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

MHpFOVRvWmxzYU13U1JSZ3BrVlA5bWo4VkE9PQ==
  • Elios Talent
  • San Antonio, 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

Premier Infusion and Healthcare Services, Inc.

Receptionist Job at Premier Infusion and Healthcare Services, Inc.

 ...Employee Discounts Fun Company Events Description of Responsibilities --- Monday thru Friday schedule 10:30am - 7:00pm The Receptionist is responsible for courteously receiving and routing all incoming calls and visitors to the pharmacy and assisting with office... 

Just Construction Recruitment

Roofing Superintendent Job at Just Construction Recruitment

We are working with a leading exteriors company based in Baltimore. They are looking for an experienced Roofing Superintendent to oversee daily field operations for commercial roofing projects. You will be responsible for managing crews and subcontractors, ensuring...

Yale New Haven Health

ED Crisis Psych Tech Job at Yale New Haven Health

Overview: To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals...

International Flooring Company

Creative Designer Job at International Flooring Company

 ...Job Title: Creative Designer - Marketing Location: On-Site Reports To: Marketing Director Job Description: International Flooring Company is seeking a highly capable, well rounded Creative Designer to join our growing marketing team. This role is ideal for... 

McClure Company

Marketing Manager Job at McClure Company

 ...McClure Company is seeking a Marketing Manager to oversee marketing and brand promotion efforts. This position is responsible for identifying...  ...efforts, including SEO/SEM, email marketing, social media, and online advertising Utilize web analytics tools to track and improve...