Director of Patient Outcomes

ClearSky Health•Mansfield, TX

2d•Onsite

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). This role provides clinical support in completing data for prospective payment system (PPS) and functional outcome measure (FOM) instruments for each patient, ensuring accuracy in scoring functional status and reflecting patient care needs. The Director may also lead the Case Management Department as needed and must integrate company values into daily practice.

Requirements

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.

Nice To Haves

Two years recent experience in acute care setting preferred.

Responsibilities

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.
Completes required trainings, as assigned.
Performs other duties as assigned to support overall effectiveness of the organization.