QRM is seeking an experienced Therapy/Rehab Program Manager well versed in Clinical Reimbursement and Patient Driven Payment Model (PDPM) in the arena of rehab relating to PT-PTA-OT-OTA-SLP. Must be a licensed clinician with multi-site management experience, background in operations and with clinical expertise; must be Physical Therapist/Assistant, Occupational Therapist (Assistant), or Speech-Language Pathologist/CCC, and reside near Houston, TX. Must have the ability to travel regularly throughout the entire TX region (including regular overnight travel). Please review all qualifications below carefully.
Job Summary:
This position provides extensive training, analysis, advice and consultation to the facilities and teams within his/her area of responsibility in the Illinois Region. Monitors, consults, and makes effective recommendations for changes and modifications to existing facility processes, systems, policies, and practices which will assure efficient, effective and compliant rehab oversight and payment performance.
Key Responsibilities
- In-depth knowledge of reimbursement methodologies for therapy, specifically PDPM
- Provides consultation, training and support for assigned area
- Analyzes systems and processes to ensure compliance that federal and state regulations as well as company policies and procedures are followed
- Works in conjunction with teams to resolve issues, endorse changes and conduct follow-ups to establish that recommendations are effectively implemented and monitored for appropriateness.
- Promotes compliance by performing periodic audits of assessments, supporting documentation, and other relevant data.
- Recognizes, advises and promotes facility best practices and systems
- Prior experience working with Medicare rules, regulations, billing codes
- Understanding of HIPAA privacy rules and regulations
- Strong ability to communicate with others; excellent interpersonal and customer service skills
- Therapist with completion of degree in from accredited program and licensed in the state of employment
- Three to five years of clinical experience in a long-term care setting, which includes supervisory, administrative or consultative capacities
- MUST HAVE prior multi-site SNF management with a background in clinical processes. training and mentoring
- Current knowledge of computer technology and systems
- Ability to work independently with minimal supervision and guidance, yet successfully collaborate with teams internally and externally
- Extensive knowledge of PDPM, Medicare reimbursement, compliance and eligibility
- Experience with Rehab Optima or Net Health documentation systems
- BASED in TX- near Houston; must be willing and able to travel regularly (consistent overnight travel required).
