Prospective Payment System Coordinator- Rehab Care Acute- St. Charles- Full Time

    Mercy Health
    Toledo, OH
    Full-time
    Similar jobs pay $29.85 - $41.22

    Job Description

    RequisitionR036841MarketToledo, OHDepartmentPhysical Therapy - Mercy St. Charles - Rehab Care AcuteShiftDaysScheduleFull-time

    Thank you for considering a career at Mercy Health

    Job Summary:

    The PPS Coordinator, in conjunction with the units Medical Director and Nurse Manager, coordinates prospective payment system.

    Essential Functions:

    Performs duties of the Rehab Clinical Assessment Coordinator as required.

    Completes inpatient Rehab Facility Patient Assessment Instrument (IRF-PA)

    Actively participates on the Referral Development Team.

    Provides FIM training for staff.

    Assures completion of FIM's at admission, discharges, and follow up. Accurately tracks and reports patients' FIM scores.

    Acts as a liaison for the team and medical records and finance personnel to ensure accurate documentation, coding and payment.

    Complies with Medicare guidelines on data entry and exporting files within the defined timeline as outlined in the Federal Register.

    Reviews medical records to ensure appropriate documentation occurs to support findings noted on the IRF-PA. Monitors medical necessity and three hour therapy rule.

    Serves as an education resource to patients, families, interdisciplinary team members, payor representatives, physicians, case managers, community members, and other parties as appropriate regarding rehabilitation issues.

    Assists with internal and external marketing of the service.

    Tracks and outcomes for FIM accuracy and change, LOS efficiency, and 60% rule compliance.

    Works closely on a day to day basis with the interdisciplinary team as a communicator, coordinator, program evaluator and educator.

    Works with Medical Director and Interdisciplinary Staff or to ensure the pgram meets all local, state, Joint Commission and CARF regulatory standards.

    Compiles outcome measurement data and submits to Uniform Data System (UDS).

    Assists with the review of potential admissions to the Rehab and TCU units under the guidance of the Admission Coordinator. Works with physicians and case managers to facilitate proper placement of patient in the continuum.

    Completes necessary reports from the software program to assure ongoing monitoring of unit performance.

    Complete and compile monthly medical record chart audits for performance improvement indicators. Monitor and maintain working knowledge of rehabilitation regulations specific to Inpatient Rehabilitation Facilities and inform.

    Minimum Education:

    Required Minimum Education: 2 year/ Associates Degree.Specialty:Nursing

    Preferred Education:4 year/ Bachelors DegreeSpecialty:Nursing

    Minimum Qualifications:

    Minimum Years and Type of Experience:Five (5) years experience as an RN with experience in an Acute Rehab preferred.

    Other Knowledge, Skills and Abilities required:Analytical, communication, computer skills. Must have comprehensive knowledge of Medicare regulations for IRF-PPS.

    Other Knowledge Skills and Abilities preferred:Working knowledge of Functional Impairment Measure (FIM) required.

    Physical Requirements:

    Performs repetitive tasks/motions

    Hears alarm Bells, telephone, and other sounds

    Hears normal conversation

    Have good manual dexterity

    Have clarity of vision: Near (<20")

    Have clarify of vision: Mid (>20"-20")

    Have clarify of vision: Far ( >20")

    Physical Demands:

    Standing - 1-33 %

    Walking 1-33%

    Sitting 34-66%

    Mental Requirements:

    Reads and interprets written/oral instructions.

    Sets and meets deadlines, prioritizes work and works independently

    Identifies and understands issues and problems.

    Examines data and draws logical conclusions demonstrating the ability to apply high levels of critical thinking and understanding.

    Expresses or changes ideas by means of oral or written communications.

    Organize thoughts and ideas into understandable terminology.

    Muse be flexible and able to adapt to change.

    Working Conditions:

    Periods of high stress and fluctuating workloads may occur.

    May be exposed to limited hazardous substances or body fluids.

    MercyHealth is an equal opportunity employer.

    We'll also reward your hard work with:
    • Comprehensive, affordable medical, dental and vision plans
    • Prescription drug coverage
    • Flexible spending accounts
    • Life insurance w/AD&D
    • An employer-matched 403(b) for those who qualify.
    • Paid time off
    • Educational Assistance
    • And much more
    Scheduled Weekly Hours:

    40

    Work Shift:

    Days

    Department:

    Physical Therapy - Mercy St. Charles - Rehab Care Acute

    All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement forMercy Health - Youngstown, Ohio or Bon Secours - Ashland, Kentucky; Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia,which are Affirmative Action and Equal Opportunity Employer, please emailrecruitment@mercy.com.If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team atrecruitment@mercy.com

    Posting ID: 556644290Posted: 2020-05-21