Vice President of Reimbursement - Long Term Care - RN Job at Elios Talent, Houston, TX

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  • Elios Talent
  • Houston, TX

Job Description

Vice President of Reimbursement

**Must be an RN

This is a senior leadership position in long-term care leading the strategy to maximize Medicare reimbursement through accurate clinical documentation and coding compliance while making sure quality of care is the number one priority.

Clinical Expertise:

  • Must be a Registered Nurse with extensive MDS experience
  • Deep understanding of clinical complexity in long-term care settings
  • Knowledge of PDPM (Patient Driven Payment Model) reimbursement methodology

Technical Skills:

  • Medical Documentation System experience - specifically coding complexity of services across patient populations
  • Ability to identify and capture all relevant diagnoses
  • Strong compliance focus - ensuring truthful, accurate documentation

Leadership & Change Management:

  • Direct leadership style with ability to grant autonomy
  • Take over and onboard 4 existing regional team members
  • Strong personality needed to drive change and meet KPIs
  • Must be independent, strategic, proactive problem-solver

Operational Responsibilities:

  • Develop and implement strategy to improve PDPM rates
  • Conduct training for internal and external hires
  • Benchmark against successful competitors
  • Drive team performance to meet reimbursement KPIs

The ideal candidate is a Registered Nurse who lives in the state of Texas since we require 70% travel throughout Texas.

The other 30% can be hybrid/remote.

We have locations throughout Texas, including but not limited to Dallas/Fort Worth, Houston, San Antonio, and Austin.

This is a high-impact, strategic role requiring both clinical credibility and business acumen to transform documentation practices and significantly increase Medicare revenue.

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