Director of Clinical Reimbursement

Director of Clinical Reimbursement

Join our team as a Director of Clinical Reimbursement at Ryders Health Management , the corporate headquarters of our family-owned skilled nursing company, supporting a network of nursing and rehabilitation facilities across Connecticut.

In this key leadership role, you'll oversee the clinical reimbursement process for our facilities, ensuring the timely and accurate completion of Minimum Data Set (MDS) assessments and compliance with all federal and state regulations. You'll collaborate closely with facility nursing, rehab, and administrative teams to support proper documentation, optimize reimbursement, and promote high-quality outcomes for the residents we serve.

What We Offer

Competitive pay

401(k) with employer match

Medical, Dental and Vision Insurance

Employer-Paid Life Insurance

Short- & Long-Term Disability

Paid Time Off

Paid Meal Period

Paid Holiday Off

Employee Assistance Program

Longevity Credit

Uniform Reimbursement

Employee Referral Program

Director of Clinical Reimbursement Duties

• Oversee clinical reimbursement operations across multiple facilities
• Ensure timely, accurate completion of MDS assessments in compliance with federal and state regulations
• Collaborate with nursing, rehab, and administrative teams to ensure documentation supports accurate coding and reimbursement
• Lead Utilization Review and Triple Check meetings across facilities
• Conduct audits and monitor documentation practices to ensure regulatory compliance
• Review potential admissions for clinical and reimbursement accuracy
• Track and analyze quality measures to support clinical improvement initiatives
• Provide education and mentorship to facility MDS Coordinators and clinical teams
• Stay current on changes in reimbursement regulations, coding standards, and best practices

Requirements

Our Caring Community

Ryders Health Management is a family-owned organization celebrating 75 years of providing compassionate, high-quality care across Connecticut. We support a network of skilled nursing and rehabilitation centers rooted in a tradition of excellence, teamwork, and patient-centered service. Join our team of dedicated professionals making a difference every day.

Equal Opportunity Employer Statement

We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.