At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
Job Summary
Collaborates with leadership, clinical, health information, compliance, in managing ongoing documentation oversight and training for inpatient clinical staff. Focus areas include but are not limited to: accuracy of functional status (GG, FIM) and quality measures - pressure injuries, infections, falls, cognitive/mental status, drug regimen review, medication reconciliation and physician IRF specific documentation requirements. Partners with inpatient team members to maximize accuracy of documentation and associated scoring and to achieve consistency between clinical documentation, quality measures, and assessment scores. Assures accuracy of documentation and QM; minimizes variances with national and regional data. Optimizes reimbursement through accurate scoring. Ensures compliance with the US FIM/GG credentialing program and CMS QM regulation. Participates in applicable committees.
Qualifications
Key Responsibilities
• Manages a comprehensive, continuous training program of clinical staff on all shifts to maximize comfort level, skill, and inter-rater reliability with assessment process and accurate FIM/GG and QM scoring. Provides education through a variety of methods, beginning with new employee orientation, skills fairs, e-mail instruction, participation in staff meetings, 1:1 instruction.
• Assesses consistency of assessment information between IRF- PAI entries and clinical documentation; works with CDI, Coding and Outcomes colleagues to develop metrics and report effort.
• Follows up as applicable with front line staff and reports findings and identifies areas for focused process improvement to department managers and appropriate committees on a regular basis.
• Assesses variances with national data; reports findings and collaborates with leadership team to develop focused process improvement initiatives.
• Consults with nursing, therapy and informatics managers to design, maintain, and evaluate data collection tools to meet established goals for the improvement and maintenance of FIM/GG/QM accuracy.
• Collaborates with Outcomes Manager to maintain UDS credentialing program.
• Oversees electronic documentation system (Medilinks, Epic…) training; partners with informaticists.
• Tracks impact of FIM/GG documentation in UDS to identify opportunities for improvement and financial impact.
• CARF and Joint Commission outcomes management and performance measurement standards are monitored to ensure compliance.
• Participates in interdisciplinary committees to advance established goals.
• Additional department, organization, or network activities are completed per established objectives.
• PCC Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.
• Adheres to and promotes SRN compliance standards.
Qualifications and Experience
Education/Degree
Required
• Current MA license in Nursing, Physical Therapy, Occupational Therapy, or Speech/Language Pathology Preferred
Experience Required
• 5 years’ experience working in a health care setting
Preferred
• Strong preference for experience in a rehabilitation setting; experience in health care data analysis desired.
Licensure
Required
• Current Massachusetts license as a Registered Nurse or Allied Health field required.
Skills
Required
• Ability to critically analyze findings and identify trends. Ability to apply basic statistics. Exposure to research design and evaluation techniques desired.
• Computer proficiency required. Microsoft office applications preferred with ability to learn new software.
Preferred
• Highly developed communication and interpersonal skills, working with diverse populations.
• Work independently, be self-directed and contribute as a member of a team.
• Anticipate challenges; able to develop and implement strategies for addressing them.
• Committed to a high level of service delivery. Demonstrates initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
Additional Job Details (if applicable)
Remote Type
Hybrid
Work Location
300 First Avenue
Scheduled Weekly Hours
20
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
The Spaulding Rehabilitation Hospital Corporation is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.