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    Facility Site Review Coordinator III - Los Angeles, United States - L.A. Care Health Plan

    L.A. Care Health Plan
    L.A. Care Health Plan Los Angeles, United States

    1 week ago

    Default job background
    Description

    Salary Range:
    $55, Min.) - $69, Mid.) - $82, Max.)

    Established in 1997, L.A.

    Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.

    We are the nation's largest publicly operated health plan.

    Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.


    Mission:
    L.A.

    Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

    Job Summary


    Under the general direction of the FSR Manager, the Facility Site Review (FSR) Coordinator III functions as subject matter expert in Coordinator roles and responsibilities.

    FSR Coordinator III provides training and updates to FSR coordinators and FSR new hires. FSR Coordinator III works with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies.

    Works with FSR Manager and Project Manager to streamline and improve FSR processes, implement new FSR system, and other projects as needed.

    The FSR Coordinator will attend internal meetings as designated.

    Duties


    As subject matter expert, services as a resource to FSR Coordinators, and FSR management with Facility Site Review Coordinator responsibilities.

    Serves as subject matter expert when representing FSR to other internal departments.

    Review pertinent provider data and status as it relates to the Facility Site Review requirements and functions. Works with department management and key stakeholders to resolve any concerns prior to site reviews.


    Coordinate site and educational packets to the provider as needed and notify Nurse Reviewers of site reviews needed to schedule.

    Reviews packet materials, recommends necessary updates or changes to management and key stakeholders.


    Coordinate information of provider data and/or status to update the FSR scheduling website daily to reflect requests from the L.A.

    County Collaborative Health Plans, Plan Partners, and L.A. Care's assigned site reviews in regards to PCP and/or site information change in status.

    Coordinate changes, additions, and removal of PCP status changes to the L.A. Care network and L.A. County Collaborative between the FSR and Provider Network Operations (PNO) departments and other departments as appropriate.


    Coordinate Nurse Reviewers scheduled audits and appropriate site review packets for PCP scheduled sites and other appropriate types of audits.


    Review, prepare, and coordinate with Nurse Reviewers periodic full scope reviews due for a site review three months prior to the expiration date.

    Document and track PCP status changes to the L.A. Care network and L.A. County Collaborative. Document and track Nurse Reviewers audits to ensure site reviews are scheduled timely and within DHCS requirements.

    Trains new FSR coordinators and other new staff as needed.

    Develops Desk Top Procedures on all core functions of the coordinator.

    Attends leadership meetings as needed.

    Collaborates with and keeps the Health Services Leadership apprised of operational issues, staffing issues, system and program needs. Actively identifies and implements efforts to improve the quality, effectiveness and efficiency of job functions.

    Communicates to supervisors any barriers to completing assignments or daily work in any efficient and effective manner.

    Assists co-workers with special projects or work volume as required. Actively identifies and implements efforts to improve the quality, effectiveness and efficiency of job functions.

    Actively identifies and makes recommendations to supervisor ideas to improve the quality effectiveness and efficiency of departmental and health services functions.

    Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner.

    Perform other duties as assigned.

    Duties Continued

    Education Required

    High School Diploma/or High School Equivalency Certificate

    Education Preferred

    Associate's Degree

    Experience


    Required:


    At least 0-2 years of experience with facility site review processes and requirements; or 5 years of healthcare experience in a similar field; or 5 years of coordination experience; or 5 years in an assistant/receptionist position.

    Skills


    Required:
    Excellent interpersonal and communication skills, both verbal and written.

    Ability to work effectively with various levels of the organization and external vendors/agencies.

    Excellent computer skills, MS Word, Access, and Excel.

    Excellent organizational skills.

    Proficient in problem solving.

    Ability to handle multiple priorities.

    Time management and priority setting skills.

    Licenses/Certifications Required

    Licenses/Certifications Preferred

    Required Training

    Physical Requirements

    Light

    Additional Information

    Salary Range Disclaimer:
    The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

    L.A. Care offers a wide range of benefits including


    • Paid Time Off (PTO)
    • Tuition Reimbursement
    • Retirement Plans
    • Medical, Dental and Vision
    • Wellness Program
    • Volunteer Time Off (VTO)

    Nearest Major Market:
    Los Angeles
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