Referral Coordinator Lead

4 weeks ago


Fresno, California, United States Clinica Sierra Vista Full time
Job Summary

Clinica Sierra Vista is seeking a highly skilled Referral Coordinator Lead to join our team. As a key member of our patient care team, you will be responsible for coordinating, processing, and scheduling specialty referrals for patients in Kern and Fresno County.

Key Responsibilities:

  • Coordinate and process specialty referrals, prior authorizations, and scheduling of medical services/procedures for patients as requested by primary care physicians.
  • Collaborate with medical providers, nursing staff, and other patient care support staff to ensure timely and efficient delivery of specialty services.
  • Provide training on Standard Work and promote performance improvement within the team.
  • Develop and implement innovative care models to improve quality outcomes and reduce unnecessary clinical variation.
  • Schedule, problem-solve, communicate, and coordinate referral appointments with outside specialists.
  • Track and enter all referral requests in the Referral Tracking System or EMR daily.
  • Coordinate with HIM staff to track the status of provider reports on patients referred to hospitals, outside clinics, and specialty providers.
  • Maintain accurate records of external referral patient appointments, including those kept, failed, and current status.
  • Evaluate specialty referrals based on medical necessity and managed care rules.
  • Produce accurate weekly reports of processed referrals to management.

Requirements:

  • Graduation from High School or equivalent GED.
  • Graduate of an accredited Medical Assistant program preferred, but not required.
  • Two to three years of medical back office or administrative medical experience in a community healthcare setting preferred but not required.
  • Bilingual in Spanish preferred but not required.
  • Previous experience with specialty referrals in community health desired.
  • Data analysis skills and knowledge of referral operations.
  • Computer proficiency in Excel, Word, Outlook, EPIC, PDF, etc.
  • Maintain excellent internal and external customer service at all times.
  • Maintain the highest degree of confidentiality possible when performing departmental functions.

About Clinica Sierra Vista:

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. We aspire to be an employer of choice by promoting an organizational culture that reflects these core values.

We are an equal opportunity employer and strive to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state, and/or local law.



  • Fresno, California, United States Compassionate Care Hospice Full time

    Job SummaryThe Licensed Vocational Nurse - Referral Intake Supervisor is responsible for overseeing the patient intake process, ensuring compliance with regulatory requirements, and providing high-quality patient care. This role combines clinical expertise with administrative responsibilities, functioning primarily from the office setting.Key...


  • Fresno, California, United States Exact Staff Full time

    We are seeking a skilled Medical Referral Specialist to join our team at Exact Staff. This role is responsible for coordinating patient referrals in a timely manner, obtaining prior authorizations, and communicating effectively with physicians and support staff.The ideal candidate will have a high school degree or equivalent and completion of an accredited...


  • Fresno, California, United States Lead Health Full time

    We are seeking a skilled Surgery - PACU Registered Nurse (RN) to join our team at Lead Healthstaff. As a travel nurse, you will have the opportunity to work in a dynamic and fast-paced environment, providing top-notch care to patients in need.Key Highlights:12-hour days, 36 hours per week13-week assignmentCompetitive pay and benefits packageFree professional...


  • Fresno, California, United States Lead Health Full time

    We are seeking a skilled Critical Care Registered Nurse to join our team at a leading healthcare facility in Fresno, California. As a Travel RN, you will have the opportunity to work in a dynamic and fast-paced environment, providing high-quality patient care and making a positive impact on the lives of our patients.At Lead Health, we understand the...

  • Lead Care Manager II

    1 month ago


    Fresno, California, United States Central California Asthma Collaborative Full time

    Job DescriptionJob Summary: We are seeking a highly skilled and compassionate Lead Care Manager II to join our team at the Central California Asthma Collaborative. In this role, you will work closely with health plans, healthcare providers, and other contracted entities to implement Enhanced Care Management (ECM) services and support programs.Key...

  • Coordinator - START

    4 weeks ago


    Fresno, California, United States YAI Full time

    Job SummaryYAI is seeking a highly skilled and dedicated START Services Coordinator to join our team. As a START Services Coordinator, you will play a critical role in providing systemic consultation, maintaining an active caseload, and ensuring the coordination of support meetings and crisis plan development for individuals served through START.Key...

  • Lead Driver

    1 month ago


    Fresno, California, United States Brady Industries Full time

    Job Title: Lead DriverBradyPLUS is a leading provider of transportation solutions, focusing on customer education and product expertise in key commercial market segments.We are a growing organization with a winning team, and we're looking for a skilled Lead Driver to join our team.The Lead Driver plays a vital role in ensuring the company's continued success...

  • Assistant Site Lead

    4 weeks ago


    Fresno, California, United States California Teaching Fellows Foundation Full time

    Job SummaryAs an Assistant Site Lead with the California Teaching Fellows Foundation, you will play a vital role in coordinating assigned CTFF program activities in cooperation with school administrative personnel. Your responsibilities will include assisting with collecting and preparing program data, maintaining a safe and healthy learning environment, and...

  • Marketing Coordinator

    1 month ago


    Fresno, California, United States Pioneer Executives Full time

    We are Pioneer Executives, a leading marketing organization headquartered in Fresno, seeking a dedicated individual to join our nonprofit marketing team as a Marketing Coordinator.This entry-level position collaborates closely with our direct fundraising team to meticulously plan, coordinate, and execute fundraising initiatives within the local community and...


  • Fresno, California, United States RH Community Builders Full time

    Job Title: Bilingual Lead Case ManagerRH Community Builders is a community organization dedicated to providing housing and homeless services in the Central Valley of California. Our mission is to deliver services with dignity, equity, and a focus on the most vulnerable individuals in our community.Job SummaryThe ECM Lead Case Manager is responsible for...


  • Fresno, California, United States Lennar Homes Full time

    Closing/Escrow Coordinator Job DescriptionWe are Lennar Homes, a leading homebuilder dedicated to making an impact and creating an extraordinary experience for our Homeowners, Communities, and Associates. As a Closing/Escrow Coordinator, you will play a crucial role in ensuring the smooth preparation and execution of final terms and related documents,...

  • Marketing Coordinator

    1 month ago


    Fresno, California, United States Lyons Magnus Full time

    Job SummaryWe are seeking a highly motivated and organized Marketing and Sales Support Coordinator to join our team at Lyons Magnus. As a key member of our marketing department, you will play a critical role in supporting the development and implementation of our strategic marketing plan.Key ResponsibilitiesAssist in the creation and maintenance of marketing...


  • Fresno, California, United States RH Community Builders Full time

    Job OverviewRH Community Builders is a community-focused organization dedicated to providing housing and homeless services in the Central Valley of California. With a commitment to service, dignity, and equity, RHCB offers community-based services to vulnerable individuals.The ECM Lead Case Manager is responsible for delivering direct services to clients...

  • Project Coordinator

    4 weeks ago


    Fresno, California, United States Collins Electric Full time

    Project Engineer Job DescriptionAt Collins Electrical Company, Inc., we are committed to creating a positive work environment that fosters growth, stability, and success for our employees. As a Project Engineer, you will play a crucial role in ensuring the seamless execution of construction projects.Key Responsibilities:Assist in the creation of Spectrum...


  • Fresno, California, United States Innovative Integrative Health Full time

    Job Title: Intake Operations CoordinatorAbout Us: Innovative Integrative Health is a leading provider of healthcare services, dedicated to delivering exceptional patient-centered care.Estimated Salary: $55,000 - $65,000 per yearJob Description:We are seeking an experienced Intake Operations Coordinator to join our team. As an essential member of our intake...

  • Maintenance Lead

    1 month ago


    Fresno, California, United States Manco Abbott Full time

    Job Summary:We are seeking a highly skilled and motivated Maintenance Lead to join our team at Manco Abbott. As a key member of our property management team, you will be responsible for providing exceptional support to our residents by completing work orders for various items, such as appliance repair, troubleshooting, and general maintenance tasks.Key...


  • Fresno, California, United States WestCare Foundation Full time

    Job SummaryWestCare Foundation is seeking a highly motivated and compassionate Community Engagement Coordinator to join our team. In this role, you will be responsible for providing outreach and engaging with at-risk populations to provide education, support, and resources related to Fentanyl overdose.Key ResponsibilitiesConduct targeted outreach to...


  • Fresno, California, United States Elevate Community Services Inc Full time

    Job SummaryElevate Community Services Inc is seeking a skilled Lead Housing Transition Specialist to join our team. The successful candidate will work with clients in the emergency shelter and assist them with transitioning into permanent housing.Key ResponsibilitiesCoordinate services for clients to ensure a smooth transition into permanent housingProvide...


  • Fresno, California, United States California Teaching Fellows Foundation Full time

    Job SummaryWe are seeking a highly motivated and organized Assistant Site Lead to join our team at the California Teaching Fellows Foundation. The successful candidate will be responsible for assisting the Site Lead Coordinator in coordinating assigned activities, ensuring a safe and healthy learning environment, and providing support to students and...


  • Fresno, California, United States WestCare Foundation Full time

    Job Title: Community Outreach CoordinatorWestCare Foundation is seeking a highly motivated and compassionate Community Outreach Coordinator to join our team. As a key member of our outreach team, you will be responsible for providing education, support, and resources to at-risk populations to prevent Fentanyl overdose.Key Responsibilities:Conduct targeted...