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Facilitates and manages the admissions and discharge to and from the Acute Inpatient Rehab unit. Ensures documentation in patient’s medical records is accurate, detailed and supports all CMS guidelines for admission and reimbursement. The position involves acting as liaison between other hospitals, the physician, staff, and rehabilitation unit to facilitate the admissions process for internal and external referrals. Provides pre-admission assessment of patient candidates for the unit, including the determination of the discharge plan, and obtaining Medical Director and business office/insurance company approval. Functions as a vital member of the interdisciplinary team.  Is knowledgeable and stays abreast of Medicare regulations affecting the Inpatient rehabilitation facility so appropriate reimbursement can be realized.  Educates and ensures staff is knowledgeable in accurate Quality Indicator assessment and documentation.  Audits charts to ensure competency with reimbursement guidelines. Evaluates and works to improve outcome measurements.  Participates in performance improvement activities. 

EDUCATION, EXPERIENCE, TRAINING

1.    Current valid state license as a Registered Nurse, License Practical Nurse, or Social Worker.

2.    Two (2) years of experience in an acute rehab area preferred. At least one year experience in Case Management, discharge planning or nursing management preferred.

3.    BLS certification upon hire and maintain current.

4.    Knowledge of Milliman Criteria and InterQual Criteria preferred.