Senior Director of Clinical Reimbursement (WESTERVILLE)

The Senior Director of Clinical Reimbursement provides strategic leadership, clinical and operational support for reimbursement functions. This role helps to ensure accurate, compliant, and optimized reimbursement under federal and state payment systems, including PDPM, Medicaid case mix, managed care, and other payor models. The Senior Director leads a team of Divisional and Regional consultants that drives clinical documentation integrity, and partners with operations, finance, and clinical leadership to align reimbursement performance with quality outcomes and regulatory compliance.

The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have.

This role will have up to 90% travel to our skilled nursing facilities in Michigan, Ohio, Indiana, Virginia, and North Carolina.

Join us with an attractive benefits offering :

• Competitive pay
• Medical, dental, and vision insurance
• 401K with matching funds
• Life Insurance
• Employee discounts
• Tuition Reimbursement
• Student Loan Reimbursement

Responsibilities :

Partner with Operations and Finance to analyze reimbursement trends, identify opportunities for improvement, and ensure integrity of clinical revenue streams.

Maintains in-depth knowledge of the clinical billing system and the MDS process to help investigate / troubleshoot user-related software issues.

Requirements :

Active RN license in state of residence or state(s) of practice required, Bachelors Degree in Nursing (BSN) is preferred.

Minimum of 3 years in a multi-site or corporate-level leadership role.

Proven expertise in PDPM, state Medicaid systems, and managed care reimbursement methodologies.

Demonstrated success in driving compliance, accuracy, and financial performance improvement across multiple facilities.

RN licensed in the state, CPR certification, and RAC-CT certification preferred

Ciena Healthcare

We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.

We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. Join us, if you have a passion for improving the lives of those around you and working with others who feel the same way.

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