Admissions/PPS Coordinator

Silver Cross HospitalNew Lenox, IL
Onsite

About The Position

Silver Cross Hospital is seeking an Admissions/PPS Coordinator to manage patient access to the acute inpatient rehabilitation unit. This role involves performing prescreening and precertification of potential patient admissions, establishing relationships with referral sources, and participating in referral development activities. The coordinator will adhere to unit-based admission criteria and Medicare regulations for appropriate patient selection and communication with the admitting physician. Responsibilities include managing the referral log, tracking and reporting referral and admission data, and coordinating the collection and submission of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI). The role also involves working with program leadership on quality of care initiatives, providing back-up leadership, and participating in unit meetings.

Requirements

  • Currently licensed as a Registered Nurse in the state of Illinois with inpatient rehabilitation experience preferred or a licensed occupational, physical or speech therapist with inpatient rehabilitation experience.

Nice To Haves

  • inpatient rehabilitation experience

Responsibilities

  • Review pertinent medical records of patients referred to the rehabilitation unit from internal and external sources
  • Assess (initially and ongoing) patient appropriateness for acute inpatient rehabilitation in collaboration with the rehab team
  • Initiate insurance authorizations and provide updated information to third party carriers as needed
  • Gather and collate daily functional improvement data from the direct care staff
  • Assess if data is complete and valid and interact with staff regarding questions, concerns and educational opportunities
  • Assist with assigning admission impairment groups as needed
  • Track assessment, completion, encoding and transmission dates for all discharges
  • Transmit data for submission to eRehab and CMS
  • Maintain referral/admission data
  • Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits
  • Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers, and the hospital by abiding by the Standards of Conduct

Benefits

  • Medical, Dental and Vision plans
  • Life Insurance
  • Flexible Spending Account
  • Other voluntary benefit plans
  • PTO and Sick time
  • 401(k) plan with a match
  • Wellness program
  • Tuition Reimbursement
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