Rehab Guidelines Project Coordinator

  • Shriners Hospitals for Children
  • Jan 05, 2021

Job Description

POSITION SUMMARY: The Rehab Guidelines Project Coordinator will support the Corporate Director Rehabilitation and Therapy Services in coordinating, initiating education and monitoring of guidelines. The Rehab Guidelines Project Coordinator will work extensively with 22 Shriners Hospitals for Children (SHC) facilities, and affinity teams as projects are initiated. The Coordinator will coordinate highly complex projects supporting strategic-level initiatives on compliant workflow, as well as being responsible for leading teams u sing standard project and problem solving methodology and tools to make data driven decisions. The Coordinator will support the building of compliant volume and expand ing the reimbursable book of sustainable business for Rehabilitation, Therapy Services and Motion Analysis Centers. The person in this position will drive the education of staff to address the highly regulated and changing state, federal, third-party regulatory requirements and clinical guidelines, which drive daily compliant therapy processes and revenue, as well as collect system metrics for the various programs within Rehabilitation. This position will report to the Corporate Director of Rehabilitation, and provides support to Therapy Services and Motion Analysis Centers including: Physical Therapy Occupational Therapy Speech Therapy Child Life Therapy Seating (Wheel Chair). Recreational Therapy Motion Analysis Centers (MACS) Audiology POSITION RESPONSIBILITIES: Facilitates adherence with all relevant federal, state, legal, payor regulatory and scope of practice requirements across the enterprise for Acute Medical Rehabilitation, Outpatient Therapy Services and Movement Analysis Centers Works with the Directors of Rehabilitation Services to develop, maintain, implement and review education, policies, procedures, and associated documents for the compliant operation of Therapy Services and MAC Services Provides formal education, job aides, guidance and support to Directors of Rehabilitation, licensed staff and MAC as it relates to coding, documentation and other regulatory aspects for effective and compliant service delivery Maintains current knowledge of the statutory and regulatory guidelines affecting Acute, Medical Rehabilitation, Outpatient services and MAC programs and top referral carriers Maintains working knowledge of CARF standards and how that effects day-to-day guidelines and regulatory-related operational processes Coordinates local inpatient Rehabilitation, Therapy Services and MAC self-audits and education action plans Analyzes, assesses, interprets guidelines and recommends improvements for existing clinical processes, systems and practices using technology, databases, reports, surveys, audits and other source data to advance Medical Affairs/Patient Care Services strategic initiatives for educational interventions Supports metric development for aggregate and site specific key indicators with the Directors of Rehabilitation for Education and ongoing competency maintenance Builds and maintains core dashboards using SHCIS and Mede analytics for system, sites and service lines and CARF accreditations in work processes Identifies opportunities for improving efficiency and competencies to incorporate regulatory activities, and CARF accreditations in work processes Participates in hospital site visits/virtual visits to identify any operational, guidelines and regulatory issues necessitating education as needed Incorporates state scope of practice requirements in all guideline and regulatory decision making within all work performed Fosters teamwork and active communication within rehabilitation, outpatient therapy services and MAC services; working with other HQ departments as needed to coordinate activities and ensure a unified message THE QUALIFIED CANDIDATE WILL HAVE EXPERIENCE IN THE FOLLOWING AREAS: Rehabilitation and/or Outpatient Therapy Services management and/or supervisory experience in regulatory, coding and documentation requirements required Healthcare system experience required Rehabilitation EMR experience required Demonstrable experience with state, regulatory, QIO, managed care organization and/or clear responsibility for Rehabilitation, Outpatient Therapy Services Regulatory required Demonstrable experience in remote and webinar training required Demonstrable experience with building curriculum, competency and ongoing testing in Rehab using adult education standards and principles required Therapy services auditing experience required Experience in Inpatient Rehabilitation, Subacute, CORF, CARF, Movement/Functional Analysis Labs/Centers, and/or outpatient services required Experience in Therapy payor guidelines research and extraction of key concepts required Experience in prior authorization processes and medical necessity criteria required Experience in Pediatric Medicaid required Experience in Pediatrics required MINIMUM EDUCATION REQUIRED/PREFERRED: Bachelor’s degree in related field required Master’s degree or advanced clinical degree in related field preferred Transitional clinical doctorate preferred Physical Therapist or Occupational Therapist with active license in states where SHC is located required Member of APTA or AOTA required


KNOWLEDGE, SKILLS, AND COMPETENCIES: Current knowledge of laws governing regulatory practices in Rehabilitation and Outpatient Therapy Services Project management experience Excellent oral, written, presentation and communication skills with comfort presenting information to audiences of different sizes, organizational levels and board members using different educational modalities Able to build educational curriculum in competency driven modules using power point and other remote educational modalities for use in different states and time zones Able to effectively and clearly present complex material using power point and other educational modalities Able to handle confidential and sensitive information while maintaining an exceptional level of ethical business conduct Excellent skills in MS Office Suite; Excel; web-based education Excellent computer skills Demonstrated ability to build, create and modify learning and resource materials for all levels of staff for licensed therapists and MAC staff Demonstrated ability to research and extract regulatory standards for Rehabilitation, Therapy and/or MAC services Ability to develop and manage projects independently with minimum supervision Willingness to gain and maintain a working understanding and/or proficiency of Shriners Hospitals’ clinical practices, processes, systems and data sources related to therapy services, therapeutic services and movement analysis Demonstrates an informed and professional attitude by being prompt and competent Strong working relationships with SHC Rehabilitation and Motion Analysis Center Directors, SHC site leaders and corporate team leads Strong working relationship with HQ and Regional cross functional management teams Strong and thorough knowledge of federal and state regulations Strong working knowledge and experience in regulatory requirements Strong working knowledge and experience in conducting and directing regulatory reviews and audits Proven ability in communicating appropriate policy and procedural changes related to research and audit findings Strong ability to train staff that are remote and in different states and time zones Ability to advise others on process, application of guidelines, exceptions, and corrective actions Broad range of skill from setting guidelines to orchestrating implementation and maintenance of regulations Continuous review of current laws and regulations provides periodic updates to the organization

Employment Type (feed only)