PPS Coordinator

About the role

Coordinates screening, admissions, outreach, and/or PPS Coordination for CHE 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.

Responsibilities

• Coordinates input from all health professionals, conducts assessment of patient and family needs and formulates a documented admission/transfer plan assuring continuity of care.
• 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.
• Serves as subject matter expert for IRF admission rules and regulations, SNF admission rules and regulations, and PPS transmittals.
• Conducts outreach activities including coordination and rounding with key acute care units and programs.
• Oversees quality and financial reporting to meet the needs of CHET and PMR administration and rehab QA teams.
• Ensures unit maintains compliance with IRF 60/40 rule in accordance with CHET and PMR leadership.
• 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.
• Completes all regulatory required transmittal documentation within required timeframes.

Qualifications

• Preferred Bachelor's Degree in nursing, Occupational or Physical Therapy, CRRN, Speech Language Pathologist and Recreational Therapist.
• 1 year of relevant experience.
• 1‑3 years’ previous clinical utilization review, discharge planning, case management experience within the last 5 years.
• Preferred CRT‑Case Manager, Certified (CCM) – CCMC Commission for Case Manager Certification Upon Hire preferred.
• Or CRT‑At least one License and/or Certification in area of specialty – UNKNOWN Unknown Healthcare Upon Hire preferred.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On‑demand pay program powered by Payactiv.
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance.
• Traditional and Roth retirement options with service contribution and match savings.
• Eligibility for benefits is determined by employment type and status.

Schedule

• Primary Location: SITE – Farmington Hills Hospital, 28050 Grand River Ave, Farmington Hills.
• Department Name: Rehab Admin – Farmington Hills Hosp.
• Employment Type: Full time.
• Shift: Day (United States of America).
• Weekly Scheduled Hours: 40 Hours of Work.
• Days Worked: Monday – Friday.
• Weekend Frequency: Variable weekends.