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

YXNjRlpGQmdxeEtNUHFTNTdnMDQ4K08xYmc9PQ==
  • Elios Talent
  • Houston, TX

Job Description

Job Description

Vice President of Reimbursement

Houston, TX

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.

Job Tags

Similar Jobs

MAI Wealth Management, Inc.

Senior Marketing Manager -- Sports & Entertainment Job at MAI Wealth Management, Inc.

 ...looking for an experienced leader to own marketing for our Sports & Entertainment segment...  ...Los Angeles, CA or Cleveland, OH offices. Remote candidates that meet the qualifications,...  ...in a sports-related industry business management, wealth management, sports marketing,... 

Holcim Ltd.

Quarry Operator Job at Holcim Ltd.

 ...York Stock Exchange and the SIX Swiss Exchange on June 23, 2025, following our spinoff as an independent company. Join Amrize as a Quarry Operator and help construct whats next. If you\'re ready to put your skills to work on projects that matter and build a career with... 

CRST, The Transportation Solution

CDL-A Dry Van Team Truck Driver in Cranberry Twp, PA Job at CRST, The Transportation Solution

 ...transportation solutions and comprehensive logistics services to customers all over North America. We are looking for CDL A Truck Drivers to Team and Premade Teams to drive Over the Road! CDL A Truck Drivers Over the Road (all lower 48 states) Weekly Payroll CDL... 

Frasco Profiles (An AccuSourceHR Company)

Records Retrieval Background Investigator Job at Frasco Profiles (An AccuSourceHR Company)

Job Title: Research Investigator 1Job Location : Fully Remote equipment providedJob Type: Full-Time, Billable Hours, Non-exemptCompensation...  ...and public records to locate individuals, assets, and background informationRetrieve various records, including court... 

Vaco by Highspring

Regional HR Business Partner-Southern U.S. Field Operations Job at Vaco by Highspring

 ...Regional HR Business Partner-Southern U.S. Field Operations ~35% Regional Travel throughout North Carolina, SouthCarolina, and Georgia ~ Based in Raleigh-Durham Metro-Area, NC ORCharlotte-Metro Area, North Carolina ~100% Onsite in Charlotte OR Raleigh worksites...