PPS Coordinator - Rehab

Responsibilities

Increases consumer/physician/referral source demand for inpatient & outpatient rehabilitation services. Promotes community education in rehabilitation & wellness. Assists in the development & implementation of the marketing plan. Provides pre-admission assessment of patient candidates for the Rehabilitation Care Unit, including the determination of the discharge plan, and obtaining Medical Director & business office approval. Establishes and maintains optimum working relationships with third party payers, case management organizations, physicians, discharge planners and community referral sources. The Perspective Pay Systems Coordinator (PPS) Coordinates, assesses, monitors and evaluates the IRF-PAI (Inpatient Rehab Facility-Patient Assessment Instrument) process, which determines a patient’s RIC (Rehab Impairment Category), CMG (Case Mix Group) and payment under the rehabilitation Prospective Payment System and the outcome measurements. Functions as a vital member of the interdisciplinary team. Is knowledgeable and up to date on Medicare regulations affecting the Inpatient Rehabilitation Facility, so that appropriate reimbursement can be achieved. Educates and assures staff is UDS Certified in FIM scoring. Audits charts to assure staff competency and accuracy with FIM guidelines and CMS Quality Indicators. Educates physicians on admission criteria and clinical documentation to support admission and reimbursement. Performs other duties as assigned

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Minimum: RN, Therapist, Bachelors in Marketing/Business preferred
2. Current CA license; current CPR, Health Care Provider (AHA)
3. Two (2) years Rehabilitation experience preferred
4. Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology
5. 3 years of experience in the rehab area
6. BLS Course forms the American Heart Association (AHA) certification upon hire and maintain current

Pay Transparency

Saint Mary of Nazareth Hospital offers competitive compensation and a reasonable compensation estimate for this role is $39.01. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here:

Employment Status

Per Diem

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: