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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
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Worksite address
houston, TX, 77246, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.