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

NmRVMldzUkJTcWsyQlhNVXNMVURmcUVEeHc9PQ==
  • 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.

Job Tags

Remote work,

Similar Jobs

Canam Steel Corporation

Warehouse Quality Inspector Job at Canam Steel Corporation

 ...We are looking for a detailed oriented Warehouse Quality Inspector to join our team in Point of Rocks, MD. 1st Shift Schedule Monday - Friday 6:00AM-2:30PM (8 Hour schedule...  .... Communicates effectively throughout the day with Quality, Operations and Purchasing.... 

Atlas Capital Group, LLC

Building Superintendent - Multifamily Residential Job at Atlas Capital Group, LLC

 ...asset management, property management, leasing and accounting. To date Atlas has invested in 58 office, retail, residential, hotel, industrial, and mixed-use real estate investments comprising approximately 10.7 million square feet and $5.5 billion of total capitalization... 

Simera

Order Fulfillment Specialist (Remote) Job at Simera

 ...We are looking for a seasoned Order Fulfillment Specialist to manage the end-to-end order processing workflow and ensure customers receive their products accurately and on time. This role is responsible for processing orders, coordinating with warehouse and logistics... 

LaCour's Carpet World

Sales Consultant Job at LaCour's Carpet World

 ...Friday 9:00am to 5:30pm. Showroom Hours: Monday - Friday 9:00am to 5:30pm. Paid Annual Holidays: New Years / Independence Day / Labor Day / Thanksgiving / Christmas Expected First Year Range $ 70,000.00 - $ 90,000.00 entirely dependent upon your sales effort... 

AIFP

2026 Summer Intern Job at AIFP

 ...Are you ready to gain hands-on experience with one of North Americas largest and most dynamic building products wholesale organizations...  ...are seeking motivated and driven interns to join our Summer Internship Program, where youll learn the ropes of the building products...