Affinity Health Services is seeking an experienced Clinical Reimbursement Consultant (RNAC / LPNAC) to join our growing consulting team. This is an exciting opportunity for a reimbursement professional who enjoys partnering with long-term care providers to drive clinical, regulatory, and financial success.

This position is primarily remote, with occasional on-site visits to client facilities throughout Pennsylvania.

About Affinity Health Services

Affinity Health Services provides management and consulting services to skilled nursing facilities, personal care homes, and continuing care retirement communities across Pennsylvania. Our team is dedicated to helping healthcare organizations achieve operational excellence while delivering exceptional care.

Position Summary

The Clinical Reimbursement Consultant serves as a trusted advisor to senior living and long-term care clients, providing expertise in reimbursement, MDS processes, regulatory compliance, and clinical operations. The ideal candidate will possess strong analytical skills, extensive reimbursement knowledge, and a passion for helping providers achieve positive outcomes.

Key Areas of Focus

·         Clinical Reimbursement

·         MDS Management and Optimization

·         Regulatory Compliance

·         Strategic Partnerships with Providers

·         Medicare and Medicaid Reimbursement

·         Clinical Documentation and Revenue Integrity

Qualifications

·         Active, unrestricted Pennsylvania RN or LPN license

·         Minimum of five (5) years of experience as an RNAC, LPNAC, or Regional Reimbursement Consultant

·         Extensive knowledge of Medicare and Medicaid reimbursement systems

·         Long-term care experience with strong understanding of state and federal regulations

·         Excellent communication, organizational, and consulting skills

·         Ability to travel to client facilities as needed

·         RAC-CT Certification is preferred

·         Experience supporting multiple facilities or serving in a regional reimbursement role is a plus

Why Join Affinity?

·         Flexible work schedule

·         Predominantly remote work environment

·         Opportunity to collaborate with experienced healthcare leaders

·         Meaningful work supporting quality care and operational excellence

·         Professional growth and development opportunities

·         Ability to make a positive impact across multiple healthcare communities

Experience & Licensure

·         RNAC/LPNAC: 5 years required

·         Active Nursing License required

·         RAC-CT Certification preferred

Join Affinity Health Services and help long-term care communities maximize reimbursement, maintain regulatory excellence, and improve resident outcomes through expert clinical consulting.

Position is Remote with Travel to Client Facilities as Needed