What are the responsibilities and job description for the Specialized Medical Ability Resource Program (SMART Team) - Reviewer position at Virginia Foundation for Healthy Youth?
About Us
Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and driven by a singular goal : our patients' health. At WPMG, we take care of the whole person, with a team to address the fundamental, social, and emotional needs that contribute to total health. We are clinicians motivated by the desire to make a purposeful difference in the communities we serve, and in how health care is delivered.
Summary
Kaiser Permanente-Washington Permanente Medical Group is seeking a Part Time 0.5 FTE Reviewer for the Specialized Medical Ability Resource Program (SMART team) to join our WPMG HQ team in Renton, Washington.
Job Summary
The Reviewer will be an integral part of the Specialized Medical Ability Resource Program (SMARTeam) providing support to staff and members in need of assistance related to leave processes. The Reviewer deals with sensitive departmental and organizational matters, works independently, is responsible for auditing online requests for care gaps, completion of formulaic requests, and other duties as assigned. The position is expected to exercise latitude and judgment to perform job responsibilities and resolve problems within established procedures and guidelines.
Principal Duties & Responsibilities
- Monitor appointment completion and communicate to the reviewers.
- Complete formulaic requests following standard guidelines.
- Triage incoming staff messages, resolve or escalate as appropriate.
- Communicate effectively when working with clinicians to address disability related questions.
- Develop and maintain expertise in federal, state, and local disability related regulations and legislation, including, but not limited to FMLA, WPFMLA, etc., as well as Disability Duration Guidelines, and Milliman Criteria. Collaborates in on-going clinical review skills development and implementation of best practices.
- Outreach patients via phone and / or secure message to obtain information as appropriate (missing information on intake forms, coordination of appointments needed to fulfill certification requirements).
- Support WPMG goals and objectives to improve patient care, disability prevention and management.
- Other duties as required
Knowledge and Skill Required
Self-directed :
Problem Solving :
Communication :
Organization :
Teamwork and Collaboration :
Benefits
Benefits include : Medical / dental / vision benefits, 401(k) & employer-paid retirement contributions, paid vacation, long-term disability, long-term care benefits.
Community
Renton, with a population of 101,300, is located on the south shore of Lake Washington with spectacular views of the lake, the Olympics, the Cascades, and Mount Rainier. The Cedar River runs through the heart of downtown and offers an abundance of natural beauty and a run of federally endangered chinook salmon. The City is centrally located for access to the regions' transportation network, accessible by four state and three interstate highways, only minutes away from Seattle, Bellevue, Tacoma and Sea-Tac Airport. Renton's strong economic base, diverse marketplace and favorable business climate have attracted the attention of nationally recognized companies that are looking to provide employees and their families with an outstanding quality of life.
We are dedicated to building lifetime relationships with peers and patients in Washington State's richly diverse communities. Many know the Pacific Northwest as an attractive tourist destination with beautiful scenery, friendly people, and a host of cultural and recreational opportunities. These elements, and others, make Washington an excellent place to live.
Equity, Inclusion and Diversity
In our local communities and across the nation, Kaiser Permanente sets the standard for respectful care. With multicultural staff, equity, inclusion and diversity councils, medical interpretation resources, outreach efforts, educational programs and more, Kaiser Permanente puts people first in our medical centers and beyond.
As part of Kaiser Permanente, Washington Permanente Medical Group (WPMG) seeks to create equity in our communities, eliminate health disparities, and always put patients-the heart of everything we do-first.
Following the guidelines in our National Diversity Agenda, every member of our team strives to :
Creating a diverse workforce, an inclusive environment, and equitable opportunity for employment, growth, and advancement are deeply linked to our mission, our business, and our economic future. WPMG continues to add programs that build and maintain a workplace where we engage with our members, communities, and each other-with dignity, respect, and cultural understanding.
Equal Employment Opportunity
As part of our commitment to our employees and the members and patients we serve, we integrate diversity into all aspects of our operations. Maintaining a workforce with industry-leading levels of diversity through deliberate planning, development, and outreach is critical to fulfilling our mission, sustaining our business objectives, and providing the best level of care to our members and patients. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.