Director of Case Management (MDS/RAI) Registered Nurse

Director of Case Management (MDS/RAI) - Registered Nurse Atlas Search

LLC - 4.6

Bronx, NY Job Details Full-time $130,000 - $150,000 a year 1 day ago Qualifications Nursing Strategic management Teamwork Skilled nursing facility experience Long-term care regulations Medicare Managed care RN License Regulatory compliance Data reporting MDS 3 years Master's degree Long-term care facility experience Quality assurance Team management Case management Bachelor of Science in Nursing Clinical documentation Data interpretation Healthcare team management Bachelor's degree in nursing Clinical documentation improvement Senior level Cross-functional collaboration Leadership Healthcare compliance Data-driven decision making Communication skills Cross-functional communication Nursing Full Job Description Salary ranges between $130k-$150k (varies depending on years of experience) We are seeking an experienced and strategic Director of Case Management to oversee both the MDS (Minimum Data Set) and Health Information Management (HIM) functions within a skilled nursing environment. This leadership role is ideal for an RN who thrives at the intersection of clinical quality, compliance, and reimbursement strategy. If you're passionate about data-driven care, regulatory excellence, and team leadership, this is a meaningful opportunity to make a system-wide impact. What You'll Do Guide long-term planning for reimbursement models, including Medicare, Medicaid, and managed care Align clinical documentation practices with organizational goals and quality outcomes Partner with leadership to translate data insights into actionable improvements Ensure adherence to federal and state regulations related to MDS, RAI, and HIM processes Monitor audit readiness and maintain compliance with applicable healthcare standards Oversee accuracy and integrity of clinical documentation and reporting Analyze MDS data sets and quality metrics to support performance improvement initiatives Track trends related to reimbursement, quality measures, and clinical outcomes Support facility-wide quality assurance and performance improvement (QAPI) efforts Provide direction and oversight to MDS coordinators and HIM staff Foster a culture of accountability, collaboration, and continuous learning Lead education initiatives related to documentation updates, regulatory changes, and reimbursement models Qualifications Bachelor's Degree in Nursing (BSN) required; Master's preferred Active Registered Nurse (RN) license Minimum of 3 years of experience with MDS and/or RAI processes and skilled nursing reimbursement Experience in a skilled nursing facility (SNF) setting strongly preferred Strong understanding of Medicare, Medicaid, and managed care reimbursement structures Familiarity with SNF quality programs Experience with data analysis, reporting tools, and documentation systems Analytical thinker with strong project management capabilities Effective communicator across clinical and administrative teams Ability to interpret complex regulatory requirements and apply them operationally Proven leadership experience managing teams and driving performance Why This Opportunity Stands Out High-impact leadership role influencing both care quality and financial performance Collaborative environment with cross-functional partnership Opportunity to lead innovation in clinical documentation and reimbursement strategy Meaningful work improving outcomes for residents in a skilled nursing setting --- Atlas Search is a tri-state area recruitment agency, connecting new graduates, Advanced Practice Providers, Physicians and Nurse Leaders to hospitals, clinics, multi-specialty groups, nursing homes, managed care companies, private practices, and healthcare start-ups. If you would like to learn more about the opportunities we offer, please submit your CV for consideration here. #

IndeedHC Pay:

$130,000.00 - $150,000.00 per year Application Question(s): What is the best phone number and email address to reach you?

Experience:

Skilled Nursing Facility /

Long Term Care:

1 year (Preferred)

MDS or RAI:

1 year (Preferred)

License/Certification:

RN License (Required)

Work Location:

In person