PPS Coordinator - Rehab

Responsibilities

• Increases consumer/physician/referral source demand for inpatient & outpatient rehabilitation services.
• Promotes community education in rehabilitation & wellness.
• Affirms 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.
• Captures, 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

• Minimum: RN, Therapist, Bachelors in Marketing/Business preferred
• Current CA license; current CPR, Health Care Provider (AHA)
• Two (2) years Rehabilitation experience preferred
• Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology
• Three (3) years of experience in the rehab area