Clinical Reimbursement Manager

Job overview

The Clinical Reimbursement Manager role is field-based in Houston, TX, with regular travel throughout an assigned region and facility-facing work at least three days per week. Compensation is $100,000 per year. Avir Trilogy’s role supports reimbursement operations across an assigned portfolio of skilled nursing facilities. The manager promotes accurate, compliant, clinically supported reimbursement by guiding MDS processes, documentation, audits, and performance improvement. The role works with facility and regional leaders to strengthen reimbursement practices and support operational and financial goals.

What you'll do

• Provide regional reimbursement oversight for skilled nursing facilities
• monitor reimbursement and quality metrics
• develop improvement strategies
• guide MDS and regulatory compliance
• review documentation and reimbursement practices
• identify compliance concerns and corrective actions
• support audits and medical reviews
• conduct facility visits and audits
• coach and educate staff
• mentor MDS personnel
• oversee assigned field reimbursement staff.

What we're looking for

Skills & competencies

clinical reimbursement manager

skilled nursing

houston tx

avir trilogy

$100,000/year

mds 3.0

pdpm

medicare part a

regulatory compliance

facility audits

regional leadership

frequent travel

rn or lvn/lpn license

Work arrangement

• Weekend coverage required

Why this role

Requires a current RN or LVN/LPN license and 3–5 years of skilled nursing MDS or clinical reimbursement experience; facility-facing at least three days per week with routine same-day and overnight travel as needed.

About the employer

Avir Trilogy is hiring for this role. Industry: Nursing Care Facilities (Skilled Nursing Facilities). Sector: 62.