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Job Description

Position Number:   120.6012.D62.006

Work Schedule:   Full Time 6:30p/6:30a

Average Hours per Week:   40

Travel Involved:  

Relocation package offered:  

Category:   Registered Nurse (RN)


The Case Manager/PPS Coordinator (Prospective Payment System) effectively communicates and collaborates with internal and external clinical professionals in the coordination of patient placement and care.  Assists the Case Management staff to efficiently organize and manage the patients (e.g. provides the CM staff with CMG LOS as a guide to projected LOS).  Works closely with the interdisciplinary team on data collection.  Coordinates with Medical Records to ensure correct coding and documentation. Provides feedback to all parties who document in the medical record (physicians, nursing, therapy) regarding documentation to support the inpatient rehabilitation admission. Provides timely and accurate transmission of information to CMS and UDSMR.  Maintains accurate electronic database.  Other tasks as assigned.

Job Requirements

EDUCATION/LICENSURE/CERTIFICATION REQUIREMENTS:   Associate or Bachelors degree in Nursing, Healthcare Administration, Health Information Technology or related field. EXPERIENCE REQUIREMENTS:  Minimum 5 years clinical experience with coding or RN experience. JOB KNOWLEDGE:  Negotiating skills which support the ability to interact with physicians, nursing staff, discharge planners and payers.  Excellent verbal and written communication skills.  Knowledge of clinical services, normative and health benefit plans, particularly coverage and limitation clauses.

Job Snapshot

Post Date 12/29/2013
Location San Antonio, TX
Employment Type Full-Time
Job Type Education, Training, Nurse, Health Care
Education 4 Year Degree
Experience At least 5 year(s)
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID D62
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