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Pdpm Audit Jobs in California (NOW HIRING)

HiredFirst

DIRECTOR OF REHABILITATION (DOR)

Marysville, CA · On-site

$150K - $180K/yr

Ensure Medicare/PDPM and regulatory compliance * Manage therapy scheduling, caseloads, and productivity * Coordinate interdisciplinary resident care plans * Oversee quality improvement, audits, and ...

HiredFirst

Director of Rehabilitation (DOR)

Petaluma, CA · On-site

$104K - $135K/yr

Ensure Medicare, PDPM, and regulatory compliance * Manage therapy scheduling, caseloads, productivity * Coordinate interdisciplinary care for geriatric residents * Drive staff training, audits, and ...

KALESTA HEALTHCARE GROUP

MDS CONSULTANT RN

Rocklin, CA · On-site

$38.75 - $46.75/hr

... Audit and trend analysis of MDS-related deficiencies with actionable corrective plans PDPM & Reimbursement · Accurate PDPM coding, case mix grouping, and clinical documentation review · ...

PACS

LVN MDS Nurse

San Rafael, CA · On-site

$43 - $50/hr

Monitor PDPM documentation and reimbursement accuracy * Track quality measures and identify opportunities for clinical improvement * Assist with survey preparation, audits, and regulatory compliance ...

Covenant Living

MDS Nurse, RN

Turlock, CA · On-site

$37.50 - $49.25/hr

Review PDPM regulatory with Healthcare Administrator for financial outcomes and performance. • ... Audit and improve staff education/competency as needed to ensure accurate and timely completion of ...

Covenant Living

MDS Nurse, RN

Turlock, CA · On-site

$37 - $48.50/hr

Review PDPM regulatory with Healthcare Administrator for financial outcomes and performance. • ... Audit and improve staff education/competency as needed to ensure accurate and timely completion of ...

Covenant Living of Colorado

MDS Nurse, RN

Turlock, CA · On-site

$37 - $48.50/hr

Review PDPM regulatory with Healthcare Administrator for financial outcomes and performance ... Audit and improve staff education/competency as needed to ensure accurate and timely completion of ...

The Holmstad

MDS Nurse, RN

Turlock, CA · On-site

$37.50 - $49.25/hr

Review PDPM regulatory with Healthcare Administrator for financial outcomes and performance ... Audit and improve staff education/competency as needed to ensure accurate and timely completion of ...

Feather River Care Center

MDS Resource Nurse

Chico, CA · On-site

$125 - $150/hr

Reviews and audits data to support assigned facilities' obligation to accurately capture diagnosis codes in accordance with PDPM guidelines. * Provide on-going education, support, and make ...

Ridgeview

Quality Assurance Registered Nurse

San Diego, CA · On-site

$47 - $55/hr

... audits and follow-up * Responsible for specific QI clinical indicators and reports to the QI Committee * May attend meetings to include but not limited to: Risk Meeting, Care Conferences, * PDPM ...

Rancho Seco Care Center

MDS Resource Nurse

Isleton, CA · On-site

$37 - $48.50/hr

Must be able to perform and present Root-Cause-Analysis. · Reviews and audits data to support assigned facilities' obligation to accurately capture diagnosis codes in accordance with PDPM guidelines ...

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Pdpm Audit information

What is a PDPM audit?

A PDPM audit is an evaluation process that reviews how a skilled nursing facility implements the Patient-Driven Payment Model (PDPM). Auditors examine clinical documentation, coding, and billing practices to ensure compliance with Medicare regulations and to verify that residents are being accurately assessed and classified for payment. The goal is to identify errors or discrepancies that could lead to improper payments or regulatory issues, and to help facilities improve their processes for accurate reimbursement. Regular PDPM audits can help facilities avoid penalties and maintain financial stability.

What are the key skills and qualifications needed to thrive as a PDPM auditor?

To thrive as a PDPM Auditor, you need a solid understanding of Medicare reimbursement systems, MDS (Minimum Data Set) assessments, and skilled nursing facility regulations, typically supported by clinical credentials such as RN, LPN, or certification in MDS/RAI. Familiarity with electronic health record (EHR) systems, PDPM calculation software, and audit tools is essential. Strong analytical thinking, attention to detail, and effective communication skills help ensure accuracy and clarity when reviewing records and providing feedback. These skills are vital to optimize reimbursement, maintain regulatory compliance, and support quality patient care.

What are some common challenges faced by professionals conducting PDPM audits in skilled nursing facilities?

Professionals performing PDPM (Patient-Driven Payment Model) audits often encounter challenges such as ensuring accurate clinical documentation, keeping up with frequent regulatory changes, and effectively communicating findings to interdisciplinary teams. They must carefully review MDS assessments, therapy documentation, and nursing notes to verify compliance and reimbursement accuracy. Additionally, working collaboratively with clinical and administrative staff is crucial for implementing corrective actions and maintaining ongoing compliance.

What is the difference between Pdpm Audit vs Pdpm Compliance Officer?

AspectPdpm AuditPdpm Compliance Officer
Primary RoleConducts audits to ensure adherence to Pdpm standards and regulationsEnsures organizational compliance with Pdpm policies and external regulations
CertificationsOften requires auditing or quality assurance certificationsRequires compliance or regulatory certifications
Work EnvironmentAuditing in various departments, often in a review or assessment capacityMonitoring and implementing compliance measures across the organization
Industry UsageCommon in healthcare, manufacturing, and service sectorsPrevalent in healthcare, finance, and regulated industries

While both roles focus on adherence to Pdpm standards, Pdpm Audits primarily evaluate compliance through assessments, whereas Pdpm Compliance Officers develop and oversee compliance programs to ensure ongoing adherence.

What are popular job titles related to Pdpm Audit jobs in California?

For Pdpm Audit jobs in California, the most frequently searched job titles are:

What job categories do people searching Pdpm Audit jobs in California look for?

The top searched job categories for Pdpm Audit jobs in California are:

What cities in California are hiring for Pdpm Audit jobs?

Cities in California with the most Pdpm Audit job openings:

Pdpm Audit jobs near you
Infographic showing various Pdpm Audit job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

DIRECTOR OF REHABILITATION (DOR)

HiredFirst

Marysville, CA • On-site

$150K - $180K/yr

Full-time

Re-posted 18 days ago

Job description

DIRECTOR OF REHABILITATION (DOR) – PERMANENT (SNF)

Location: CA 95901
Schedule: Permanent position

Compensation:

  • Up to $180,000 annually

Position Summary & Responsibilities (SNF)

  • Lead SNF rehab department operations and staff

  • Ensure Medicare/PDPM and regulatory compliance

  • Manage therapy scheduling, caseloads, and productivity

  • Coordinate interdisciplinary resident care plans

  • Oversee quality improvement, audits, and staff development

Requirements

  • Licensed PT, OT, COTA, or SLP

  • SNF or post-acute rehab experience required

  • Leadership or supervisory experience preferred

  • Knowledge of Medicare/PDPM and documentation standards