Admissions/PPS Coordinator

01 Silver Cross Hospital and Medical Centers; New Lenox (IL); On-site; USD 73,000 - 88,000; Full time

Benefits offered by this job

Medical, Dental and Vision plans

Life Insurance

401(k) plan with match

Tuition Reimbursement

PTO and Sick time

Job summary

Silver Cross Hospital in Illinois seeks a dedicated professional to manage patient access to the acute inpatient rehabilitation unit by performing prescreening and precertification of admissions. You will coordinate with rehab staff and referral sources to ensure appropriate admissions.

You will maintain the referral log, enter demographic and clinical data into the eRehab system, and support quality of care initiatives while upholding privacy and regulatory standards.

Qualifications

• Licensed professional required (RN in IL) with inpatient rehab experience preferred.
• Involvement with Medicare/IRF-PAI data and rehab program quality initiatives.

Responsibilities

• Review medical records for rehab referrals.
• Assess patient appropriateness for acute inpatient rehab with rehab team.
• Initiate insurance authorizations with third party carriers.
• Gather and compile daily functional data from direct care staff.
• Verify data completeness and validity with staff.
• Assist in assigning admission impairment groups as needed.
• Track assessment, encoding, and transmission dates for discharges.
• Transmit data for eRehab and CMS submissions.
• Maintain referral/admission data integrity.
• Promote privacy and confidentiality; adhere to Standards of Conduct.

Skills

Prescreening

Precertification

Referral development

Interdisciplinary collaboration

Data entry

Education

Registered Nurse (Illinois) license

Inpatient rehabilitation experience

Licensed as OT/PT/SLP with rehab experience

Tools

eRehab

Job description

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.

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.

INSPIRING HEALTHY RELATIONSHIPS THROUGH AN INCLUSIVE CULTURE AT SILVER CROSS. Silver Cross