Current jobs related to Healthcare Referral Specialist - Boston, Massachusetts - Mattapan Community Health Center Inc

  • Pharmacist Healthcare Specialist

    3 weeks ago

    Boston, Massachusetts, United States HealthCare Support Full time

    Pharmacist Job OpportunityHealthCare Support is seeking a skilled Pharmacist to fill a 13-week contract in Charlestown, MA. This role offers a unique blend of clinical expertise and administrative responsibilities.Benefits of Working with HealthCare SupportImmediate enrollment in Health InsuranceDental InsuranceLife InsuranceEmployee Assistance Program...

  • Epic Cadence/Referrals Specialist

    3 weeks ago

    Boston, Massachusetts, United States Gardner Resources Consulting, LLC Full time

    Epic Cadence/Referrals Analyst OpportunityGardner Resources Consulting, LLC is seeking a skilled Epic Cadence/Referrals Analyst to join our team for a 3-month contract with potential extension.Key Requirements:5+ years of experience in Epic Cadence/ReferralsEpic Cadence/Referrals certificationAbout the Role:We are looking for a professional with a strong...

  • Healthcare Risk Assessment Specialist

    1 week ago

    Boston, Massachusetts, United States i4 Search Group Healthcare Full time

    Job Title: Healthcare Risk Assessment SpecialistAt i4 Search Group Healthcare, we are seeking a skilled Nurse Practitioner to fill the role of Healthcare Risk Assessment Specialist.Job Summary:The Healthcare Risk Assessment Specialist will be responsible for conducting health risk assessments on insured plan patients in their homes or designated areas. This...

  • Pharmacist - Healthcare Professional

    2 weeks ago

    Boston, Massachusetts, United States HealthCare Support Full time

    Pharmacist Job OpportunityHealthCare Support is seeking a skilled Pharmacist for a 13-week contract in Massachusetts. This role offers a unique blend of clinical expertise and leadership skills.Benefits of Working with HealthCare SupportImmediate enrollment in health insuranceDental insuranceLife insuranceEmployee Assistance Program (EAP)Access to open...

  • Information and Referral Coordinator

    4 weeks ago

    Boston, Massachusetts, United States Action for Boston Community Development, Inc., (ABCD) Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Information and Referral Specialist to join our team at Action for Boston Community Development, Inc., (ABCD). As the first point of contact for customers and visitors, you will play a critical role in providing exceptional customer service and ensuring that all individuals receive accurate and...

  • Pharmacist Healthcare Professional

    3 weeks ago

    Boston, Massachusetts, United States HealthCare Support Full time

    Pharmacist Job OpportunityHealthCare Support is seeking a skilled Pharmacist to join our team for a 13-week contract in Charlestown, MA. This role offers a unique blend of clinical expertise and leadership responsibilities.Benefits of Working with HealthCare SupportImmediate enrollment in comprehensive health insuranceDental and life insurance...

  • Physical Therapist

    1 week ago

    Boston, Massachusetts, United States HealthCare Support Full time

    Job Title: Physical TherapistJob Summary: We are seeking a Physical Therapist to join our team at HealthCare Support. As a Physical Therapist, you will work with patients to help them recover from injuries or illnesses. You will be responsible for developing and implementing treatment plans, conducting physical therapy sessions, and educating patients on...

  • Travel Imaging Specialist

    2 weeks ago

    Boston, Massachusetts, United States MedUS Healthcare Full time

    Job Title: Travel Imaging SpecialistJob Summary:MedUS Healthcare is seeking a skilled Travel Imaging Specialist to join our team. As a Travel Imaging Specialist, you will be responsible for operating imaging equipment and providing high-quality patient care in a fast-paced hospital environment.Responsibilities: Operate CT scanners and other imaging equipment...

  • Diagnostic Imaging Specialist

    2 weeks ago

    Boston, Massachusetts, United States ALOIS Healthcare Full time

    A diagnostic medical sonographer, also known as a sonographer, uses imaging equipment and soundwaves to form images of many parts of the body, known as ultrasounds.They are trained to acquire and analyze these sonographic images. These images are used to help doctors diagnose and treat many medical conditions.At ALOIS Healthcare, we are seeking a skilled...

  • Travel Nurse RN Specialist

    1 week ago

    Boston, Massachusetts, United States Planet Healthcare Full time

    Job Title: Travel Nurse RN SpecialistJob Description: Planet Healthcare is seeking a skilled travel nurse RN specialist to join our team in Boston, Massachusetts.Job Details:* Specialty: Trauma ICU* Discipline: RN* Start Date: ASAP* Duration: 9 weeks* Hours: 36 hours per week* Shift: 12 hours* Employment Type: TravelAbout the Job:As a travel nurse RN...

  • Healthcare Regulatory Specialist

    2 weeks ago

    Boston, Massachusetts, United States Top Tier Reps LLC Full time

    Job OpportunityTop Tier Reps LLC is seeking a highly motivated and detail-oriented professional to join their team as a Healthcare Regulatory Specialist. As a key member of the team, you will play a crucial role in supporting initiatives aimed at enhancing access to affordable, high-quality healthcare services.About the RoleThis dynamic and fast-paced...

  • Travel Nurse ICU Specialist

    4 weeks ago

    Boston, Massachusetts, United States Planet Healthcare Full time

    Job Title: Travel Nurse ICU SpecialistPlanet Healthcare is seeking a skilled Travel Nurse ICU Specialist to join our team in Boston, Massachusetts.Job Summary:We are looking for a highly motivated and experienced ICU Registered Nurse to work in a fast-paced travel nursing environment. As a Travel Nurse ICU Specialist, you will have the opportunity to work...

  • Traveling Cath Lab Specialist

    1 week ago

    Boston, Massachusetts, United States Planet Healthcare Full time

    Job Title: Traveling Cath Lab SpecialistJob Description:We are seeking a skilled Cath Lab Technologist to join our team as a Traveling Cath Lab Specialist. As a Cath Lab Technologist, you will be responsible for assisting in the performance of diagnostic and interventional procedures in a catheterization laboratory setting.Responsibilities:Assist in the...

  • Travel Social Work Specialist

    4 weeks ago

    Boston, Massachusetts, United States ADN Healthcare Full time

    Job Title: Travel Social Work SpecialistADN Healthcare is seeking a skilled Social Work Specialist for a travel job in Boston, Massachusetts.Job Details:Specialty: Social WorkerJob Location: Boston, MassachusettsTravel Social Work Salary: $2,412/weekStart Date: ASAPAssignment Length: 13 weeksTotal Hours Per Week: 40As a Social Work Specialist with ADN...

  • Travel Nurse ICU Specialist

    2 weeks ago

    Boston, Massachusetts, United States PRN Healthcare Full time

    Job Title: Travel Nurse ICU SpecialistJob Description:PRN Healthcare is seeking a travel nurse ICU specialist for a travel nursing job in a top-ranked hospital. Job Requirements:* ICU - Intensive Care Unit* RN - Registered Nurse* 12 hours, days* 36 hours per week* TravelAbout PRN Healthcare:Our mission is to create authentic, meaningful relationships with...

  • Travel Healthcare Specialist

    2 weeks ago

    Boston, Massachusetts, United States Host Healthcare Full time

    Unparalleled Service in Travel HealthcareHost Healthcare is a leading travel healthcare company that offers a unique opportunity for Cyto Technologists to work in Boston, MA. Our company is committed to providing exceptional service and support to our travelers, ensuring a seamless and enjoyable experience.Why Choose Host Healthcare?We offer competitive pay...

  • Travel Nurse ICU Specialist

    2 weeks ago

    Boston, Massachusetts, United States ADN Healthcare Full time

    Job Title: Travel ICU Nurse RNADN Healthcare is seeking a skilled travel nurse RN ICU specialist to join their team in Boston, Massachusetts.Job Details:Specialty: ICU - Intensive Care UnitDiscipline: RNDuration: 10 weeksShift: 8 hours, daysEmployment Type: TravelThe ideal candidate will possess a current Massachusetts license and at least 2 years of recent...

  • Vascular Specialists for Dynamic Healthcare Roles

    1 week ago

    Boston, Massachusetts, United States destinationone Consulting Full time

    At destinationone Consulting, we specialize in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, Public Accounting, and Food. Our team is proactively building a data bank for opportunities in these fields, empowering our clients to efficiently match candidates with suitable roles when they...

  • Healthcare Business Solutions Specialist

    2 weeks ago

    Boston, Massachusetts, United States Saxon Global Full time

    Job Summary:We are seeking a skilled Healthcare Business Solutions Specialist to join our team at Saxon Global. The ideal candidate will have a strong understanding of healthcare business operations and be able to analyze complex data to drive business decisions.Key Responsibilities:* Analyze and interpret data to identify trends and opportunities for...

  • Healthcare Coding Specialist

    4 weeks ago

    Boston, Massachusetts, United States SouthCoast Health Full time

    Southcoast Health is a not-for-profit, charitable health system with multiple hospitals, clinics, and facilities throughout Southeastern Massachusetts and Rhode Island. We are committed to providing inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home. **Job Summary:** We are searching...

Healthcare Referral Specialist

2 months ago

Boston, Massachusetts, United States Mattapan Community Health Center Inc Full time

POSITION DESCRIPTION

POSITION: Patient Care Referral Coordinator

DEPARTMENT: Primary Care

REPORTS TO: Director of Compliance and Risk Management

TYPE: Full Time

Overview:

Under the guidance of the Clinical Health Director, the Patient Care Referral Coordinator is responsible for overseeing the referral and authorization processes for patients within the health center.

Key Responsibilities:

Direct Patient Services (50%):

  • Ensure precise and comprehensive referral and admission tracking by initiating and monitoring all internal and external referrals for health center patients.
  • Act as an advocate for patients in navigating access to non-primary care services and facilitate the appeals process for any denied services.

Administrative Duties (50%):

  • Maintain detailed and accurate records of referral activities to ensure compliance with visit frequency requirements set by each payer.
  • Analyze utilization and referral reports from various payors, identifying trends and communicating findings to management while distributing reports to relevant stakeholders.
  • Keep updated and accessible documented referral protocols, policies, and procedures for all contracted managed care organizations.
  • Engage in outreach and educational initiatives aimed at attracting new members and retaining existing ones.
  • Perform additional related duties as assigned.

Accountability:

This position reports directly to the Director of Compliance and Risk Management.

Qualifications:

High School diploma with at least two years of experience in case management and referral processes.

Proven understanding of healthcare principles and practices.

Exceptional communication and organizational skills are essential. Strong interpersonal abilities and a professional demeanor are required. Proficiency in word processing and database management is preferred.



PI52ef5dcb