The Rehab Coordinator under direction of the program director serves as a link between the DRMC Inpatient Rehab Unit and patients, this role is responsible for clinical assessment of patients referred to acute rehab to determine eligibility. This position also requires insurance verification, use of electronic documentation programs and strong communication skills. Knowledge of Inpatient Rehab Facility rules and regulations is preferred. When appropriate, or as requested, will provide direct patient care in licensed are of practice. This position at the direction of the program director serves as a link between the DRMC lnpatient Rehab Unit and patients. This role is responsible for clinical assessment of patients referred to acute rehab to determine eligibility. DEPARTMENT SPECIFIC RESPONSIBILITIES: 1. Obtains and interprets information as needed in terms of the patients age related need. Applies this knowledge to the IRF-PAl processes and the overall. Plan of care. 2. Demonstrates sound knowledge of growth, aging and development as applies to the usual population of ARU. 3. Understands the range of treatment needed and the effects of age on patient responses. REHAB COORDINATOR
1. Provides on and off site clinical assessments for potential patients. 2. Make contact for pre-admission evaluation within the first 24 hours of the business week after receiving the referral. 3. Gathers all clinical and psychosocial data from all available sources regarding patients medical condition and discharge planning (Sources include chart, physicians, patient and/or family, allied health staff 4. Discusses each potential admission with Rehab Medical Director and/or Rehab Admissions Team prior to patient admission. 5. Ensures Medical Director is notified of all admissions and notification is recorded on preadmission screening form. 6. Obtains funding information from referral source and investigates by obtaining necessary information and verifies rehab benefits. Contacts the third party payer for pre-certification admission approval. Secures any and all documents pertinent to funding, as necessary, and works with financial services to verify current status (e.g., active, COBRA) if the patient is the insured. Establishes a good working relationship with financial services to obtain pre-certification for patients without identified financial support. 7. Obtains claim number and date of filing, if the case is based on a worker's Compensation claim. 8. Knowledgeable about guidelines regarding Medicare, Medicaid, Group Health, Private insurance providers, and Workers Compensation and other payer sources. 9. Develops and maintains strong networking relationships with social workers, discharge planners, case managers, physicians, nurses, claims mangers, and other health care workers to elicit referrals for subsequent admissions and with insurance contacts. 10. Works closely with the Rehab community and hospital Educators for sharing feedback and ideas about referring facilities. 11. Understands the concerns and needs of referral sources and communicates this information to Director to help formulate policy. 12. Tours families and referral sources through the unit as appropriate, 13. Informs the Rehab Case Manager of patient's insurance contact and phone number and works with the Rehab case Manager to ensure smooth transition from admission to discharge planning. 14. Knowledge of current CMS, JCAHO, CARF requirements for enrollment in Rehab programs. 15. Follows up on contacts made for a potential admission when an admission does not take place to determine the reason for non-admission, Documents in the acute medical record initial patient evaluation visit as well as subsequent follow up visits to communicate the ongoing process of the referral or reason for denial. 16. Assists in alternative placement recommendations when patient is not appropriate for admission, 17. Completes Pre-Admission screening form with all required information and obtains appropriate signatures, as appropriate. 18. Completes lnterqual Pre-Admission prior to the patient entering the unit and gives copy to the Rehab Case Manager. 19. Completes all required Medilinks documentation at admission and discharge according to established timeframes and guidelines. 20. Completes all eRehabData uploads and requirements according to established timeframes and guidelines. 21. Completes transmission of Medicare billing according to established timeframes and guidelines and communicates pertinent CMG information to the appropriate contacts in the finance dept. 22. Maintains monthly Referral Log of all referrals made to the IRF. 23. Maintains transaction log of dates of admission, documentation completion date upload data and transmission dates as required by Tenet and CMS. 24. Maintains monthly data for ADC: Ensures IRFPAI is submitted to Medical records post discharge. 25. Takes initiative, responsibility, and ownership for individual contributions and shows support for changes in decisions made in unit operations. 26. Adjusts to changes in methods, procedures, and work; and performs without loss of efficiency and demonstrates flexibility and cooperation in working with others. 27. Promotes and working relationship based on open communication and an atmosphere of mutual understanding and trust. 28. Interacts effectively both in writing and verbally and gives and accepts feedback appropriately and professionally. 29. Consults with physicians, nurses, and other rehabilitative personnel to ensure referrals are appropriate, and transition to rehab unit is smooth and uneventful. 30. Maintains an effective rapport with all customers, including patient, physicians, internal and external case managers and participates in team conferences as a part of the interdisciplinary team. 31. Controls costs through appropriate utilization of supplies and mileage and plans and coordinates schedule to achieve maximum productivity and efficiency. 32. Makes appropriate use of daily time completing all assignments accurately and on time reporting to program director before any use of overtime is undertaken. 33. Adheres to the appropriate disciplines profession Code of Ethics and Tenetï¿½s Standards of Care in the performance of all duties. 34. Attends and actively participates in departmental staff meetings and in-services as required. 35. Demonstrates independent judgement to determine alternative solutions to problems and is ware of personal abilities and limitations and consults with others as needed for decision making regarding referrals and operational procedures. 36. Promotes confidentiality and uses discretion and professionalism when discussing patient information. 37. Looks for and suggests way to continually improve services and follows up on problems so that they are not repeated. 38. Participates in UR committees, stroke team and other committees as requested. 39. Maintains calm and effective behavior during stressful situations; handles inquires professionally and consistently with courtesy. CMG COORDINATOR 1. Facilitates completion of the IRF-PAl. Monitors and reviews the interdisciplinary team electronic charting to ensure assessments completed accurately, fully and timely. Utilizes electronically generated reports from Medilinks to review FIM scores/ functional measure scores. Reports discrepancies to the appropriate staff and participates in education as needed to improve the quality of data documented. 2. Reviews and researches the physical and electronic patient medical records for any additional information or clarification needed for input into the IRF-PAI. 3. Communicates with staff as needed to obtain clarification of data. 4. Completes and enters computer generated IRF-PAI information into eRehabData System. Ensures that as much as possible, the FIM data submitted by ARU nursing and therapy staff is accurate and logical. 5. Transmits PPS information to CMS on schedule and maintains backup system for 1 year. 6. Communicates with members of the Rehab team, Medical Records and Business Office as needed regarding the management of patient information. 7. Compares IRF-PAI to UB-04 to ensure accuracy of 5 different areas, especially disposition code, to avoid overpayment or underpayment for transfer cases. 8. Has a working knowledge, of lCD-10 codes, and compares these for accuracy against patient and their physician documented history and physical report. ls aware of patient condition, and is able 10 ensure both lCD-10 and H&P reflect accurate information about patient 9. Maintains IRF-PAI initial feedback reports, Final Validation reports, and pre-submission and submission File reports for 1 year. 10. Participate as needed in family conferences and organizes and co-ordinates Interdisciplinary Team Conferences each week to meet CMS compliance for IRFPPS. 11. Assists, communicates and participates with all ARU team members in discharge planning processes. 12. Ensures new staff complete education regarding FIM and Functional measures scoring by watching videos and testing as required. 13. Active member of ARU Leadership team regarding nursing and therapy practices and reviews policies and procedures as needed and ensures own and staff practices are in accordance with the standards required with regards to IRF-PAI data collection. 14. Participates in ARU programs utilization, outcomes and organizational Review meetings. Collects and organizes data, produces and maintains monthly reports with required data. Participates in program planning changes and implementing as needed. 15. Collects and maintains data logs relating to the ï¿½3 hours rule and 60% rule.ï¿½ Maintains tracking log forms for IRF-PAI completion. 16. Identifies patterns of over and underutilization of resource consumption of LOS through ongoing concurrent review of patient care and by chart audits on a regular basis. 17. Complies with all current hospital and Acute Rehab unit policies and functions as a resource to co-workers as an educator and preceptor as needed being a role model at all times. 18. Ensures others maintain compliance with hospital and ARU specific policies and reports any concerns to unit program director. 19. Maintains and demonstrates knowledge, skills and competence in field of expertise and maintains licensure required of specific profession and unit and hospital requirements keeping education in area of professional practice up to date. 20. Maintains and renews or completes timely all required annual hospital competencies, education and BLS. 21. Participates actively in ARU Performance Improvement Program as needed. 22. Consistently recognizes, evaluates and intervenes appropriately in life threatening or other emergencies and follows chain of command for problem resolution, and approaches problem solving with positive and proactive approach. 23. Acts as a liaison between patient, physicians, family/ significant other and other healthcare disciplines. 24. Reviews patients for admission based on current CMS criteria in the absence of program director. 25. Maintains good relations and marketing techniques with all referral sources and performs all duties as requested or assigned by program director within limits of license and competencies. 26. Responsible for monitoring nursing and therapy documentation, education, and counseling to ensure regulatory compliance for CMS IRFPPS. 27. Functions as site administrator for Medilinks and in the absence of program director assumes a leadership role and additional duties as assigned or directed.
POSITION QUALIFICATIONS: Current CA Registered Nurse License; CA Licensed Physical Therapist, or Occupational Therapist, Speech therapist. Current American Heart Association BLS Certification (maintain current at all times). Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with patients, families, physicians and co-workers. Possess active listening skills Able to independently manage multiple priorities Must comply with PAPR protection policy Must have excellent computer skills; i.e. eRehabData software Must demonstrate teamwork in a pleasant manner Must be able to write legibly
Job: Rehab/Long Term Accute Care/Skilled
Primary Location: Palm Springs, California
Facility: Desert Regional Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 1905035411
About Desert Regional Medical Center
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.