Regional Clinical Reimbursement Specialist (RN)

Avalon Health Care Management, Inc. | Washington & Oregon Region

$120,000 - $140,000/year
Full-Time
Regional Travel Required

Why Choose Avalon Health Care Management?

At Avalon, our culture is built on five core values:

Integrity • Trust • Excellence • Accountability • Mutual Respect

As a Regional Clinical Reimbursement Specialist, you'll play a critical role in supporting clinical and financial success across multiple skilled nursing facilities throughout Washington and Oregon. Working closely with facility leadership teams, you'll help drive quality outcomes, regulatory compliance, reimbursement accuracy, and operational excellence.

This is an excellent opportunity for an experienced MDS and reimbursement professional who enjoys mentoring teams, improving systems, and making an organization-wide impact.

✅ Competitive salary
✅ Organization-wide impact
✅ Opportunity to influence clinical and financial outcomes
✅ Professional growth opportunities
✅ Collaborative leadership team
✅ Process improvement and program development opportunities
✅ Meaningful work that supports resident care across multiple facilities
✅ Stable healthcare organization

Full-Time Benefits

• 401(k)
• Medical, Dental & Vision
• Flexible Spending Accounts (FSA)
• Life Insurance
• Short & Long-Term Disability
• Critical Illness & Accident Coverage
• Legal Benefits
• Identity Theft Protection
• Auto & Home Insurance Discounts

What You'll Do

• Provide leadership and support to facility teams on MDS, RAI, Medicare, and Medicaid reimbursement processes
• Monitor facility systems to promote compliance, accuracy, and best practices
• Analyze clinical and financial outcomes to identify improvement opportunities
• Support Quality Measures, Five-Star initiatives, and reimbursement optimization efforts
• Educate and mentor interdisciplinary teams across the region
• Lead program development and process improvement initiatives

What You'll Need

• Current RN license
• Long-term care experience required
• MDS, RAI, and clinical reimbursement experience required
• Strong analytical, communication, and leadership skills
• Ability to work independently and support multiple facilities
• Willingness and ability to travel regularly throughout Washington and Oregon

Ready to Make a Difference?

Join a team that values compassion, teamwork, and excellence while making a meaningful impact on the lives of those we serve.

Apply today!

Pay is based on experience, qualifications, and skills.
Avalon Health Care Management, Inc. is an Equal Opportunity Employer.