Rehab Operations Lead

Your job is more than a job. The lead of operations for Rehabilitation Services is responsible for leading the daily operations for Prospective Payment System (PPS) in ensuring that the Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) are completed within Medicare regulations and maximizing reimbursement. In addition, this role will lead the rehab admissions team in efficiencies for process flow, obtaining insurance authorizations and prioritizing patient assessments for rehab readiness. Your experiences, knowledge, skills, empathy, compassion, and your “little something extra” all add up to you. And we’re excited to get to know you and find out what you’ll bring to this lead occupational therapist role. GENERAL DUTIES Complete IRF-PAI and submit it to CMS for reimbursement within required timelines. Maintains a current knowledge of IRF-PAI software and provides expertise on this software within the inpatient rehab setting. Conduct a rehabilitation screening by conducting EMR review, collaborate with rehabilitation MD to ensure patient meets criteria for admission, complete electronic screening form, provide a bedside visit to patient and/or family to educate on the rehabilitation program, and submit for insurance authorization. Maintain updated and ongoing knowledge of Rehab regulations to ensure that rehabilitation services follow CMS regulations for PPS and rehabilitation screenings performed. Thoroughly researches and reviews clinical documentation and makes recommendations to clinical supervisors in areas needing improvement to support and validate rehab criteria and documentation compliance. Collaborate with physicians and interdisciplinary team members to capture accurate assessment of patient, including interdisciplinary patient treatment plans to facilitate achievement of expected outcomes in collaboration with interdisciplinary team. Verifies appropriate CMG designation through chart review, staff interview, and collaboration with Rehab Medical Director. Periodically audits IRF-PAI, clinical documentation, and billing information to ensure accuracy and consistency of documentation. Works closely and collaboratively with all members of the clinical team to ensure compliance at all levels. Huddle daily and communicate with admissions team to know the daily referrals, lead the team with appropriate workflow processes for efficient outcomes. Collaborate with the team and physicians in resolving concerns with effective communication to expedite admissions to the unit. Interacts with patients, family, staff, and physicians in a professional manner at all times, and handles patient, visitor, or physician complaints promptly and in a professional manner. Serves as a resource to department staff, students, volunteers and other departments, and contributes to teamwork essential to ensuring quality patient care. Escalate issue with high concerns to Director of Therapy and/or Senior Director of Post-Acute Services for support in solutions. Participates in internal chart reviews and external audit coordination as needed. Participates in hospital or departmental performance improvement activities and seeks opportunities to improve department and inter-department processes. Assists with other rehab functions as deemed necessary by Program Director. Provides an environment conducive to safety for patients, visitors and staff. Utilizes appropriate leadership skills in delegating, organizing and educating coworkers and staff. Promotes participation, cooperation and teamwork. Demonstrates problem solving in resolving issues. Demonstrates clear and effective communication skills. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as exhaustive of all responsibilities, duties, and skills required of personnel so classified. EXPERIENCE QUALIFICATIONS Two or more years’ experience as a licensed clinician in an acute hospital or inpatient rehab setting. Two years’ experience in inpatient rehabilitation setting, preferred. Ability to operate basic computer and data management software. EDUCATION QUALIFICATIONS OT, PT, SLP, RN, COTA/PTA + BS in health-related field required LICENSES AND CERTIFICATIONS State licensure as an RN, Occupational Therapist, Occupational Therapy Assistant, Physical Therapist, Physical Therapy Assistant, or Speech Language Pathologist. SKILLS AND ABILITIES Must be able to successfully complete Uniform Data System’s QI credentialing exam within 90 days of hire. WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary About East Jefferson General Hospital East Jefferson General Hospital, a landmark of LCMC Health’s incredible community of care, has been the go-to hospital for health, wellness, and one-of-a-kind care in East Jefferson Parish for over 50 years. And we’re only beginning to realize our greatest potential. Learn more about East Jefferson General Hospital and our legacy, our future, and our national recognition as a Nurse Magnet Hospital. Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States. About LCMC Health One-of-a-kind care comes from one-of-a-kind people. At LCMC Health, our people are the magic ingredient that makes our care so extra-extraordinary. We are compassionate, driven, and dedicated to bringing a little something extra to healthcare and to the people of New Orleans and beyond. If you’re the kind of person who believes that our community deserves the best and that healthcare needs a little more heart, we want you to be a part of our family. From medical roles to administrative positions, every person on our team plays a part in our mission: to provide health, care, and education beyond extraordinary. Let’s make every day extraordinary, together.