Coordinate with primary care physician (PCP) sites to prepare for their initial and periodic site reviews. Review pertinent provider data and status as it relates to the Facility Site Review requirements and functions. (20%)
Interview provider site's office staff for educational needs to prepare for their site reviews. Coordinate site and educational packets to the provider as needed and notify Nurse Reviewers of site reviews needed to schedule. (15%)
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. (15%)
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. (15%)
Coordinate Nurse Reviewers scheduled audits and appropriate site review packets for PCP scheduled sites and other appropriate types of audits. (10%)
Review, prepare, and coordinate with Nurse Reviewers periodic full scope reviews due for a site review three months prior to the expiration date. (10%)
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 DHC requirements. (5%)
Perform other duties as assigned. (10%)
