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Remote Pdpm Jobs (NOW HIRING)

Pacs

$90K - $120K/yr

This role is remote, requiring less than 25% travel. Salary Range: $90,000 - $120,000 depending on experience Join PACS: Elevate Healthcare with Us! PACS is elevating healthcare by revolutionizing ...

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Remote Pdpm information

What are the key skills and qualifications needed to thrive as a Remote PDPM (Patient-Driven Payment Model) Coordinator, and why are they important?

To thrive as a Remote PDPM Coordinator, you need in-depth knowledge of healthcare reimbursement, MDS (Minimum Data Set) assessments, and regulatory compliance, typically supported by a background in nursing or health administration. Proficiency with EHR systems, PDPM calculation software, and familiarity with CMS guidelines are essential technical requirements. Strong analytical abilities, attention to detail, and effective communication are crucial soft skills for collaborating with interdisciplinary teams and ensuring accurate documentation. These skills are important to optimize reimbursement, maintain regulatory compliance, and support quality resident care in the long-term care setting.

What is the difference between Remote Pdpm vs Remote Product Owner?

AspectRemote PdpmRemote Product Owner
Required CredentialsPM certifications, Agile/Scrum knowledgePM certifications, Agile/Scrum knowledge
Work EnvironmentCollaborates with development teams, Agile settingsWorks with stakeholders, prioritizes product backlog
Industry UsageTech, SaaS, healthcareTech, SaaS, e-commerce

Remote Pdpm and Remote Product Owner roles share similar credentials and work environments, often within Agile teams. The Pdpm focuses on coordinating product development processes, while the Product Owner emphasizes backlog management and stakeholder communication. Both roles are integral in product development but differ in their primary focus and interactions.

What is a Remote PDPM and what do they do?

A Remote PDPM (Patient-Driven Payment Model) specialist is a healthcare professional, often a nurse or clinical documentation expert, who works remotely to ensure skilled nursing facilities optimize reimbursement under the PDPM system. Their main responsibilities include reviewing patient records, assisting with accurate coding, and advising on care documentation to align with Medicare guidelines. By working remotely, they provide support through electronic health records and virtual collaboration, helping facilities maximize compliance and financial performance.

What are some common challenges faced by Remote PDPM Coordinators, and how can they be addressed?

Remote PDPM (Patient-Driven Payment Model) Coordinators often face challenges in communication and data accuracy when collaborating with interdisciplinary teams virtually. Ensuring timely and thorough documentation from nursing, therapy, and social services can be more complex without in-person interactions. To address these challenges, successful coordinators establish clear communication protocols, utilize secure digital platforms for document sharing, and schedule regular virtual meetings to maintain team alignment and compliance with CMS guidelines. Proactive organization and strong digital collaboration skills are essential for thriving in this remote role.
Infographic showing various Remote Pdpm job openings in the United States as of May 2026, with employment types broken down into 40% Full Time, and 60% Part Time. Highlights an 100% Remote job distribution.
Regional Reimbursement Nurse Consultant

Regional Reimbursement Nurse Consultant

Pine Acres Rehabilitation & Care Center

Omaha, NE • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Are you ready to make a change?

We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our long-term care and skilled nursing facilities.

This position will work primarily from home and provide regional oversight to ensure accurate MDS completion, proper PDPM classification, optimized reimbursement, accurate case mix, regulatory compliance, and strong interdisciplinary team processes. Quarterly travel to assigned facilities will be required for on-site audits, training, clinical reimbursement review, and team support.

This role is ideal for a highly organized MDS professional with strong knowledge of PDPM, RAI guidelines, CMI, care planning, Medicare documentation, and long-term care reimbursement systems.

Key Responsibilities

  • Provide regional oversight for MDS, PDPM, CMI, and RAI processes
  • Monitor timely and accurate MDS completion across assigned facilities
  • Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy
  • Support Case Mix Index improvement through accurate assessment and documentation
  • Audit MDS assessments for accuracy, compliance, and missed reimbursement opportunities
  • Review Medicare Part A documentation and skilled coverage support
  • Assist with Triple Check and Medicare meetings
  • Support facility MDS Coordinators, DONs, Administrators, and interdisciplinary teams
  • Review care plans for accuracy and alignment with MDS assessments
  • Monitor ARD schedules, assessment calendars, significant change assessments, and discharge assessments
  • Provide education and coaching to facility MDS and clinical teams
  • Assist with RAI Manual interpretation and regulatory compliance
  • Identify trends, risks, late assessments, coding errors, and reimbursement concerns
  • Participate in monthly or quarterly reimbursement reviews with regional leadership
  • Travel quarterly to assigned facilities for audits, training, and operational support

Qualifications

  • Active RN license required
  • Long-term care/skilled nursing experience required
  • MDS experience required
  • Strong knowledge of PDPM, RAI, CMI, Medicare, and Medicaid case mix processes
  • Experience with multi-facility MDS oversight preferred
  • RAC-CT certification preferred
  • Experience with Triple Check, Medicare meetings, care planning, and reimbursement audits preferred
  • Strong understanding of RAI Manual requirements
  • Ability to work independently from home
  • Strong communication, organization, auditing, and follow-through skills
  • Ability to travel quarterly to assigned facilities
  • Experience with PCC or similar electronic health record system preferred

Compensation & Benefits

  • Competitive salary or hourly rate
  • Primarily remote/work-from-home position
  • Quarterly travel reimbursement
  • Mileage reimbursement
  • Lodging and meal reimbursement when overnight travel is required
  • Licensure or certification reimbursement as approved
  • Opportunity to support multiple facilities and directly impact reimbursement accuracy, compliance, and clinical outcomes

Apply