Director of Patient Outcomes

ClearSky Health•Rockwall, TX

4d•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. Exciting News! We're thrilled to announce the 2025 grand opening of ClearSky Rehabilitation Hospital in Rockwall, TX Are you a dedicated and compassionate clinician seeking a fulfilling career where you can make a real difference in people's lives? Look no further! Our brand new state-of-the-art rehabilitation hospital in Rockwall, TX is looking for a Director of Patient Outcomes to join our dynamic and thriving healthcare organization committed to providing exceptional patient-centered care, and we want YOU to be a vital part of our team. Click here to watch a video and learn more about what it is to be a part of the ClearSky Rehabilitation team. Our Director of Patient Outcomes is responsible for directing 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 integrate company values into daily practice.

Requirements

Clinical licensure required (PT, OT, SLP or RN preferred).
Other licensure/certification to be considered based on appropriate qualifications.
Two years of recent experience in acute care setting preferred
Must maintain acceptable driving record, current driver’s license and insurability

Responsibilities

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.
Reports and assists in management of patient outcomes.
To include; attending Utilization Reviews and reports as necessary (including managing medical necessity denials), collecting data and monitors Quality Indicators and the Care Tools, maintains FOM credentialing and staff education as well as FOM functions, ensuring accuracy (rounds, education, certification, etc.), reviewing physician documentation for medical necessity and function changes and tracks Compliancy (CMS13) and assists in attainment of required documentation from clinical liaison’s and physicians to support.
Attends Operations/Admissions meetings and reviews patients for tiers and compliance.
As well as attending team conferences and assisting Health Information Management (HIM) with accuracy of coded tiers with queries.