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PPS Coordinator Rehab

Company: Beaumont Hospital Taylor
Location: Taylor
Posted on: June 25, 2022

Job Description:

GENERAL SUMMARY:Coordinates screening, admissions, outreach, and/or PPS Coordination for BH Inpatient Rehabilitation Facility (IRF) services. Works with Rehab Leadership, physicians, care management staff, and multidisciplinary team to expedite the patient's care/transfer, analyzing cost, quality and utilization to facilitate the admission and PPS transmittals, shares ownership with the attending physician and Rehab leadership to expedite patients' correct level of care, services and financial considerations.ESSENTIAL DUTIES:1. Coordinates input from all health professionals, conducts assessment of patient and family needs and formulates a documented admission/transfer plan assuring continuity of care.2. Communicates daily with physicians, rehab management, hospital staff, families, third party payers, transmittal vendors and patients to facilitate coordination of clinical activities and to complete and enhance a seamless transition from one inpatient setting to alternative levels of care and associated transmittal.3. Serves as subject matter expert for IRF admission rules and regulations, SNF admission rules and regulations, and PPS transmittals.4. Conducts outreach activities including coordination and rounding with key acute care units and programs.5. Oversees quality and financial reporting to meet the needs of BHT and PMR administration and rehab QA teams.6. Ensures unit maintains compliance with IRF 60/40 rule in accordance with BHT and PMR leadership.7. Documents all pre-screening interventions in the medical record according to regulatory, legal and case coordination requirements. Documents the transfer plan utilization management software and other programs as appropriate.8. Completes all regulatory required transmittal documentation within required timeframes.This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described.STANDARD QUALIFICATIONS:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.A. Education / Training:

  • Bachelor's degree in nursing, occupational or physical therapy or CRRN preferred.B. Work Experience:
    • 1 -3 years' previous clinical utilization review, discharge planning, case management experience within last 5 years preferred.C. Certification, Licensure, Registration:
      • Case Management certification preferred (CCM and/or CHCQM), or active healthcare license.WORKING CONDITIONS:A. Physical Effort:
        • Position requires prolonged periods of sitting, working at a computer, and viewing written and electronic documents.B. Work Environment:
          • Work is performed in a typical office setting with brief interaction with patients and/or families with minimal exposure to hazards.We are an Equal Opportunity EmployerBeaumont Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.#BHSHclinical

Keywords: Beaumont Hospital Taylor, Taylor , PPS Coordinator Rehab, Healthcare , Taylor, Michigan

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