• Physical Accessibility Review Survey Reviewer II

    LA Care Health Plan (Los Angeles, CA)


    Physical Accessibility Review Survey Reviewer II

     

    Job Category: Clinical

     

    Department: Facility Site Review

    Location:

    Los Angeles, CA, US, 90017

     

    Position Type: Full Time

     

    Requisition ID: 12717

     

    Salary Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (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, 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

    The Physical Accessibility Review Survey (PARS) Reviewer II is responsible for the coordination, execution, and report completion of the tri-annual physical accessibility review survey assessments required by the Department of Health Care Services (DHCS) and the Centers for Medicaid and Medicare Services (CMS). The assessment is conducted at all Primary Care Physicians (PCP) and high volume specialist sites and ancillary providers that include but not limited to behavioral health providers, Community Based Adult Services agencies, skilled nursing facilities, dialysis and others. This position also verifies primary care provider's availability onsite based on L.A. Care's minimum site hours requirements which is also required by DHCS. This position is responsible for completing and uploading audit findings which are shared with other Medi-Cal health plans in Los Angeles County.

    Duties

    Ensure SHCS compliance by inspecting and assessing physical site/facility for potential issues concerns using the DHCS Policy Letter 12-006 Attachment C and All Plan Letter 15-023 Attachments D and E and their respective guidelines or current versions. Data entry of plan-partner audits including but not limited to: PARS assessments, FSR Survey up to 150 points, and Medical Record Review up to 30 charts. Participation in PARS collaborative with plan-partners to improve efficiency and implementation of PARS assessment through various health plans. Educate L.A. Care's FSR staff on new policies and guidelines implemented by PARS collaborative. Monitor, track and distribute PARS assessment as they are tasked in. Ensure all PARS assessments are completed timely when first assigned and PARS assessments are redone every 3 years. Work with Plan Partners to ensure data is reconciled and duplicate work is not done. (60%)

     

    Complete audit reports accurately and timely. This includes but not limited to conducting secret shopper phone calls, completing unannounced verification site visits to, and making compliance recommendations. (15%)

     

    Provide technical assistance and resources and conduct education to providers and their staff regarding accessibility standards and Americans with Disabilities Act (ADA) requirements. (5%)

     

    Actively contribute to improve FSR department processes and outcomes. (5%)

     

    Attend trainings as appropriate and as directed. (5%)

     

    Perform other duties as assigned. (10%)

    Duties Continued

    Education Required

    High School Diploma/or High School Equivalency Certificate

    Education Preferred

    Experience

    Required:

    Minimum of 6 months of professional work experience interacting with professional level clients.

     

    Skills

    Required:

    Excellent writing and communication skills.

     

    Proficient in using Microsoft Word, Excel and others.

     

    Excellent organizational and time-management skills.

     

    Excellent attention to detail.

     

    Licenses/Certifications Required

     

    Licenses/Certifications Preferred

    Required Training

    Physical Requirements

    Light

     

    Additional Information

    Required:

    Travel to offsite locations for work.

     

    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.

     
     

    + Paid Time Off (PTO)

    + Tuition Reimbursement

    + Retirement Plans

    + Medical, Dental and Vision

    + Wellness Program

    + Volunteer Time Off (VTO)