Silver Cross Hospital and Medical Centers

Admissions/PPS Coordinator

Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Currently licensed as a Registered Nurse in Illinois or a licensed occupational, physical or speech therapist
  • Inpatient rehabilitation experience preferred
  • Strong understanding of Medicare regulations and admission criteria
  • Experience with data tracking and reporting
  • Ability to work collaboratively with a multidisciplinary rehab team

Responsibilities

  • Manage patient access to the acute inpatient rehabilitation unit
  • Perform prescreening and precertification for potential patient admissions
  • Establish and maintain relationships with referral sources
  • Track patient referral and admission data in eRehab
  • Analyze and submit data for the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)
  • Participate in quality care initiatives with program leadership
  • Provide leadership within unit-based meetings as needed

Benefits

  • Comprehensive medical, dental, and vision insurance
  • Life insurance and flexible spending accounts
  • Paid time off (PTO) and sick time
  • 401(k) plan with a match
  • Wellness program and tuition reimbursement
Full Job Description

Position Summary:   Primary role and function is managing patient access to the acute inpatient rehabilitation unit by performing prescreening and precertification of potential patient admissions.  Key to this role is establishing relationships with referral sources, both internal and external, and participating in referral development activities.  Adhering to unit-based admission criteria and Medicare regulations for appropriate selection, recommendation, and communication to the admitting physician.  Managing the referral log with appropriate prioritization and communication of patient readiness to all stakeholders.  Responsible for referral and admission data tracking and reporting by entering into eRehab.  Coordinate, analyze, validate and enter the demographic, functional, and quality data necessary to process and submit the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI); work with program leadership on quality of care initiatives and programs; provide back-up leadership as requested.  Participate in unit-based meetings and functions; accept lead roles as requested.

Essential Duties and Responsibilities:

  • Review pertinent medical records of patients referred to the rehabilitation unit from internal and external sources
  • Assess (initially and ongoing) patient appropriateness for acute inpatient rehabilitation in collaboration with the rehab team
  • Initiate insurance authorizations and provide updated information to third party carriers as needed
  • Gather and collate daily functional improvement data from the direct care staff
  • Assess if data is complete and valid and interact with staff regarding questions, concerns and educational opportunities
  • Assist with assigning admission impairment groups as needed
  • Track assessment, completion, encoding and transmission dates for all discharges
  • Transmit data for submission to eRehab and CMS
  • Maintain referral/admission data
  • Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits
  • Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers, and the hospital by abiding by the Standards of Conduct

Required Qualifications

Education and Training:

  • Currently licensed as a Registered Nurse in the state of Illinois with inpatient rehabilitation experience preferred or a licensed occupational, physical or speech therapist with inpatient rehabilitation experience.

Work Shift Details:

Days, Monday through Friday 8 am to 4:30 pm.

Department:

I/P REHAB UNIT







Benefits for You

At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.   

Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:

·       Medical, Dental and Vision plans

·       Life Insurance

·       Flexible Spending Account

·       Other voluntary benefit plans

·       PTO and Sick time

·       401(k) plan with a match

·       Wellness program

·       Tuition Reimbursement

Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match.  However,registry employees are ineligible for Health and Welfare benefits.

The expected pay for this position is listed below:

$35.00 - $42.50

The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.

About Silver Cross Hospital and Medical Centers

Silver Cross Hospital and Medical Centers is a not-for-profit healthcare provider located in New Lenox, Illinois. The hospital was founded in 1895 and has since grown to become a leading provider of healthcare services in the region. Silver Cross Hospital and Medical Centers offers a wide range of medical services, including emergency care, cancer care, heart and vascular care, orthopedics, and women's health. The hospital is committed to providing high-quality, compassionate care to its patients and is dedicated to improving the health and well-being of the communities it serves.
Learn more about Silver Cross Hospital and Medical Centers
Size
3,000 employees
Industry

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