Acute Rehabilitation Hospital of Plano ยท 3 weeks ago
Director of Quality Management
Plano, TX
Full-time
Onsite
Lead/Staff, Director/Executive
3+ years expAcute Rehabilitation Hospital of Plano is a facility specializing in high-quality rehabilitative care, seeking a Director of Quality Management to join their leadership team. The role involves overseeing quality, compliance, and performance improvement initiatives to ensure regulatory excellence and support high-quality patient outcomes.
Health CareHospitalHospitalityOutpatient CareRehabilitation
Responsibilities
Lead all aspects of the RCD program, including cycle management, submissions, and CMS timelines
Monitor affirmation and approval rates; implement corrective actions to maintain compliance and reduce review burden
Oversee response to Additional Documentation Requests (ADRs)
Ensure adherence to IRF coverage criteria (42 CFR 412.622), including:
Medical necessity documentation
Therapy intensity requirements
Physician supervision standards
Maintain readiness for CMS audits and external reviews
Maintain working knowledge of CIHQ regulations and accreditation standards
Direct the hospital-wide QAPI program, prioritizing high-risk and problem-prone areas
Integrate IRF-QRP and IRF-PAI data into performance dashboards
Report quality outcomes to hospital leadership and governing body
Develop and enforce documentation standards for:
Pre-admission screening
Individualized plans of care
Team conference documentation
Therapy documentation
Partner with coding and revenue cycle teams to reduce clinical and technical denials
Provide ongoing education to physicians, therapists, and case managers on:
RCD requirements
Medical necessity standards
Documentation best practices
Create tools, templates, and job aids to support accurate and timely documentation
Track and analyze key performance indicators including:
Affirmation rates
Denial trends
Compliance scores
Prepare executive-level reports demonstrating regulatory compliance and quality outcomes
Qualification
Required
Bachelor's degree in Nursing, Healthcare Administration, Physical Therapy, Occupational Therapy, or related field
Active, unrestricted RN, PT, or OT license
Minimum 3+ years of leadership experience in inpatient rehabilitation
Strong working knowledge of CMS IRF regulations
Strong working knowledge of Prospective Payment System (PPS)
Strong working knowledge of QAPI standards
Preferred
Master's degree in related field
Benefits
Medical Insurance
Dental Insurance
Vision Insurance
Company Paid Life Insurance
401k Retirement Savings
Supplemental Voluntary Benefits
Paid Time Off with Cash-Out and Donation Options
Paid Holidays
Pay on Demand - Payday Advance
Gym Membership and Fitness Program Discounts
Employee Discounts on Everyday Purchases and Services
Access to Automobile and Home Insurance Marketplace and more!
Company
Acute Rehabilitation Hospital of Plano
Acute Rehabilitation Hospital of Plano (formerly known as Accel Rehabilitation Hospital of Plano) is a 42-bed inpatient rehabilitation facility offering cutting edge comprehensive acute rehabilitative care in an immaculate, comfortable and newly updated Plano hospital in the north Dallas, Texas, area.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase