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.

Qualifications

Knowledge, Skills and Abilities

• Proficient knowledge of computer skills. MS Office (Word, Excel, Access, PowerPoint, and Outlook).
• Knowledge of general office procedures, equipment and filing systems.
• Ability to communicate effectively, both orally and in writing.
• Ability to quickly learn department policies, procedures, goals, and services.
• Skill: Attention to detail and accuracy.
• Ability to change priorities regularly.

Working Conditions and Physical Demands

The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to access all areas of the center throughout the workday.
• Ability to lift up to 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly; required to obtain assistance of another qualified employee when attempting to lift or transfer objects over 25 pounds.
• Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking and repetitive leg and arm movements, occasional bending, reaching forward and overhead; squatting and kneeling.
• Ability to communicate verbally with an excellent comprehension of the English language.
• Work is generally performed in an indoor, well-lighted, well-ventilated, heated, and airconditioned environment.

Experience

• Minimum of one (1) year in a clinical administrative role in a health care delivery setting or related experience.

Education and Certification

• High School Diploma or GED required.
• Bachelor’s degree in health care administration, nursing, public health preferred.
• Is medically cleared for communicable diseases and has all immunizations up-to-date before engaging in direct participant contact.

Core Values

• CARE is central to what we do, prioritizing the well-being, dignity, and independence of our senior participants.
• COMPASSION in every interaction, ensuring kindness, empathy, and understanding guide our care.
• CULTURE that reflects the diverse backgrounds of those we serve and fosters a workplace where every team member feels supported, valued, and empowered to grow.
• COMMUNITY that fosters connection, belonging, and support for participants and their families.
• COMMITMENT to quality improvement, innovation, and delivering healthier outcomes.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.