Director of Patient Outcomes

ClearSky Health•Elwood, KS

About The Position

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Director of Patient Outcomes position directs the completion of the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS). Provides clinical support in completion of data contained in prospective payment system (PPS) and functional outcome measure (FOM) instruments for each patient to ensure accuracy in the scoring of functional status and reflection of the patient’s care needs. May direct Case Management Department, as needed. This position must i ntegrate company values into daily practice. Essential Functions: Collects data and monitors Quality Indicators and the Care Tools. Maintains FOM credentialing and staff education. Attends Operations/Admissions meetings and reviews patients for tiers and compliance. Attends team conferences and assists Health Information Management (HIM) with accuracy of coded tiers with queries. Reviews physician documentation for medical necessity and function changes. Manages all FOM functions, ensuring accuracy (rounds, education, certification, etc.) Tracks Compliancy (CMS13) and assists in attainment of required documentation from clinical liaison’s and physicians to support. Reports and assists in management of patient outcomes.Attends Utilization Reviews and reports as necessary. Manages Medical Necessity Denials. May lead and direct the case management department as assigned, to include: management of staffing needs, and caseloads; education, direction, and mentorship of the Case Management Team, and reporting and assistance in the management of patient outcomes. Provides an environment conducive to safety for patients, visitors, and staff. Assesses the risks for safety and implements appropriate precautions. Complies with appropriate and approved safety and Infection Prevention standards. Performs other duties as assigned to support overall effectiveness of the organization.

Requirements

Two years recent experience in acute care setting preferred
Clinical license required (PT, OT, SLP, or RN)
Must maintain acceptable driving record, current driver’s license, and insurability
Demonstrable knowledge in all aspects of clinical care of the rehab patient
Demonstrates general computer skills including data entry, word processing, email, and records management
Demonstrates critical thinking skills
Effective organizational and time management skills
Effective written and verbal communication skills
Ability to prioritize, meet deadlines, and complete complex tasks
Ability to maintain quality, safety, and/or infection prevention standards
Ability to work independently
Ability to maintain proper levels of confidentiality
Ability to work closely and professionally with others at all levels of the organization

Responsibilities

Directs the completion of the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
Provides clinical support in completion of data contained in prospective payment system (PPS) and functional outcome measure (FOM) instruments
Collects data and monitors Quality Indicators and the Care Tools
Maintains FOM credentialing and staff education
Attends Operations/Admissions meetings and reviews patients for tiers and compliance
Attends team conferences and assists Health Information Management (HIM) with accuracy of coded tiers with queries
Reviews physician documentation for medical necessity and function changes
Manages all FOM functions, ensuring accuracy (rounds, education, certification, etc.)
Tracks Compliancy (CMS13) and assists in attainment of required documentation from clinical liaison’s and physicians to support
Reports and assists in management of patient outcomes
Attends Utilization Reviews and reports as necessary
Manages Medical Necessity Denials
May lead and direct the case management department as assigned
Provides an environment conducive to safety for patients, visitors, and staff
Assesses the risks for safety and implements appropriate precautions
Complies with appropriate and approved safety and Infection Prevention standards
Performs other duties as assigned to support overall effectiveness of the organization