PPS Coordinator

Job Summary

Coordinates screening, admissions, outreach, and/or PPS Coordination for CHE Inpatient Rehabilitation Facility (IRF) services. Works with Rehab Leadership, physicians, care management staff, and multidisciplinary team to expedite the patient's care/transfer, analyzing cost, quality and utilization to facilitate the admission and PPS transmittals, shares ownership with the attending physician and Rehab leadership to expedite patients' correct level of care, services and financial considerations.

Essential Functions

- Coordinates input from all health professionals, conducts assessment of patient and family needs and formulates a documented admission/transfer plan assuring continuity of care.
- Communicates daily with physicians, rehab management, hospital staff, families, third party payers, transmittal vendors and patients to facilitate coordination of clinical activities and to complete and enhance a seamless transition from one inpatient setting to alternative levels of care and associated transmittal.
- Serves as subject matter expert for IRF admission rules and regulations, SNF admission rules and regulations, and PPS transmittals.
- Conducts outreach activities including coordination and rounding with key acute care units and programs.
- Oversees quality and financial reporting to meet the needs of CHET and PMR administration and rehab QA teams.
- Ensures unit maintains compliance with IRF 60/40 rule in accordance with CHET and PMR leadership.
- Documents all pre-screening interventions in the medical record according to regulatory, legal and case coordination requirements. Documents the transfer plan utilization management software and other programs as appropriate.
- Completes all regulatory required transmittal documentation within required timeframes.

Qualifications

- Preferred Bachelor's Degree In nursing, Occupational or Physical Therapy, CRRN, Speech Language Pathologist and Recreational Therapist.

- 1 year of relevant experience 1 -3 years’ previous clinical utilization review, discharge planning, case management experience within last 5 years. Preferred

- CRT-Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred Or
- CRT-At least one License and/or Certification in area of specialty - UNKNOWN Unknown Healthcare Upon Hire preferred

How Corewell Health cares for you

- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new).
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status

Primary Location
SITE - Farmington Hills Hospital- 28050 Grand River Ave - Farmington Hills

Department Name
Rehab Admin - Farmington Hills Hosp

Employment Type
Full time

Shift
Day (United States of America)

Weekly Scheduled Hours
40

Hours of Work
variable

Days Worked
Monday - Friday

Weekend Frequency
Variable weekends

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.