Base: $165,000-$175,000; bonus/equity: not specifi...
Oversee managed care authorization process
Drive regional strategies for optimal los
Analyze hospital readmission data
The Regional Director provides strategic leadership to optimize resident transitions of care and maximize reimbursement accuracy under the Patient-Driven Payment Model
Job Summary
The Regional Director provides strategic leadership to optimize resident transitions of care and maximize reimbursement accuracy under the Patient-Driven Payment Model.
This role requires deep expertise in managing Length of Stay and implementing protocols to reduce acute care readmissions across the region.
The ideal candidate will serve as the primary liaison for hospitals and Managed Care Organizations to drive census growth while ensuring regulatory compliance.
Matching Summary
The Regional Director provides strategic leadership to optimize resident transitions of care and maximize reimbursement accuracy under the Patient-Driven Payment Model.
Salary
Base: $165,000-$175,000; Bonus/Equity: Not specified; Benefits: Not specified
Skills & Requirements
Must-have
Oversee managed care authorization process
Drive regional strategies for optimal LOS
Analyze hospital readmission data
Ensure CMS and OIG compliance
Partner with MDS and Therapy Directors
Nice-to-have
Bridge clinical excellence and financial sustainability
Drive preferred-provider status growth
Collaborate with ACOs and MCOs
Key Requirements
Bachelor's degree in Nursing or Master's in Social Work/Healthcare Admin
Minimum 5 years case management experience in Skilled Nursing
2-3 years in regional multi-site supervisory role
Active unrestricted RN, LPN/LVN, or LCSW license
Deep understanding of PDPM, Medicare Part A & B, Medicaid