Project Specialist ,Hospice

We are looking to hire a Hospice Project Specialist to help support our SNF Program .

Responsibilities include :

• Review hospice claims reports daily
• Processing of claims reports
• Create month end reports due  report before the 5th of the month
• All Health Plan Reports 
• Molina Report  
• Hospice – Total Enrolled w/in the Month (By campus RMG/LMG, Total Adds, Total Terms)
• Hospice – Total Enrolled w/in the month by HP
• Cal Optima Hospice Enrollment
• Burbank & Glendale Hospice reports 
• South D/C & Revocations Report
• Review and Submit Hospice Campus Reports All Campuses and separated North & South to Hospice Medical Director and Management
• Create South Region Weekly Admission Report
• Assists in coverage  of all assignments including but not limited to review of all Hospice authorizations when hospice prior authorization coordinator is out of office to ensure authorization remain in regulatory compliance
• Create hospice coordinator assignments on a monthly basis
• Assist with daily hospice coordinator assignments
• Assist with Prior Authorization processing 
• Audit Hospice coordinators and provide guidance
• Monitor hospice daily activities and ensure all hospice team task are completed in a timely manner and within compliance
• Create AD HOC hospice reports daily
• Assist hospice coordinators with daily activities during month end
• Assist with attachments and sending PCP letters 
• Maintain all hospice references (DOFRs, templates, etc.)
• Create hospice coordinator call out list for month end
• Review hospice term reports and perform necessary updates
• Review hospice coordinator productivity reports
• Ensure proper running order of hospice database if there’s any issues reach out to Decision Support team
• Any assigned projects

The pay range for this position at commencement of employment is expected to be between $22.00-$24.00/hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.