff on best practices, and participate in audit preparations. The work requires a balance of individual focus on details and teamwork, as you’ll communicate regularly with nursing, billing, and compliance departments. This dynamic environment offers variety and the chance to make a direct impact on healthcare facility revenue and compliance.

What are the key skills and qualifications needed to thrive in clinical reimbursement?

To thrive as a Clinical Reimbursement professional, a strong understanding of healthcare reimbursement processes, medical billing, coding systems, and regulatory compliance is crucial, often supported by clinical or healthcare administration education. Familiarity with Medicare/Medicaid guidelines, MDS (Minimum Data Set) assessments, and EHR or billing software is commonly required, along with relevant certifications such as RAC-CT. Exceptional analytical skills, attention to detail, and effective communication are valuable soft skills in this role. These competencies ensure accurate reimbursement, regulatory compliance, and effective collaboration with clinical and administrative teams in healthcare settings.

More about Clinical Reimbursement jobs

What cities are hiring for Clinical Reimbursement jobs?

Cities with the most Clinical Reimbursement job openings:

What are the most commonly searched types of Clinical Reimbursement jobs?

The most popular types of Clinical Reimbursement jobs are:

What states have the most Clinical Reimbursement jobs?

States with the most job openings for Clinical Reimbursement jobs include:

Infographic showing various Clinical Reimbursement job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 17% Part Time, and 9% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $91,412 per year, or $43.9 per hour.

Regional Director of Clinical Reimbursement

Clayton Clinical

Louisville, KY • On-site

$95K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago


Job description

Regional Director of Clinical Reimbursement (RN)

Location: Louisville, Kentucky / Kentucky Region
Regional Travel Required

Are you a results-driven Registered Nurse with extensive MDS, PDPM, and clinical reimbursement expertise? Do you thrive in a regional leadership role where your knowledge directly impacts reimbursement accuracy, regulatory compliance, clinical outcomes, and financial performance across multiple skilled nursing facilities?

We are seeking an experienced Regional Director of Clinical Reimbursement (RN) to support our skilled nursing facilities throughout the Kentucky/Louisville region.

This is a high-impact regional leadership opportunity for an RN who understands the complexities of clinical reimbursement and knows how to develop strong MDS teams, identify opportunities, and drive results.

The Impact You’ll Make

As the Regional Director of Clinical Reimbursement, you will serve as a strategic resource and subject matter expert for facility and regional leadership. You will provide oversight, education, and support to ensure accurate reimbursement, strong documentation practices, regulatory compliance, and successful MDS processes throughout the region.

You will partner closely with MDS Coordinators, Directors of Nursing, Administrators, interdisciplinary teams, and regional leadership to identify opportunities and implement strategies that strengthen both clinical and financial outcomes.

Key Responsibilities
  • Lead clinical reimbursement and MDS strategy across multiple skilled nursing facilities throughout the Kentucky region

  • Monitor reimbursement performance and identify opportunities to improve accuracy and capture appropriate reimbursement

  • Ensure compliance with federal and state regulations related to MDS, Medicare, Medicaid, PDPM, and clinical reimbursement

  • Provide oversight and guidance regarding ARD scheduling, MDS completion timelines, supporting documentation, and coding accuracy

  • Review facility processes to ensure documentation supports the resident's clinical condition and services provided

  • Lead regional reimbursement, MDS, and revenue-focused meetings

  • Educate, mentor, and support MDS Coordinators and interdisciplinary team members

  • Assist with interviewing, onboarding, training, and development of MDS leadership

  • Conduct facility visits, audits, and reviews to identify opportunities and implement corrective action when necessary

  • Serve as a clinical reimbursement subject matter expert during audits, denials, surveys, acquisitions, and operational transitions

  • Partner with facility and regional leadership to monitor trends, resolve reimbursement concerns, and drive measurable results

  • Promote consistency and best practices across facilities throughout the region

Required Qualifications
  • Active Registered Nurse (RN) license in Kentucky or ability to obtain appropriate Kentucky licensure

  • Minimum of 3 years of MDS and/or clinical reimbursement experience within a Skilled Nursing Facility or Long-Term Care environment

  • Strong working knowledge of MDS, PDPM, Medicare, Medicaid, reimbursement regulations, and documentation requirements

  • Multi-facility or regional clinical reimbursement experience strongly preferred

  • Must reside in or be willing to relocate to the Kentucky/Louisville area

  • Ability and willingness to travel throughout the assigned region

  • Strong analytical skills with the ability to identify trends and reimbursement opportunities

  • Excellent leadership, organizational, education, and communication skills

  • Ability to effectively collaborate with facility, regional, and corporate leadership

  • Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook

What We Offer
  • Competitive compensation based on experience and expertise

  • Generous paid time off

  • 401(k) retirement plan

  • Daily Pay options

  • Comprehensive medical, dental, vision, and disability benefits

  • Wellness and employee support programs

  • Collaborative and supportive leadership environment

  • Professional development and leadership training

  • Opportunity to make a measurable impact across multiple skilled nursing facilities

Apply Today

If you are an experienced RN clinical reimbursement leader who understands MDS, PDPM, and the operational side of skilled nursing reimbursement, we want to hear from you.

Join our team and use your expertise to develop strong MDS teams, improve reimbursement accuracy, strengthen compliance, and drive results across our Kentucky facilities.