PPS COORDINATOR
Thomasville, GA · On-site
Registered Nursing by the Nursing Board of Georgia, ASN or higher RELEVANT EXPERIENCE: Experience ... Medicare guidelines, coordinate data collection and documentation required for reimbursement.
PPS COORDINATOR
Thomasville, GA · On-site
Registered Nursing by the Nursing Board of Georgia, ASN or higher RELEVANT EXPERIENCE: Experience ... Medicare guidelines, coordinate data collection and documentation required for reimbursement.
Hospice Clinical Manager for Christian provider
Adel, GA · On-site
$93K - $100K/yr
... attention to detail • Registered nurse in the state with current licensure to practice ... of Medicare Hospice Certification Empyrean Hospice is an equal opportunity employer and considers ...
Hospice Clinical Manager for Christian provider
Adel, GA · On-site
$93K - $100K/yr
... attention to detail • Registered nurse in the state with current licensure to practice ... of Medicare Hospice Certification Empyrean Hospice is an equal opportunity employer and considers ...
Medicare Rn information
What are the key skills and qualifications needed to thrive as a Medicare RN, and why are they important?
To thrive as a Medicare RN, you need a comprehensive understanding of clinical nursing practices, Medicare regulations, and care coordination, typically supported by an active RN license and experience in case management or utilization review. Familiarity with Medicare documentation requirements, electronic health records (EHRs), and case management software is essential. Strong communication, attention to detail, and critical thinking skills help Medicare RNs effectively advocate for patients and collaborate with healthcare teams. These skills ensure compliance with regulations, optimize patient outcomes, and support efficient healthcare delivery within the Medicare system.
What does a Medicare RN do?
A Medicare RN is a registered nurse who specializes in providing care and managing cases for patients covered under Medicare, the federal health insurance program for people 65 and older or with certain disabilities. Their duties often include patient assessments, developing care plans, coordinating services, ensuring compliance with Medicare regulations, and educating patients and families about their healthcare options. They may work in hospitals, home health agencies, or long-term care facilities, helping to optimize patient outcomes while ensuring proper documentation for Medicare reimbursement.
What is the difference between Medicare Rn vs Home Health Nurse?
| Aspect | Medicare Rn | Home Health Nurse |
|---|---|---|
| Credentials | Registered Nurse license, Medicare certification | Registered Nurse license, home health certification |
| Work Environment | Hospitals, clinics, Medicare facilities | Patients' homes, community settings |
| Employer & Industry | Medicare providers, healthcare agencies | Home health agencies, hospice services |
| Search & Comparison Intent | Medicare Rn vs Home Health Nurse | Medicare Rn vs Home Health Nurse |
Both Medicare Rns and Home Health Nurses are registered nurses working within the Medicare system. While Medicare Rns often work in clinics or hospitals providing Medicare-related care, Home Health Nurses focus on delivering nursing services directly in patients' homes. Both roles require RN licensure, but their work environments and employer types differ, reflecting their specific patient care settings.
What are the typical challenges Medicare RNs face when coordinating patient care across multiple providers?
Medicare RNs often encounter challenges related to coordinating care among various healthcare providers, such as physicians, specialists, and home health agencies. Navigating different documentation systems and ensuring timely communication can be complex, especially when managing patients with multiple chronic conditions. Effective organization, strong communication skills, and a thorough understanding of Medicare guidelines are essential for overcoming these challenges and providing seamless care transitions.
What are popular job titles related to Medicare Rn jobs in Moultrie, GA?
For Medicare Rn jobs in Moultrie, GA, the most frequently searched job titles are:
What job categories do people searching Medicare Rn jobs in Moultrie, GA look for?
The top searched job categories for Medicare Rn jobs in Moultrie, GA are:
What cities near Moultrie, GA are hiring for Medicare Rn jobs?
Cities near Moultrie, GA with the most Medicare Rn job openings:
Full-time
Medical, Dental, Life, Retirement, PTO
Posted 4 days ago
Job description
PPS Coordinator - Inpatient Rehabilitation
Description:
EDUCATION REQUIREMENTS:
Registered Nursing by the Nursing Board of Georgia, ASN or higher
RELEVANT EXPERIENCE:
Experience preferred but not required, on-the-job training will be provided.
REQUIRED SKILLS:
Strong clinical assessment skills, excellent communication and interpersonal skills, effective problem solving and critical thinking skills, knowledge of electronic medical records.
RESPONSIBILITIES:
The PPS (Prospective Payment System) Coordinator/Case Manager will be responsible for coordinating patient care, managing discharge planning, ensuring regulatory compliance, and overseeing accurate documentation and reimbursement processes within inpatient rehab. This role serves as a liaison between patients, families and physicians, therapists, nursing staff and insurance providers to ensure outcomes and appropriate reimbursement. PPS coordinator will complete and maintain accurate IRF-PAI assessments, ensure compliance with CMS regulations and Medicare guidelines, coordinate data collection and documentation required for reimbursement.
PHYSICAL DEMANDS:
Sedentary work, requires sitting most of the time, but will involve walking or standing for brief periods of time. Some light lifting is required. Motor coordination, manual dexterity, and near - visual acuity are also required with or without prescription lenses/contacts.
SUPERVISES:
No one
SUPERVISED BY:
Nurse Manager, Inpatient Rehab and Chief Nursing Officer/VP
Perks/Benefits:
(for eligible employees):
Have optimal opportunity for career growth within our growing organization
Medical / Dental
Retirement Plan
PTO and paid life insurance
What Sets Us Apart
Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. We employ more than 2,500 people and boast an outstanding medical staff of nearly 200 qualified physician specialists. Our flagship hospital, Archbold Memorial Hospital, is a 264-bed hospital located in Thomasville, Georgia. Our system hospitals, also in Georgia, are Archbold Brooks Hospital in Quitman, Archbold Grady Hospital in Cairo, and Archbold Mitchell Hospital in Camilla.
For 100 years, Archbold has been synonymous with high-quality, compassionate medical care. While our exemplary facilities have helped us maintain an excellent reputation, our team members are what makes Archbold special.
You are unique. You have skills and a strong passion for helping people. You also have personal goals, and Archbold wants to help you achieve them. We are a diverse healthcare system that promotes teamwork, continuing education, and leadership, and we are committed to recruiting and retaining the best healthcare professionals to join our Archbold team.
What we offer:
We know that your time and expertise are valuable, and to help our employees be at their best and make the most of their employment experience, we offer a comprehensive and generous benefits package that helps our employees and their families meet the challenges of everyday living.
We strive to be a workplace of choice, and from high-quality medical and dental care benefits to retirement benefits that help build wealth for your future, Archbold is proud to offer our employees one of the best benefits packages in the area.
Below are a few of the benefits Archbold Medical Center offers to employees:
Mission
To provide safe, innovative and compassionate care for our communities.
Vision
A healthier region, stronger communities, meaningful work, and trusted care.
Description:
EDUCATION REQUIREMENTS:
Registered Nursing by the Nursing Board of Georgia, ASN or higher
RELEVANT EXPERIENCE:
Experience preferred but not required, on-the-job training will be provided.
REQUIRED SKILLS:
Strong clinical assessment skills, excellent communication and interpersonal skills, effective problem solving and critical thinking skills, knowledge of electronic medical records.
RESPONSIBILITIES:
The PPS (Prospective Payment System) Coordinator/Case Manager will be responsible for coordinating patient care, managing discharge planning, ensuring regulatory compliance, and overseeing accurate documentation and reimbursement processes within inpatient rehab. This role serves as a liaison between patients, families and physicians, therapists, nursing staff and insurance providers to ensure outcomes and appropriate reimbursement. PPS coordinator will complete and maintain accurate IRF-PAI assessments, ensure compliance with CMS regulations and Medicare guidelines, coordinate data collection and documentation required for reimbursement.
PHYSICAL DEMANDS:
Sedentary work, requires sitting most of the time, but will involve walking or standing for brief periods of time. Some light lifting is required. Motor coordination, manual dexterity, and near - visual acuity are also required with or without prescription lenses/contacts.
SUPERVISES:
No one
SUPERVISED BY:
Nurse Manager, Inpatient Rehab and Chief Nursing Officer/VP
Perks/Benefits:
(for eligible employees):
Have optimal opportunity for career growth within our growing organization
Medical / Dental
Retirement Plan
PTO and paid life insurance
What Sets Us Apart
Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. We employ more than 2,500 people and boast an outstanding medical staff of nearly 200 qualified physician specialists. Our flagship hospital, Archbold Memorial Hospital, is a 264-bed hospital located in Thomasville, Georgia. Our system hospitals, also in Georgia, are Archbold Brooks Hospital in Quitman, Archbold Grady Hospital in Cairo, and Archbold Mitchell Hospital in Camilla.
For 100 years, Archbold has been synonymous with high-quality, compassionate medical care. While our exemplary facilities have helped us maintain an excellent reputation, our team members are what makes Archbold special.
You are unique. You have skills and a strong passion for helping people. You also have personal goals, and Archbold wants to help you achieve them. We are a diverse healthcare system that promotes teamwork, continuing education, and leadership, and we are committed to recruiting and retaining the best healthcare professionals to join our Archbold team.
What we offer:
We know that your time and expertise are valuable, and to help our employees be at their best and make the most of their employment experience, we offer a comprehensive and generous benefits package that helps our employees and their families meet the challenges of everyday living.
We strive to be a workplace of choice, and from high-quality medical and dental care benefits to retirement benefits that help build wealth for your future, Archbold is proud to offer our employees one of the best benefits packages in the area.
Below are a few of the benefits Archbold Medical Center offers to employees:
- Work/Life Balance
- Planning for the Future
- Low-Cost Prescriptions
- Health & Wellness Benefits
- Planning for Life's Unexpected Moments
- Helping You to Advance Your Career
Mission
To provide safe, innovative and compassionate care for our communities.
Vision
A healthier region, stronger communities, meaningful work, and trusted care.
About Archbold medical group
Sourced by ZipRecruiter
Industry
Hospitals
Company size
1,001 - 5,000 Employees
Headquarters location
Thomasville, GA, US
Year founded
1925