RN PPS Coordinator Case Manager
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Job Location:
Natchez, MS - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
We offer a comprehensive benefits package that supports both your professional and personal life including:
Competitive compensation
Paid time off for vacations holidays and illness
Health insurance (medical dental vision prescription)
401(k) retirement savings plan
Education and student loan assistance
Life and disability insurance
Flexible spending account
Why Merit Health Natchez
At Merit Health Natchez we know your career is more than just a jobits about finding a place where you are respected supported and where your work has real purpose. We are committed to creating a collaborative compassionate environment where your skills are valued your growth is encouraged and your impact is meaningful.
Our team members are dedicated to improving the health and well-being of the communities we serve throughout southwest Mississippi and beyond. As part of a strong community-focused hospital youll work alongside caring professionals in a supportive atmosphere that values teamwork integrity and excellence in care.
About Natchez Mississippi
Located on the banks of the Mississippi River Natchez is one of the states most historic and scenic cities. Known for its beautifully preserved antebellum homes rich cultural heritage and Southern charm Natchez offers a peaceful small-town atmosphere with plenty to explore.
The city is home to vibrant festivals riverfront views walking trails and a growing downtown filled with local shops and restaurants. Whether youre drawn to the history the slower pace of life or the close-knit community Natchez is a beautiful place to live and workwith a quality of life that feels both timeless and welcoming.
Job Summary
The Medicare IRF PAI Coordinator ensures the accuracy and completeness of patient documentation to support compliance with CMS guidelines for admission assessment and reimbursement within an Inpatient Rehabilitation Facility (IRF). This role manages the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) coordinates interdisciplinary input and ensures timely transmission of data to CMS. The Coordinator also provides training and education to staff on IRF documentation standards and regulatory updates.
Essential Functions
- Reviews patient medical records to ensure documentation supports CMS requirements for IRF admission and reimbursement.
- Completes and submits the IRF-PAI accurately and on time coordinating with interdisciplinary team members to gather required data.
- Assigns IRF-PAI sections to appropriate team members monitors completion timelines and resolves discrepancies in assessment scoring.
- Transmits IRF-PAI data to CMS via appropriate systems (e.g. UDS) and ensures alignment with CMS coding and documentation standards.
- Audits medical record documentation and coding for accuracy collaborating with coding and clinical teams to address inconsistencies.
- Educates staff and physicians on IRF-PAI requirements scoring methodology CMS updates and documentation best practices.
- Assists with onboarding and training of new team members on IRF processes and assessment standards.
- Participates in internal audits quality improvement initiatives and compliance activities related to IRF standards.
- Maintains confidentiality in accordance with HIPAA and represents the facility professionally in all interactions.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
Qualifications
- Associate Degree in Nursing Therapy Health Information Management or related field required
- Bachelors Degree in a healthcare-related field preferred
- 2-4 years of experience in inpatient rehabilitation or medical record review preferred
- 1-2 years of experience with IRF-PAI completion and CMS documentation standards preferred
Knowledge Skills and Abilities
- In-depth understanding of CMS IRF-PAI guidelines and regulatory requirements.
- Knowledge of medical terminology coding and clinical documentation improvement.
- Strong organizational and time management skills to meet regulatory deadlines.
- Ability to communicate effectively with clinical and non-clinical staff.
- Proficiency with rehabilitation software systems (e.g. UDS) and EMR platforms.
- Strong attention to detail and critical thinking skills.
- Ability to deliver education and facilitate training for interdisciplinary teams.
Licenses and Certifications
- RN - Registered Nurse - State Licensure and/or Compact State Licensure in state of Tennessee or compact state required
- BCLS - Basic Life Support required
- ABLS - Advanced Burn Life Support required
INDNUR
To apply please email
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
For more than 40 years, CHS has been developing and operating healthcare delivery systems committed to helping people get well and live healthier.
