PDPM Clinical Resource Nurse; RN or LPN

Remote (, OR, WA, MT, or AZ), with the ability to travel

Full-Time

Cascadia Healthcare is a leading provider in the skilled nursing industry, driven by a shared commitment to service and doing good for others. With operations across Idaho, Washington, Oregon, Montana, and Arizona, our mission is to be a Force for Good for our residents, employees, and the communities we serve.

We are seeking an experienced and relationship-focused PDPM Clinical Resource Nurses (RN or LPN) to support our skilled nursing facilities. In this role, you will serve as a trusted clinical and reimbursement resource, helping 15-25 facility teams understand and apply the Patient-Driven Payment Model (PDPM) while ensuring accurate, compliant, and clinically supported reimbursement practices. The ideal candidate brings strong MDS knowledge, a passion for the financial and reimbursement side of skilled nursing, and the ability to educate, coach, and influence teams through collaboration rather than directive oversight.

Success in this role requires balancing reimbursement optimization, regulatory compliance, and strong partnership with facility leadership teams. This position is ideal for someone who enjoys analyzing clinical documentation, identifying reimbursement opportunities, educating teams, and helping facilities confidently navigate complex PDPM requirements.

PDPM Reimbursement

• Serve as a regional subject matter expert on PDPM reimbursement, MDS coding, and Medicare payment methodologies.
• Perform clinical and reimbursement reviews to identify opportunities for accurate PDPM capture and appropriate reimbursement.
• Analyze resident documentation, MDS assessments, and supporting clinical records to ensure coding accurately reflects resident conditions and services provided.
• Assist facilities in understanding reimbursement implications of MDS coding decisions while supporting facility autonomy in final coding determinations.
• Monitor reimbursement trends and identify opportunities for process improvement and revenue integrity.

Auditing & Compliance

• Conduct facility audits to evaluate MDS accuracy, supporting documentation, and PDPM performance.
• Provide objective feedback and recommendations that promote compliance, clinical accuracy, and reimbursement integrity.
• Partner with facility leadership to address documentation gaps and strengthen coding practices.
• Ensure recommendations align with CMS regulations, state requirements, and ethical reimbursement practices.
• Support facilities in maintaining audit readiness and regulatory compliance.

Education & Coaching

• Develop strong relationships with MDS Coordinators, DONs, Administrators, and interdisciplinary teams.
• Deliver ongoing education regarding PDPM, MDS coding, documentation requirements, and reimbursement best practices.
• Provide individualized coaching and mentorship to facility teams to increase knowledge, confidence, and consistency.
• Translate complex reimbursement concepts into practical, understandable guidance for clinical staff and leaders.
• Serve as a trusted resource for questions related to PDPM, Medicare reimbursement, and clinical documentation practices.
• Collaborate with regional and facility leadership to support clinical and financial goals.
• Participate in reimbursement reviews, operational meetings, and strategic initiatives.
• Assist with onboarding and training of new MDS and reimbursement personnel.
• Maintain flexibility to travel throughout the region and provide onsite support as needed.
• Manage priorities independently while adapting to changing facility and organizational needs.

• Active RN or LPN license.
• Strong knowledge of MDS assessment processes and PDPM…