Prospective Payment System Coordinator PPS - University Hospitals Rehabilitation Hospital - Beachwood, OH
September 17, 2018
University Hospitals Rehab, Ohio
Admin / Clerical
Kindred RehabilitationServices is the largest diversified provider of rehabilitation therapy in the country. Through RehabCare and Kindred Hospital Rehabilitation Services , we provide leading therapy to more than 2,000 sites of service across different settings in the care continuum and have been managing rehab for more than 30 years. We provide rehabilitation services, including physical, occupational and speech-language therapies to virtually every care setting including inpatient, outpatient, skilled nursing, home health, long-term acute care and assisted living. With locations across 47 states, we are certain to have a rehab job for you as a Nurse Manager .
Your career growth begins when you join an interdisciplinary team, where doctors, nurses, therapists and other experts work together to form individualized care plans for our patients and residents. Opportunities through our development programs, training seminars and university partnerships, not only allow for continual career growth but emphasize our commitment to investing in our employees and developing future healthcare leaders.
The goal of our team is to focus on each patient as an individual to ensure that we are meeting their clinical needs and creating a fun and dynamic healing environment. Each employee's dedication is essential to meet and exceed the needs of each patient, resident and family we serve. Ranked as one of Fortune magazine's ‘Most Admired Healthcare Company’ for 9 years, Kindred welcomes you to join our team and build a career that touches lives.
The PPS Coordinator functions under the Quality Manager. Provides coordination of the timely and accurate completion of the Patient Assessment Instrument for each rehabilitation inpatient. This individual edits the information contained in the PAI for each patient to assure accuracy in the scoring of functional status and reflection of the patient's care needs. In addition, this position may assist in the ongoing monitoring of identified benchmarks for the inpatient population. The Patient Assessment Instrument Coordinator has access to confidential patient information and maintains confidentiality of all information.
Coordinate PPS Function:
Investigates co-morbidities that would allow for a tier change.
Responsible for staff education to improve FIM score accuracy.
Review current facility nursing documentation and evaluate and eliminate repetition.
Oversees/completes and assures the accuracy and the completion of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) prior to electronic transmission.
Serves as an information source and educator to IRF-PAI users.
Collaborates with physicians and interdisciplinary team members to make the most accurate assessment of the needs and strengths of patients.
Maintain a current knowledge of the PAI software and provides expertise on this software within the inpatient rehab setting.
Provides ongoing education to the staff of the hospital to assure accurate and timely completion of the PAI.
Maintain updated and ongoing knowledge of the regulations concerning the PAI and its completion within the inpatient rehab setting.
Clearly identifies target reference dates for the completion of the PAI for all patients which will correctly reflect the functional status and care needs of the patient to result in the correct Case Mix Group (CMG) assignments.
Coordinates the completion of the admission assessment of the PAI by the fourth (4 th ) day of the patient's stays and the fifth (5 th ) day following discharge for each inpatient rehabilitation patient. May require discussions/interactions with various staff members concerning differences in reported functional status to complete the PAI. Submitting completed IRF PAI to HIM Department for coding transmittal.
Assures that the PAI reflects the functional status and 24-hour care needs of the patient.
Compares actual knowledge of the care provided to the patient and the information contained on the PAI. Makes all changes to the PAI to correctly reflect a three-day summary of the functional status and 24-hour care needs of the patient.
Periodically audits PAI, clinical documentation and billing information to assure accuracy and consistency of documentation.
Assists the CQPI in identifying and monitoring trends in patient care as identified through the PAI.
Works closely and collaboratively with all members of the clinical team to assure compliance at all levels.
Demonstrates effective critical thinking skill
Provides an environment conducive to safety for patients, visitors and staff.
Utilizes appropriate leadership skills in delegating, organizing and educating coworkers and staff.
Promotes participation, cooperation and teamwork. Demonstrates problem solving in resolving issues. Demonstrates clear and effective communication skills.
Graduate of an accredited RN, PT, OT or SLP program with current licensure in the state.
Current Basic Life Support/CPR card.
Three (3) to five (5) years of experience in the care of patients in an acute hospital or rehabilitation setting preferred.
Job : Administrative/Clerical/Secretarial Primary Location : OH-Beachwood-CHC Payroll - University Hospitals Rehab Organization : 6781 - CHC Payroll - University Hospitals Rehab Shift : Day