We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Supervisor of Inpatient Coordinators manages daily work activities of Inpatient Coordinator team members and ensures quality care is provided to our members. The supervisor works to resolve departmental issues and serves as a link between Inpatient Coordinators and upper management. The supervisor is responsible for managing change within the department and is involved in the development and enforcement of departmental policies and procedures.

Job Responsibilities/Duties

• Oversees daily activities and processes for Inpatient Care Coordinators I, II, III & IV. This includes but is not limited to Monitoring the fax queues, accurate out-of-area checks, and designation of cases. Error-free authorization creation in Essette and IDX, calling for discharge confirmations, discharge planning coordination with the case manager, monitoring and ensuring timely PCP and specialist appointment set up in accordance with regulatory compliance protocols and company policy, monitoring the phone line queues and ensuring excellent customer service to providers and members. Monitoring the letter of agreement processing log, monitors California Children Services (CCS) and timeliness of social worker referrals. Tracking logs for NONMC and Post Stabilization Authorization (PSA). Provider communication memo and letter management. Monitors and assists with the after-hours team schedule and calendar creation. Monitors the creation of hospitalist on-call schedule. Monitors and assists with daily rounds of action item lists.
• Responsible for producing daily and monthly productivity reports for inpatient coordinators, fax processing, IDX referrals, phone lines, and member touches. Ensures corrections are completed timely for error reports, data integrity, Post Stabilization Authorization (PSA), and discharge assessment reports. Assist with the daily generating assignments of inpatient coordinators. Monitor health plan ADT reports and ensure the timeliness of the information.
• Participates in the hiring process. Coaching, counseling, and evaluating the performance of direct reports. Training and onboarding new hires.
• Assists and works with Inpatient Case Management leadership to develop process improvements for the inpatient coordinators.
• Assists with supervisory audits for inpatient coordinators to ensure compliance with DHCS, DMHC, and health plan regulatory requirements in the discharge assessment transition of care (Appointment set up and discharge planning arrangements) and Post stabilization Authorization (PSA) compliance of triage call intake.
• Special projects and other duties as assigned by inpatient case management leadership
  
  

Qualifications

Minimum Education: Associate Degree of Science in a health care-related field or equivalent education and experience required. Bachelor’s or master’s degree in health administration preferred.

Minimum Experience: Minimum of one (1) year experience in a lead or supervisory position in a health plan HMO/Managed care setting required. Three (3) years of experience in a lead or supervisor position in a health plan or HMO/Managed care setting.

Req. Certification/Licensure: None

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www.eeoc.gov/