Our clients, some of NYC's most prestigious hospital and healthcare systems, currently have numerous openings for Directors of Clinical Reimbursement at their location(s) in Brooklyn, NY. This is a great opportunity to join a team of experienced professionals within a large organization with plenty of room for growth, while surrounded by great leadership who will ensure your success in this role.
This Director of Clinical Reimbursement (Registered Nurse) position is a contract role offering $95/hour and a full-time, onsite weekday schedule. You will be tasked with overseeing all clinical reimbursement functions, ensuring compliance with Medicare/Medicaid regulations, and maximizing revenue outcomes through expert-level MDS and RAI utilization. $3000 per week travel/stipend packages are available for travel candidates if temporary relocation is required. $500 referral reward available for successfully placed referrals who work 100+ hours.
Director of Clinical Reimbursement Responsibilities:
- Lead clinical reimbursement initiatives and manage MDS compliance
- Educate staff on RUGs, PPS, case mix, and clinical documentation requirements
- Monitor reimbursement trends and payer denials; implement improvement plans
- Chair triple-check meetings and generate reporting dashboards
- Oversee managed care authorization processes and appeals
- Conduct audits of MDS assessments and mentor MDS Coordinators
Director of Clinical Reimbursement Qualifications:
- Active NYS Registered Nurse (RN) license
- RAC-CT certification (required)
- MDS experience (required)
- Bachelor's or Master's degree in healthcare or a related field
- 3-5 years of experience in long-term care, including 2+ years in reimbursement and leadership roles
For more information about Atlas Search and other roles we currently have available for nursing professionals, visit .