Vice President of Reimbursement - Long Term Care - RN

Elios Talent; Houston (TX); Hybrid; USD 120,000 - 160,000; Full time

Job summary

A healthcare staffing firm seeks a Vice President of Reimbursement in Texas. This executive role focuses on maximizing Medicare reimbursement through effective documentation and compliance. The ideal candidate is a Registered Nurse with a strong understanding of MDS and PDPM reimbursement methodologies, capable of leading a team across Texas. The position involves significant travel and allows for hybrid work arrangements.

Qualifications

• Registered Nurse with extensive MDS experience.
• Strong compliance focus ensuring accurate documentation.
• Experience in leading and onboarding regional team members.

Responsibilities

• Lead strategy to maximize Medicare reimbursement.
• Develop and implement strategy to improve PDPM rates.
• Conduct training for internal and external hires.

Skills

MDS experience

Clinical complexity understanding

PDPM reimbursement knowledge

Medical documentation system experience

Coding complexity identification

Compliance focus

Education

Registered Nurse

Job description

Vice President of Reimbursement – Long Term Care – RN

Houston, TX

This senior leadership position leads strategy to maximize Medicare reimbursement through accurate clinical documentation, coding compliance, and quality of care excellence.

Clinical Expertise

• 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 – coding complexity 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 autonomy for regional team members
• Onboard and lead 4 existing regional team members
• Strong personality to drive change and meet KPIs
• Independent, strategic, proactive problem‑solver

Operational Responsibilities

• Develop and implement strategy to improve PDPM rates
• Conduct training for internal and external hires
• Drive team performance to meet reimbursement KPIs

The ideal candidate is a Registered Nurse who lives in Texas and can travel 70% throughout Texas.

The remaining 30% can be hybrid/remote. Locations throughout Texas (Dallas/Fort Worth, Houston, San Antonio, Austin).

This is a high‑impact, strategic role requiring clinical credibility and business acumen to transform documentation practices and significantly increase Medicare revenue.

Seniority Level

Executive

Employment Type

Full‑time

Job Function

Health Care Provider

Industries

Hospitals and Health Care