IPR Admission PPS Coordinator

Job 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 Functions

• 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 BHT and PMR administration and rehab QA teams.
• Ensures unit maintains compliance with IRF 60/40 rule in accordance with BHT 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

• • Bachelor's Degree in nursing, occupational or physical therapy or CRRN. Preferred
  • 1 year of relevant experience 1 -3 years’ previous clinical utilization review, discharge planning
  • Case management experience within last 5 years. Preferred
  • CRT-Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire. Preferred

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• 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

Primary Location

SITE - Troy Hospital - 44201 Dequindre Rd - Troy

Department Name

Rehab Admin - Troy Hosp

Employment Type

Part time

Shift

Day (United States of America)

Weekly Scheduled Hours

0.01

Hours of Work

Variable; 7:00 a.m. - 3:30 p.m.

Days Worked

Variable; Monday - Friday

Weekend Frequency

Variable weekends

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell 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.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.