Spaulding Rehabilitation
Director, Post Acute Assessments
Spaulding Rehabilitation, Boston, Massachusetts, us, 02298
Spaulding Rehabilitation - Director, Post Acute Assessments
Charlestown, MassachusettsJob SummaryThe CMS Assessment Director is responsible for overseeing the accurate and timely completion of the post-acute prospective payment and mandatory CMS assessment instruments:Inpatient Rehabilitation Facility (IRF) - IRF Patient Assessment Instrument (IRF-PAI)Skilled Nursing Facility (SNF) - Minimum Data Set (MDS)Long Term Care Hospital (LTCH) - Continuity Assessment Record and Evaluation (CARE tool)The CMS Assessment Director supports, trains, and collaborates with the IRF PAI, MDS, and CARE tool staff and the Interdisciplinary Care Team to assure regulatory compliance and assessment integrity. Under the direction of the Chief Compliance Officer, facilitates improvement in the overall quality, completeness, and accuracy of CMS assessments to drive accurate quality reporting program information and revenue integrity.Key ResponsibilitiesManage CMS assessment operations, competencies, and regulatory compliance.Hire, train, support, and guide IRF PAI, MDS, and CARE tool staff to ensure timely completion and transmission of CMS assessments.Coordinate annual review of and response to proposed and final CMS rules.Ensure a systematized workflow for timely completion of assessments as prescribed by CMS regulations.Collaborate with assessment and clinical staff for timely patient assessment data collection.Apply diplomacy and professionalism when interacting with physicians and clinical staff.Stay abreast of IRF-PAI, MDS, and Care Tool Manual content and facilitate communication of changes.Monitor compliance with data collection and submission deadlines for quality reporting.Implement internal controls to assure accuracy and report data to Compliance Officer monthly.Participate in quality improvement initiatives related to CMS assessments.Coordinate coverage with the assessment team to ensure timely completion of assessments.Gather, analyze, and trend statistical data; share with leadership for improvement opportunities.Review external and internal data to trend, track, and educate for better outcomes.Prepare and present clinical documentation monitoring/trending reports.Act as a liaison between the Assessment/Outcomes team and eCcare support.Manage relationships with CMS assessment IS vendors.Maintain up-to-date knowledge of post-acute coding guidelines and collaborate with the Coding Manager.Keep current with CMS assessment regulatory changes through conferences and literature.Maintain confidentiality of all customer/hospital information.Demonstrate flexibility in changing work environment.Uphold the Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence.Other duties as assigned.QualificationsGraduate of an accredited School of Nursing, CRRN Preferred.Current licensure from the Massachusetts Board of Registration to practice professional nursing.Experience as an MDS, IRF PAI, or CARE tool coordinator, certification preferred.Minimum of 5 years experience in clinical nursing or case management.Knowledge of post-acute regulatory/accreditation requirements.Basic knowledge of coding/classification systems for inpatient CMG, PDPM, and DRG payment systems.Computer proficiency required, with Microsoft Office applications preferred.High level of service delivery with initiative and ability to prioritize work.Ability to work independently and as a team member.Ability to present information in writing and presentation form.Maintain a variable work schedule to meet department needs.EEO Statement:
Spaulding Rehabilitation is an Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to protected status.Primary Location:
MA-Charlestown-SRH Spaulding Rehabilitation Hospital BostonWork Locations:
SRH Spaulding Rehabilitation Hospital Boston, 300 1st Avenue, Charlestown 02129Job:
Professional/ManagerialOrganization:
Spaulding Hospital–Boston & Cambridge(SRN,SRH,SHC)Schedule:
Full-timeStandard Hours:
40Shift:
Day JobEmployee Status:
RegularRecruiting Department:
SHC Compliance & Outcomes
#J-18808-Ljbffr
Charlestown, MassachusettsJob SummaryThe CMS Assessment Director is responsible for overseeing the accurate and timely completion of the post-acute prospective payment and mandatory CMS assessment instruments:Inpatient Rehabilitation Facility (IRF) - IRF Patient Assessment Instrument (IRF-PAI)Skilled Nursing Facility (SNF) - Minimum Data Set (MDS)Long Term Care Hospital (LTCH) - Continuity Assessment Record and Evaluation (CARE tool)The CMS Assessment Director supports, trains, and collaborates with the IRF PAI, MDS, and CARE tool staff and the Interdisciplinary Care Team to assure regulatory compliance and assessment integrity. Under the direction of the Chief Compliance Officer, facilitates improvement in the overall quality, completeness, and accuracy of CMS assessments to drive accurate quality reporting program information and revenue integrity.Key ResponsibilitiesManage CMS assessment operations, competencies, and regulatory compliance.Hire, train, support, and guide IRF PAI, MDS, and CARE tool staff to ensure timely completion and transmission of CMS assessments.Coordinate annual review of and response to proposed and final CMS rules.Ensure a systematized workflow for timely completion of assessments as prescribed by CMS regulations.Collaborate with assessment and clinical staff for timely patient assessment data collection.Apply diplomacy and professionalism when interacting with physicians and clinical staff.Stay abreast of IRF-PAI, MDS, and Care Tool Manual content and facilitate communication of changes.Monitor compliance with data collection and submission deadlines for quality reporting.Implement internal controls to assure accuracy and report data to Compliance Officer monthly.Participate in quality improvement initiatives related to CMS assessments.Coordinate coverage with the assessment team to ensure timely completion of assessments.Gather, analyze, and trend statistical data; share with leadership for improvement opportunities.Review external and internal data to trend, track, and educate for better outcomes.Prepare and present clinical documentation monitoring/trending reports.Act as a liaison between the Assessment/Outcomes team and eCcare support.Manage relationships with CMS assessment IS vendors.Maintain up-to-date knowledge of post-acute coding guidelines and collaborate with the Coding Manager.Keep current with CMS assessment regulatory changes through conferences and literature.Maintain confidentiality of all customer/hospital information.Demonstrate flexibility in changing work environment.Uphold the Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence.Other duties as assigned.QualificationsGraduate of an accredited School of Nursing, CRRN Preferred.Current licensure from the Massachusetts Board of Registration to practice professional nursing.Experience as an MDS, IRF PAI, or CARE tool coordinator, certification preferred.Minimum of 5 years experience in clinical nursing or case management.Knowledge of post-acute regulatory/accreditation requirements.Basic knowledge of coding/classification systems for inpatient CMG, PDPM, and DRG payment systems.Computer proficiency required, with Microsoft Office applications preferred.High level of service delivery with initiative and ability to prioritize work.Ability to work independently and as a team member.Ability to present information in writing and presentation form.Maintain a variable work schedule to meet department needs.EEO Statement:
Spaulding Rehabilitation is an Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to protected status.Primary Location:
MA-Charlestown-SRH Spaulding Rehabilitation Hospital BostonWork Locations:
SRH Spaulding Rehabilitation Hospital Boston, 300 1st Avenue, Charlestown 02129Job:
Professional/ManagerialOrganization:
Spaulding Hospital–Boston & Cambridge(SRN,SRH,SHC)Schedule:
Full-timeStandard Hours:
40Shift:
Day JobEmployee Status:
RegularRecruiting Department:
SHC Compliance & Outcomes
#J-18808-Ljbffr