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Vice President of Reimbursement - Long Term Care - RN
Vice President of Reimbursement - Long Term Care - RNElios Talent • Houston, TX, US
Vice President of Reimbursement - Long Term Care - RN

Vice President of Reimbursement - Long Term Care - RN

Elios Talent • Houston, TX, US
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  • [job_card.full_time]
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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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