The Mercy Rehabilitation Hospital is a partnership between Mercy and Kindred Healthcare. The hospital provides inpatient rehabilitation services for patients recovering from strokes, brain or spinal-cord injuries, amputations, complex orthopedic injuries and other conditions. The greatest feature of the rehabilitation hospital is our dedicated team of clinicians. These rehab professionals provide the exceptional patient care for which Mercy is known, with an emphasis on improving individual functional ability and quality of life. Mercy Rehabilitation Hospital Springfield is accredited by The Joint Commission (TJC) as well as the Commission on Accreditation of Rehabilitation Facilities (CARF) for inpatient rehabilitation.
The Outcomes Manager provides coordination of the timely and accurate data completion of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) for each rehabilitation inpatient. This individual collects, reviews and monitors the information contained in the IRF-PAI, on each patient to ensure accuracy in the scoring of functional status and reflection status and reflection of the patient's care needs, as documented in the medical record and the UDS Pro-Doc system, in collaboration with the interdisciplinary team. This position will assist in the ongoing monitoring of identified outcome benchmarks for the inpatient population. The Outcomes Manager has access to confidential patient information and maintains all confidentiality of all information.
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, according to UDS training guidelines, in order to assure the accuracy of the QI scores.
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, according to CMS guidelines.
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 in the UDS Pro-Doc system and in the medical record.
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. Makes appropriate corrections to the IRF-PAI in collaboration with the interdisciplinary team in order to accurately reflect the burden of care upon admission, throughout the stay and upon discharge.
Investigates the Impairment Group Codes IGC and co-morbidities in collaborative manner with the physicians and coders that would allow for accurate coding of the patient's stay.
Oversees/completes and analyzes and QI data ensuring the accuracy and the completion of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) according to CMS guidelines and prior to electronic transmission.
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 for each inpatient rehabilitation patient. May require discussions/interactions with various staff members concerning differences in reported and/or medical record documentation of functional status to complete the PAI. 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 and provides expertise on the software within the inpatient rehab setting and contributes to facility process improvement plans.
Maintains updated and ongoing knowledge of the regulations concerning the IRF-PAI and its completion within the inpatient rehab setting.
Has working knowledge of capabilities of UDS Pro-Doc, including various reports and how to access and use.
Has working knowledge of UDS Pro-central, including various reports and how to access, interpret 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 to ensure accuracy and consistency of documentation.
Demonstrates effective critical thinking skills
Other duties as assigned.
Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty
Completes annual health, safety, and education requirements. Maintains professional growth and development.
Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
Reports to work on time as scheduled; adheres to policies regarding notification of absence.
Attends all mandatory in-services and staff meetings.
Represents the organization in a positive and professional manner.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
Maintains current licensure/certification for position, if applicable.
Consistently demonstrates Guest Relation's skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.
Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.
HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality. Able to identify patient confidentiality issues and reports to proper hospital personnel immediately.
Compliance: Conducts job responsibilities in accordance with standards set forth in Kindred's Code of Conduct, Kindred policy and procedures, applicable federal and state laws, and applicable standards.
Able to communicate effectively in English, both verbally and in writing.
Additional languages preferred.
Basic computer knowledge.
Knowledge of equipment utilized in evaluation and treatment.
Must be able to determine appropriate patient procedures and evaluate results.
Ability to maintain control and respond calmly and positively during crisis situations.
Appropriate telephone communication skills.
Physical and Safety Requirements:
Good stress coping ability. Ability to walk or stand for extended periods of time. Stooping, sitting, bending and carrying of items including the ability to lift or move patients. Ability to clearly and effectively communicate with all constituents (patients, families, peers, and other healthcare team members) as needed for leadership, assessment, intervention, and professional development.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
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.
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
Job : Administrative/Clerical/Secretarial Primary Location : MO-Springfield-CHC Payroll - Mercy Rehab Springfield Organization : 6784 - CHC Payroll - Mercy Rehab Springfield Shift : Day