QRM ยท 6 days ago
Regional Therapy Director
Houston, TX
Full-time
Hybrid
Lead/Staff, Director/Executive
3+ years expQRM 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 Physical, Occupational, and Speech Therapy. The role involves providing training, analysis, and consultation to facilities in the TX Region, ensuring compliance with regulations and policies while promoting best practices in rehab oversight and payment performance.
Health CareHospitalRehabilitation
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
Qualification
Required
NC licensed PT/PTA/OT/OTA/SLP
Multi-site SNF management experience
Background in operations and clinical expertise
Ability to travel overnight regularly throughout the entire TX region
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 with federal and state regulations as well as company policies and procedures
Works in conjunction with teams to resolve issues, endorse changes and conduct follow-ups
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 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
BASED in the Houston or Ft. Worth, TX area; must be willing and able to travel within and around the TX region, including regular overnight travel
Preferred
Reside in the Houston, TX or Ft. Worth, TX area
Experience with Rehab Optima or Net Health documentation systems
Benefits
Full benefits
Company
QRM
QRM provides rehab management and patient care services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Freda Mowad
CEO
L.D. Ivy
Chief Financial Officer
Recent News
Business Wire
2024-04-15
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