Director, MDS

Job Title: Director, MDSLocation: Waukesha County, Wi (Onsite)Type: Full-Time, Permanent/Direct HireBenefits: Health, Dental and Vision insurances, 401(k), STD, LTD, etc.We are seeking an experienced Director, Clinical Reimbursement MDS to lead and support clinical reimbursement processes across multiple skilled nursing facilities. This role is responsible for ensuring accurate MDS completion, optimizing reimbursement, and maintaining compliance with federal and state regulations while supporting strong clinical outcomes.Key ResponsibilitiesOversee and support the accurate and timely completion of MDS assessmentsProvide guidance, training, and mentorship to MDS Coordinators and clinical staffMonitor and analyze reimbursement metrics (including CMI) to identify trends and opportunitiesConduct audits of MDS and reimbursement practices to ensure accuracy and compliancePartner with clinical and operational leaders to improve quality outcomes and financial performanceEnsure adherence to current Medicare and Medicaid regulationsServe as a subject matter expert on MDS, ICD coding, and reimbursement best practicesSupport denials management and appeals processesTrack and evaluate Quality Measures (QMs) and their impact on performance ratingsLead education initiatives related to regulatory changes and reimbursement strategiesQualificationsActive Registered Nurse (RN) licenseRAC-CT certification required3–5+ years of MDS and clinical reimbursement experience in a skilled nursing settingStrong knowledge of Medicare/Medicaid reimbursement, CMI, and regulatory requirementsProven ability to lead, mentor, and support clinical teamsStrong analytical, organizational, and communication skillsAbility to manage multiple priorities in a fast-paced environment