Director, Post Acute Assessments

2 weeks ago


Boston, Massachusetts, United States Spaulding Rehabilitation Hospital Full time
Job Summary

The Director of Post Acute Assessments is responsible for overseeing the accurate and timely completion of post-acute prospective payment and mandatory assessment instruments. This includes:

  • 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 Director of Post Acute Assessments supports, trains, and collaborates with the IRF PAI, MDS, and CARE tool staff and the Interdisciplinary Care Team to ensure regulatory compliance and assessment integrity. Under the direction of the Chief Compliance Officer, the Director facilitates improvement in the overall quality, completeness, and accuracy of CMS assessments to drive accurate quality reporting program information and revenue integrity.

Key Responsibilities

The Director of Post Acute Assessments is responsible for:

  • Managing CMS assessment operations, competencies, and regulatory compliance
  • Hiring, training, supporting, and guiding IRF PAI, MDS, and CARE tool staff to ensure timely completion and transmission of CMS assessments
  • Coordinating annual review of and response to proposed and final CMS rules
  • Ensuring a systematized workflow to ensure assessments are completed per required timeframes prescribed by CMS regulations
  • Collaborating with assessment and clinical staff to ensure timely patient assessment data collection for quality measure calculation and payment determination
  • Applying diplomacy and professionalism when interacting with physicians and clinical staff, especially when addressing missing or conflicting medical record information
  • Staying abreast of IRF-PAI, MDS, and CARE tool manual content and facilitating communication of and amending workflows related to changes
  • Monitoring compliance with data collection and submission deadlines for the IRF, SNF, and LTCH Quality Reporting Program (QRP)
  • Monitoring, managing, and/or developing work queues to assist in the completion and timely submission of data collection
  • Implementing internal controls to assure accuracy; gathering, formatting, and reporting data to the Compliance Officer monthly
  • Participating in quality improvement initiatives related to IRF PAI, MDS, and CARE tool data
  • Coordinating coverage with the assessment team to ensure timely completion of assessments
  • Responsible for gathering, analyzing, and trending statistical data; sharing with leadership and clinical teams to celebrate successes and identify opportunities for improvement
  • Reviews external (i.e., PEPPER) and internal data (i.e., outliers) to trend, track, and educate to improve outcomes
  • Assists with preparing and presenting clinical documentation monitoring/trending reports for review with physicians and hospital leadership
  • Is a liaison between the Assessment/Outcomes team and eCcare support
  • Manages relationships with CMS assessment IS vendors (UDS, LTRAX)
  • Exhibits skillful, up-to-date working knowledge of post-acute coding guidelines (Federal and State, etc...), researching websites, publications, reference materials, and educational opportunities. Collaborates with the Coding Manager to understand and adhere to coding policies and guidelines published in the "Coding Clinic" and coding department policies and procedures
  • Keeps current with CMS assessment regulatory changes, proposed and otherwise, through conferences, reference material, and review of current literature
  • Maintains confidentiality of all customer/hospital information
  • Demonstrates flexibility in changing work environment, adjusting work schedule accordingly
  • Upholds the Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence


  • Boston, Massachusetts, United States Spaulding Rehabilitation Hospital Full time

    Job DescriptionThe Director of Post-Acute Assessments will oversee the accurate and timely completion of post-acute prospective payment and mandatory CMS assessment instruments. This includes the Inpatient Rehabilitation Facility (IRF) - IRF Patient Assessment Instrument (IRF-PAI), Skilled Nursing Facility (SNF) - Minimum Data Set (MDS), and Long Term Care...


  • Boston, Massachusetts, United States Spaulding Rehabilitation Hospital Full time

    Job SummaryThe Director of Post-Acute Assessments is responsible for overseeing the accurate and timely completion of post-acute prospective payment and mandatory CMS assessment instruments. This includes the Inpatient Rehabilitation Facility (IRF) - IRF Patient Assessment Instrument (IRF-PAI), Skilled Nursing Facility (SNF) - Minimum Data Set (MDS), and...


  • Boston, Massachusetts, United States Spaulding Rehabilitation Hospital Full time

    Job DescriptionThe Director of Post-Acute Assessment Operations will oversee the accurate and timely completion of post-acute prospective payment and mandatory CMS assessment instruments. This includes the Inpatient Rehabilitation Facility (IRF) - IRF Patient Assessment Instrument (IRF-PAI), Skilled Nursing Facility (SNF) - Minimum Data Set (MDS), and Long...


  • Boston, Massachusetts, United States J&J Family of Companies Full time

    Cyber Risk Assessment DirectorJohnson & Johnson is seeking a highly skilled Cyber Risk Assessment Director to lead a team of security and risk professionals in conducting cybersecurity risk and compliance assessments. The ideal candidate will have a strong background in information security, cybersecurity controls, and industry frameworks, as well as...


  • Boston, Massachusetts, United States Spectra Medical Devices LLC. Full time

    Job Title: Market Development Director, Non-Acute HealthcareSpectra Medical Devices LLC. is seeking a highly skilled and experienced Market Development Director to lead the commercial strategy and execution of our product portfolio in the non-acute healthcare market segment throughout the USA.This is a high-profile role that will work cross-functionally to...

  • Physician Assistant

    2 days ago


    Boston, Massachusetts, United States Comprehensive Rehab Consultants Full time

    Transforming Healthcare through Compassionate CareAt Comprehensive Rehab Consultants, we're dedicated to revolutionizing the way skilled nursing facility (SNF) care is delivered. As a Nurse Practitioner or Physician Assistant in our Physiatry team, you'll play a vital role in enhancing and restoring functional ability and quality of life for patients with...


  • Boston, Massachusetts, United States Joslin Diabetes Center Full time

    Job Title: Director, Research AdministrationAt Joslin Diabetes Center, we are seeking a highly skilled and experienced Director, Research Administration to join our team. As a key member of our research administration department, you will be responsible for overseeing and managing all post-award grants administration operations and compliance...


  • Boston, Massachusetts, United States Joslin Diabetes Center Full time

    Job Title: Director, Research AdministrationAt Joslin Diabetes Center, we are seeking a highly skilled and experienced Director, Research Administration to join our team. As a key member of our research administration department, you will be responsible for overseeing and managing all post-award grants administration operations and compliance...


  • Boston, Massachusetts, United States Vertex Full time

    Job Title: Director, Health Information TechnologyJob Summary:Vertex is seeking a seasoned professional to lead our Health Information Technology (HIT) strategy and engagement efforts. As Director, HIT Strategy and Engagement, you will drive the implementation of technology solutions to support the awareness, trial, and appropriate utilization of VX-548, a...

  • Exercise Physiologist

    4 weeks ago


    Boston, Massachusetts, United States Fox Rehabilitation Full time

    Exercise Physiologist OpportunityFox Rehabilitation is seeking a highly skilled Exercise Physiologist to join our team in providing exceptional care to older adults in the post-acute rehabilitation setting.Key Responsibilities:Develop and implement personalized exercise programs to maintain functional levels in patients after discharge from rehabilitation...


  • Boston, Massachusetts, United States All Medical Personnel Full time

    Job Title: RN - Post OperationsJob Summary:As a Post-Operative Nurse, you will provide high-quality patient care to individuals recovering from surgical procedures. This role requires a strong understanding of critical care principles and the ability to work effectively in a fast-paced environment.Responsibilities:Direct patient care within the OR/GI LabUse...


  • Boston, Massachusetts, United States Commonwealth Care Alliance Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our Assessment Unit at Commonwealth Care Alliance. As a key member of our care team, you will conduct timely, high-quality assessments of our members to identify their clinical needs and develop individualized care plans.Key ResponsibilitiesConduct in-person assessments and clinical exams to...


  • Boston, Massachusetts, United States Jackson Nurse Professionals Full time

    Post Partum Travel Nursing Job in BostonWe are seeking a skilled Travel Post Partum RN to join our team at a state-of-the-art hospital in Boston, MA. As a Travel Post Partum Nurse, you will provide high-quality care to mothers and their newborns during the postpartum period.Job DetailsSpecialty: Post Partum RNTravel Post Partum (PP) Registered Nurse: Boston,...


  • Boston, Massachusetts, United States All Medical Personnel Full time

    Job DescriptionAs a Post-Operative Nurse, you will provide critical care to patients as they recover from surgical procedures. With a strong background in medical-surgical environments or emergency medicine, you will be equipped to identify potential complications and take swift action.Key Responsibilities:Direct patient care within the OR/GI LabUtilize...


  • Boston, Massachusetts, United States 2Life Communities Full time

    Job Title: Director of Resident ServicesAt 2Life Communities, we are seeking a highly skilled and compassionate Director of Resident Services to join our team. As a key member of our leadership team, you will be responsible for overseeing and participating in the development and delivery of support services and engaging programs for all residents.Key...

  • Medical Director

    2 days ago


    Boston, Massachusetts, United States Optum Full time

    Optum Medical Director OpportunityAt Optum, we are committed to delivering high-quality healthcare services that improve the lives of our patients and communities. We are seeking a highly skilled and experienced Medical Director to join our team.Key Responsibilities:Provide daily utilization oversight and external communication with network physicians and...


  • Boston, Massachusetts, United States Ramboll Group AS Full time

    About the RoleWe are seeking an experienced Environmental Impact Assessment (EIA) Lead Consultant to join our US Impact Assessment department. As a key member of our team, you will play a crucial role in coordinating statutory EIA and non-statutory environmental assessment processes required to support major development proposals primarily in the energy...


  • Boston, Massachusetts, United States Vertex Full time

    Job Title: Director, Health Information TechnologyJob Summary:Vertex is seeking a seasoned professional to lead our Health Information Technology (HIT) strategy and engagement efforts. As Director, HIT Strategy and Engagement, you will identify and drive the implementation of technology solutions to support the awareness, trial, and appropriate utilization...


  • Boston, Massachusetts, United States 2LIFE COMMUNITIES Full time

    Job Title: Director of Resident ServicesWe are seeking a highly skilled and compassionate Director of Resident Services to join our team at 2Life Communities. As a key member of our leadership team, you will be responsible for overseeing and participating in the development and delivery of support services and engaging programs for all residents.Key...


  • Boston, Massachusetts, United States Joslin Diabetes Center Full time

    Director, Research Administration for Post-AwardUnder the direction of the Executive Director for Research Administration, the Director, Research Administration for Post-Award will oversee and manage all post-award grants administration operations and compliance functions as performed by the Office of Sponsored Research. This role will ensure that all...