Vice President of Reimbursement - Long Term Care - RNElios Talent • San Antonio, TX, US
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Vice President of Reimbursement - Long Term Care - RN
Elios Talent • San Antonio, TX, US
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]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 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 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 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
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 :
Technical Skills :
Leadership & Change Management :
Operational Responsibilities :
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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