Outcomes Manager- Full Time

Lifepoint Health-posted 2 months ago
Full-time • Mid Level
Jacksonville, FL
101-250 employees
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North Florida Rehabilitation Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As an Occupational Therapist joining our team, you’re embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

  • Responsible for staff orientation and ongoing education to improve QI score accuracy at admission, throughout the stay and upon discharge.
  • Serves as educator for Quality Indicators (QI) scoring according to Uniform Data System (UDS) training materials.
  • Serves as a resource to licensed clinicians and clinical staff regarding questions and interpretation of QI scoring guidelines.
  • Provides ongoing education to the staff of the hospital to assure accurate and timely completion of the IRF-PAI.
  • Responsible for staff orientation and ongoing education and facilitate biannual UDSMR staff credentialing for QI scoring.
  • Review medical record documentation using the medical record including UDS Pro-Doc system to support the accuracy and timeliness of the functional scores and comorbid conditions.
  • Ensures that the IRF-PAI is consistent with the medical record documentation and reflects the functional status and 24 hour care needs of the patient.
  • Collaborates with physicians and interdisciplinary team members to ensure the most accurate assessment of the needs and strengths of patients are captured.
  • Review current facility clinical documentation in the medical record and UDS Pro-Doc and evaluate accuracy through the use of QI Manager.
  • Compares actual knowledge of the patient to care provided to the patient and the information contained on the IRF-PAI.
  • Investigates the Impairment Group Codes IGC and co-morbidities in collaborative manner with the physicians and coders.
  • Oversees/completes and analyzes QI data ensuring the accuracy and the completion of the IRF-PAI according to CMS guidelines.
  • Reviews the medical record documentation to ensure accuracy and to support the correct Case Mix Group (CMG) assignments.
  • Identifies target reference dates for the completion of the IRF-PAI for all patients.
  • Coordinates the completion of the admission assessment of the IRF-PAI by the fourth day of the patient’s stay and the third day following discharge.
  • Uploads QI scores in UDS Pro-Doc necessary to complete the IRF-PAI.
  • Coordinates and collaborates with HIM department to ensure timely completion and transmittal of the IRF-PAI to CMS national database.
  • Maintains current knowledge of the UDS Pro-Doc system and CMS IRF-PAI software.
  • Maintains updated and ongoing knowledge of the regulations concerning the IRF-PAI and its completion.
  • Has working knowledge of capabilities of UDS Pro-Doc, including various reports and how to access and use.
  • Serves as an information source and educator to IRF-PAI and UDS users.
  • Periodically performs medical record audits including audits of the IRF-PAI instrument, clinical documentation and billing information.
  • Graduation from an accredited Bachelors of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program or Licensed/Registered PT, OT, SLP.
  • Current unrestricted state licensure as Registered Nurse (preferred) or PT, OT, SLP.
  • CRRN preferred.
  • CPR/BCLS certification.
  • UDSMR PPS Certification within 3 years.
  • 3+ years of experience in the care of patients in the acute hospital or rehabilitation setting preferred.
  • Excellent oral and written communication and interpersonal skills.
  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs.
  • Professional Development: Ongoing learning and career advancement opportunities.
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