Kaiser Permanente

The Durable Medical Equipment/Prosthetics and Orthotics (DME/P&O) Consultant functions as the local resource for DME/P&O efforts and initiatives for multiple medical centers under the guidance of Regional management.. Provides guidance to physicians, members and other stakeholders on the DME/P&O benefit coverage and the grievance/denial/appeal process.. Provides project support per guidance from the Regional DME/P&O management.. PT,OT,Orthotist, Certified Prosthetist. On-site: Work location is on-site (KP designated office, medical office building or hospital).

durable medical equipment

Description: Job Summary: The Durable Medical Equipment/Prosthetics and Orthotics (DME/P&O) Consultant functions as the local resource for DME/P&O efforts and initiatives for multiple medical centers under the guidance of Regional management. Develops, implements and tracks initiatives to ensure deliverables are met. Educates and provides support to providers on DME/P&O issues. Essential Responsibilities: <ul><li>Functions as the local resource and provider support on DME/P&O issues including Health Connect training, DME/P&O formulary (clinical and non-clinical) and DME/P&O benefit information.</li><li>Functions as content expert to other colleagues and stakeholders across the region.</li><li>Provides inservice, training and education to local stakeholders and physicians on DME/P&O benefit interpretation, appropriate ordering practices and new products.</li><li>Contributes to Regional training program development and tailors as necessary in deployment.</li><li>Functions as a DME/P&O benefit consultant and attends specialty clinics for high mobility and P&O clinics to provide and explain benefit information.</li><li>Reviews and evaluates vendor quotes for specialized items as necessary.</li><li>Monitors and reports local performance on DME/P&O metrics including UM and Financials.</li><li>Accountable for ensuring deliverables are met.</li><li>Provides guidance to physicians, members and other stakeholders on the DME/P&O benefit coverage and the grievance/denial/appeal process.</li><li>Supports the Assistant Director of DME/P&O with monitoring quality of local vendors and escalates local concerns as needed.</li><li>Works with local leadership to develop and track local action plans to implement DME/P&O initiatives.</li><li>Develops targeted reports as required in support of these initiatives. Identifies opportunities for improvement.</li><li>In conjunction with Assistant Director formulates and develops region wide affordability objectives that have impact throughout the care continuum.</li><li>Makes recommendations, formulates specific implementation plans and evaluates the effectiveness of actions/programs implemented.</li><li>Ensures compliance with regulatory requirements.</li><li>Functions include problem resolution, customer follow-up and appropriate escalation to administration as required.</li><li>Builds collaborative relationships with local medical center leadership and providers.</li><li>Coordinates team/project activities and schedules.</li><li>Plans and facilitates meetings accordingly.</li><li>Provides project support per guidance from the Regional DME/P&O management.</li></ul>Basic Qualifications: Experience <ul><li>Minimum four (4) years general healthcare experience.</li></ul> Education <ul><li>Bachelors Degree in business administration, public administration or related field OR four (4) years of experience in a directly related field.<li>High School Diploma or General Education Development (GED) required.</li></ul> License, Certification, Registration <ul><li>N/A</li></ul> Additional Requirements: <ul><li>Demonstrated experience working with physicians.<li>Knowledge and understanding of utilization management and DME/P&O Service.<li>Excellent communication skills (written and verbal) and computer literacy.<li>Experience in improvement process planning, coordinating and implementing projects.<li>Must be able to work in a Labor/Management Partnership environment.</li></ul> Preferred Qualifications: <ul><li>PT,OT,Orthotist, Certified Prosthetist</li></ul> Primary Location: California,Pasadena,199 S. Los Robles Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee Job Level: Individual Contributor Department: Regional Offices - Pasadena - DME Administration - 0801 Pay Range: $83200 - $107580 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: Yes, 10 % of the Time On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing. Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest

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