RN-PPS/MDS Coordinator

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Work Shift

Department

QUALIFICATIONS

License /Certification

Required:

CA RN license

BLS

Preferred: Resident Assessment Coordinatior Certificate (RAC-CT)

Education
Preferred: BSN, MSN, or currently enrolled in RN-BSN program.

Experience
Preferred: Experience with standardized outcome measures such as the FIM.

Department Specific Requirements

For the Transitional Care setting: experience as a licensed nurse in providing direct nursing care to the aged, chronically ill, developmentally disabled, or disoriented persons in a long term facility preferred.

For acute rehabilitation: candidate should have at least 1-2 years clinical experience as an RN,OT, or PT, in an inpatient rehabilitation setting.

JOB RESPONSIBILITIES

Essential

Oversees the timely and accurate completion of all documentation required for compliance with PPS (Prospective Payment System). Coordinates, evaluates, and transmits PPS documents for service area.

Monitors RUG category to assure classification matches each MDS if in Transitional Care services. Monitors case mix groupings for acute rehabilitation.

Monitors quality indicators from software system and reports to Director of Nursing. (Transitional Services only).

Monitors completion of required documentation by licensed staff and identifies problem areas. Facilitates team collaboration to ensure appropriate classification of patients. Provides education as needed to clinical staff regarding PPS requirements. Stays current with any regulatory changes related to PPS and educates staff.

Acts as a liaison with the billing department.

Addendum (essential for specific dept)

REHABILITATION:

Produces quarterly rehabilitation program evaluation report, including assessment of data related to customer satisfaction, functional outcomes, required data assessment for specialty accreditation in CVA and amputee, referral patterns. Presents report to PI committee, assists as required in sharing results at department staff meetings. Identifies training needs and opportunities for improvement in performance. Provides training in collaboration with leadership. Plans and implements improvement projects using PDCA model. Monitors for effectiveness and modifies as needed. Collaborates with nursing and therapy leadership to develop consensus regarding targeted improvements, priorities, time frames, measurement indicators and threshold for success. Works closely with PI liaison to incorporate best practices in performance improvement into approach. Serves as rehabilitation services quality expert.

Additional

Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.

Performs other duties as assigned.

Pay Range

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.