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Admissions/PPS Coordinator

Silver Cross Hospital -
New Lenox, IL

Apply Now

Job Details

Full-time
$35.00 - $42.50 an hour

Benefits

Wellness program
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Nursing
Inpatient experience
Overseeing health insurance pre-certification
Medicare
RN License
Data validation techniques
Patient assessment
CMS
Patient demographics
Data reporting
Mid-level
CMS regulatory compliance
Healthcare referral management
Medicare regulations
Occupational Therapy
Health information data integrity
Physical Therapy License
Speech-Language Pathology License
Health record chart audits
Medical record abstraction
Safe environment creation
Case referral
Clinical confidentiality policies
Managing patient records
Occupational Therapy License

Full 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.

Apply Now

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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.

Benefits for You

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