SDR Coordinator

Who We Are

PACE by IIH is empowering senior participants to age at home with dignity through personalized, comprehensive care plans that deliver high-quality health and human services along with strong community support. Through an interdisciplinary and participant-centered model of care, PACE by IIH is committed to improving quality of life, promoting independence, and providing compassionate support tailored to the unique needs of each participant. Our team works collaboratively to deliver innovative, community-based healthcare solutions that allow seniors to remain safely and comfortably in their homes while receiving the care and services they need to thrive.

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid sick time
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Job Summary

The Service Determination Request (SDR) Coordinator will be responsible for ensuring process compliance of services requested by participants.

Essential Job Functions

Duties include, but are not limited to:

• Ensure all SDRs are completed in accordance with regulatory requirements by Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS), and Innovative Integrated Health (IIH) standard operating procedures.
• Responsible for all documentation, notifications, and follow up of services provided as requested by participants and approved by the interdisciplinary team (IDT).
• Responsible for organizing IDT meetings, as needed, to complete the SDR process within the regulatory timeframe.
• Perform daily review of all pending SDRs in the electronic health records (EHR)
• Provide daily e-mail status summary to site leadership and Quality Improvement (QI) department.
• Conduct SDR training for staff as needed.
• Attend, participate, and facilitate staff meetings, in-services, and committees as assigned.
• Complete assigned projects.
• Adhere to and support the organization’s practices, procedures, and policies.
• Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
• Be flexible in the schedule of hours worked and follow time and attendance policies.
• May require use of personal vehicle.