Skip to main content

Outcomes ManagerNorth Smithfield, Rhode Island |

Apply Now
Job # 412896 Date posted 07/22/2021

Description

  • 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.

Qualifications

  • 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.
  • CRRN preferred
  • CPR/BCLS certification.
  • 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.
Apply Now
  • Benefits and Recognition

    Benefits & Recognition Our goal is to offer valuable compensation and incentive programs that enables us to attract, reward, retain, and motivate highly qualified individuals. Compensation can include bonus plans and recognition for going above & beyond.

  • Healthcare

    Healthcare We offer a variety of Health Savings Account (HSA) and PPO plan options.

  • 401(k) Plan

    401(k) Plan Employees can contribute pre-tax dollars through payroll deduction.

  • Paid Time Off

    Paid Time Off Your work/life balance is important to us. We offer our employees a flexible Paid Time Off program.

  • Wellness Program

    Wellness Program We offer tools, resources and support for weight loss, stress reduction, smoking cessation and making overall healthier choices.

  • Community

    Community Community involvement is consistent with our company's principles and with our mission of customer service and quality care.

High Standards Icon

Rehabilitation Hospital of Rhode Island offers a variety of career opportunities in clinical, administrative and other support roles. Rehabilitation Hospital of Rhode Island prides itself in rewarding its employees with a comprehensive, competitive benefits packet designed to provide employees with the flexibility to tailor benefits according to their needs. Our wealth of resources and programs include: Medical, Dental, Vision, Paid Time Off, Tuition Reimbursement and more.

Recently Viewed Jobs

You have not viewed any jobs yet.

Saved Jobs

You have not saved any jobs yet.

Sign up for Job Alerts

Get the latest job openings based on your interests, skills and background sent directly to your inbox.

Sign up for Job Alerts

Get the latest job openings based on your interests, skills and background sent directly to your inbox. Click "Add" after entering your interests, then click "Sign Up" and we’ll email you when an opening matches your criteria.

Interested InSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

  • Administrative, United StatesRemove
  • Administrative, North Smithfield, Rhode Island, United StatesRemove

Connect with Our Recruiters

Share some preliminary info about yourself and we will contact you to discuss your interests and career and future opportunities.

Connect with Our Recruiters

Please note this is NOT an application to a specific job. To apply for a specific job please click here and complete an online application.

When is the best time to reach you?

In which discipline do you work?
In which setting do you work?
Which setting are you most interested in learning about?