Vice President of Reimbursement - Long Term Care - RN

Vice President of Reimbursement - Long Term Care - 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.

Base pay range $180,000.00/yr - $220,000.00/yr

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

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.

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