PPS Manager - Inpatient Rehabilitation

Overview

Baylor Scott & White Institute for Rehabilitation

Fort Worth,TX

PPS Manager

Inpatient Rehabilitation

"Must be RN, PT or OT"

Full Time

Compensation depends upon candidate's years of experience

Minimum Salary: $90,000/per year

We are seeking a PPS Manager at our Fort Worth Rehabilitation Hospital!

The ideal candidate will have experience with Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)

Benefits of Joining our Team:

We strive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

• Full benefits package for Full-time employees (Medical, Dental, Vision, 401k, Life Insurance, and Long/Short Term Disability)

• Paid Time Off (PTO)

• Team-oriented and collaborative culture

• Student loan repayment and tuition assistance programs

• A network of over 50K employees nationwide with advancement and relocation opportunities

• *Eligibility and effective dates vary

Responsibilities

Oversees the coordination of all clinical documentation required for completion of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI), and provides oversight regarding the length of stay in collaboration with the clinical team. Conducts ongoing review of the CMS data submitted and the patient's medical record to assure that the documentation is accurate and that the data is congruent.

Job Duties:

• Reviews and verifies the accuracy of all documentation for submission to the Centers for Medicare and Medicaid Services (CMS), confers with the clinical team, and directs the correction of documentation on the IRF-PAI when indicated

• Reviews all co-morbidities on the IRF-PAI and in the Medical Record to assure that co-morbidities are properly captured and documented in both locations according to coding conventions.

• Provides feedback and analyzation to the hospital CEO regarding the patients currently in house and their status with regard to the targeted length of stay. Including outcome information regarding patient's compliance, medical necessity, and clinical documentation effecting facility's outcomes.

• Provides the team members with correct information regarding the targeted length of stay and works closely with the Case Management department regarding utilization review both concurrently and retrospectively, and participates in any site-specific utilization review activities.

• Manages PPS coordinators at the facility site

• Works directly with any clinical department to focus on documentation trends and corrective action to assure that the Medical Record documentation supports the IRF-PAI documentation

• Reviews Rehabilitation Impairment Categories and admission ICD-10 codes to assure congruence and proper coding for the IRF-PAI. Makes any necessary changes in collaboration with the clinical team and physician.

• Performs all other duties as requested.

Qualifications

Minimum Qualifications

• Current state licensure as Registered Nurse, Physical Therapist, Occupational Therapist with PPS experience required

• Minimum of two years experience in rehabilitation or a closely related field required

Preferred Experience

• Experience in Utilization Review preferred

• Experience in Management preferred

• Experience with ICD 10 coding preferred

• Experience with IRF-PPS preferred

Additional Data

Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.