Company :

Job Description :

GENERAL OVERVIEW:

Responsible for accurate and timely completion of Inpatient Rehab Facility-Patient Assessment Instrument (IRF-PAI) with the interdisciplinary team, gathers and inputs data, transmits data to Medicare. Oversees all aspects of data collection for the IRF-PAI, and ensures the presence of supporting documentation. Interprets Policies and procedures and acts as primary resource for immediate problem solving in regards to CARE scoring and regulatory requirements for inpatient rehabilitation. Provides education to the interdisciplinary team in regards to Item completion of the IRF-PAI. This role serves as a key member of the Inpatient Rehabilitation leadership team in helping the facility monitor/maintain quality outcomes and CMS requirements.

ESSENTIAL RESPONSIBILITIES

• Responsible for the accurate coordination and completion of the IRF-PAI and quality data in the computer, submission, tracking and reporting as it related to aspects of the IRF-PAI and quality reporting program process. (50%)
• Performs compliance audits and monitors CMS compliance. (20%)
• Provides staff training and feedback on proper and accurate scoring and documentation of Care tool and other IRF-PAI items and assures Competency. (20%)
• Coordinates the interdisciplinary Team conference. (5%)
• Assists in outcome monitoring and performance improvement. (5%)
• Other related duties. (5%)

QUALIFICATIONS:

Minimum

• High School/GED
• 3 year's in Healthcare
• Registered Nurse (PA) OR Physical Therapist OR Occupational Therapist OR Speech Language Pathologist
• Basic Computer and data entry skills
• Clinical Assessment and analysis skills
• Must be able to communicate effectively with Patient's families, interdisciplinary team members, and regulatory groups through written and verbal communications
• Excellent organizational skills and ability to work independently and within a group setting.

Preferred

• Bachelor's Degree
• 1 year in Acute Inpatient Rehabilitation

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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