Director, Post Acute Assessments

2 months ago

Boston, United States Spaulding Rehabilitation Hospital Full time
Job Description - Director, Post Acute Assessments (3303240)

Job Description

Director, Post Acute Assessments-(3303240)

Description

Job Summary

The 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. Collaborates with the Interdisciplinary Care Team to be successful in this role. Utilizes clinical and assessment coding knowledge while collaborating with physicians, nurses, other patient caregivers, and compliance, coding, clinical documentation integrity staff—Educates members of the patient care team on documentation guidelines and assessment regulatory requirements on an ongoing basis.

Key Responsibilities

·Manage 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 to ensure assessments are completed per required timeframes (admission, discharge, leave of absence) prescribed by CMS regulations.

·Collaborate with assessment and clinical staff to ensure timely patient assessment data collection for quality measure calculation and payment determination.

·Applies diplomacy and professionalism when interacting with physicians and clinical staff, especially when addressing missing or conflicting medical record information.

·Stay abreast of IRF-PAI, MDS, and Care Tool Manual content and facilitate communication of and amend workflows related to changes.

·Monitor compliance with data collection and submission deadlines for the IRF, SNF, and LTCH Quality Reporting Program (QRP).

·Monitor, manage, and/or develop work queues to assist in the completion and timely submission of data collection

·Implement internal controls to assure accuracy; gather, format, and report data to Compliance Officer monthly.

·Participate in quality improvement initiatives related to IRF PAI, MDS, and CARE tool data.

·Coordinates coverage with the assessment team to ensure timely completion of assessments.

·Responsible for gathering, analyzing, and trending statistical data; shares 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.

·Other duties as assigned

Qualifications

Qualifications and Experience

·Graduate 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 (AAAPACN, AANAC, UDS, EREHAB)

o

o

o

·Minimum of 5 years experience in either clinical nursing or case management

·Knowledge of post-acute regulatory/accreditation requirements.

·Basic knowledge of coding/classification systems appropriate for inpatient CMG, PDPM, and DRG prospective payment systems.

·Computer proficiency required. Microsoft Office applications preferred with the ability to learn new software. Excel for data management/interpretation. Epic experience desirable

·High level of service delivery. Demonstrate initiative with the ability to prioritize work, meet deadlines, and adapt to changing situations.

·Work independently, be self-directed, and contribute as a leading member of a team.

·Ability to present information in writing and presentation form.

·Maintain variable work schedule to meet department needs. (evenings, holidays, weekends, and travel).

  • Director, Post Acute Assessments

    4 weeks ago

    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 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...

  • Director of Post-Acute Assessments

    1 month ago

    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...

  • Director of Post-Acute Assessment Operations

    4 weeks ago

    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...

  • Director of Post-Acute Assessments

    4 weeks ago

    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...

  • Director, RN

    2 weeks ago

    Boston, United States Navvis (healthcare) Full time

    Job DescriptionDescriptionDescriptionAbout UsNavvis is a leading population health company, driving performance in value-based care. As an operating partner to some of the country’s most innovative health systems, physician enterprises, and health plans, we provide solutions that accelerate the journey to value-based care. Our approach is market-based –...

  • Cyber Risk Assessment Director

    2 weeks ago

    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...

  • Post-Secondary Program Director

    2 weeks ago

    Boston, Massachusetts, United States Summer Search Full time

    Transformative Post-Secondary Program Manager OpportunitySummer Search is seeking a highly motivated and experienced Post-Secondary Program Manager to join our team in Boston. As a key member of our program team, you will play a critical role in delivering innovative post-secondary programming that supports the success of our students.Key...

  • Care Transition Specialist, Lead

    4 months ago

    Boston, United States Brigham & Women's Hospital(BWH) Full time

    Care Transition Specialist, Lead / 40 hour Rotation - BWH Care Coordination - Post Acute Capacity GENERAL SUMMARY/OVERVIEW As a member of the Mass General Brigham - Care Continuum Management team, the Care Transition Specialist Lead will routinely perform Care Transition Specialist duties in addition to completing and supporting with analytical,...

  • Clinical Liaison Representative

    1 week ago

    Boston, Massachusetts, United States Spaulding Rehabilitation Hospital Full time

    Job SummaryClinical Liaison Representatives at Spaulding Rehabilitation Hospital play a vital role in ensuring a smooth transition of patients to post-acute services within Mass General Brigham's scope of care. As a key member of our team, you will participate in referral relations activities, conduct preadmission patient evaluations, and coordinate the...

  • Care Transition Specialist, Lead

    3 weeks ago

    Boston, United States Brigham and Women's Hospital Full time

    Description Care Transition Specialist, Lead / 40 hour Rotation - BWH Care Coordination - Post Acute Capacity GENERAL SUMMARY/OVERVIEW As a member of the Mass General Brigham - Care Continuum Management team, the Care Transition Specialist Lead will routinely perform Care Transition Specialist duties in addition to completing and supporting with analytical,...

  • Market Development Director, Non-Acute Healthcare

    1 month ago

    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 weeks 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...

  • Director of Post-Award Research Administration

    4 weeks ago

    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...

  • Director of Post-Award Research Administration

    3 weeks ago

    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...

  • Director, Research Administration

    1 month ago

    Boston, United States Joslin Diabetes Center Full time

    Under 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. Post-award responsibilities involve the administration of research projects to assure...

  • Director, Research Administration

    2 days ago

    Boston, United States Joslin Diabetes Center Full time

    Under 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. Post-award responsibilities involve the administration of research projects to assure...

  • Health Information Technology Director

    1 month ago

    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...

  • Post-Operative Nurse

    2 weeks ago

    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...

  • Director, Research Administration

    3 weeks ago

    Boston, MA, United States Joslin Diabetes Center Full time

    Under 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 ; Post-award respo

  • Nurse Assessment Specialist

    1 week ago

    Boston, Massachusetts, United States Commonwealth Care Alliance Full time

    Job SummaryCommonwealth Care Alliance is seeking a skilled Nurse Assessment Specialist to join our team. As a key member of our Assessment unit, you will conduct initial and ongoing face-to-face assessments for our enrollees, ensuring timely and accurate submissions to MassHealth. This role requires a registered nurse with a strong clinical background,...