Referral Coordinator
6 days ago
The Referral Coordinator plays a vital role in ensuring seamless care coordination and effective member co-management for behavioral and non-behavioral practitioners. This position collaborates with clinical team members to evaluate potential over and under utilization of specialty services based on clinical protocols.
Key Responsibilities:- Prioritize assigned patient cohorts to ensure specialty referral completion and ensure stat and expedited referrals are completed based on timeliness standards.
- Schedule patients and notify them of appointment information, including date, time, location, etc.
- Ensure missed specialty appointments are rescheduled and communicated to the physician/clinician.
- Ensure specialist notifications of referral status.
- Complete exchange of information by retrieving and ensuring upload of specialty consultation and follow-up notes.
- Complete documentation based on standardized documentation; to include, but not limited to location, notification of specialist, notification of patient, status of appropriateness reviews.
- Enter all Inpatient and Outpatient elective procedures in EMR and contacts specialist for post-procedure referral needs.
- Follow up on all Home Health and DME orders to ensure patient receives services ordered.
- Complete appropriateness review based on clinical protocols and appropriately refers to Nurse or Medical Director.
- Address referral-based phone calls for Primary Care Physicians panel and completes phone messages timely.
- Facilitate escalation of denied referrals to the clinical team for appeal reviews.
- High School Diploma.
- Minimum 2 years of experience in medical management.
- Capacity to interpret health plan benefit decisions.
- Certification as a Medical Assistant preferred.
- High level of critical thinking and problem-solving skills.
- Strong work ethic and overall positive attitude.
- Effective communication skills including verbal and written.
- Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
- Demonstrated flexibility, organization, and self-motivation.
- Highly adaptable to change.
NeueHealth is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary range of $19.17-$28.75 Hourly, as well as a comprehensive benefits package, including health insurance, life and disability benefits, a 401(k) savings plan with match, Paid Time Off, and paid holidays.
-
Referral Coordinator
4 weeks ago
San Diego, California, United States Manpower San Diego Full timeJob Title: Referral SpecialistJob Summary:Manpower San Diego is seeking a dedicated Referral Specialist to join our team. As a Referral Specialist, you will play a critical role in efficiently managing, processing, and following up on e-faxes in referral folders while maintaining high standards of quality and accuracy.Key Responsibilities:Process e-faxes:...
-
Referral Coordinator
1 week ago
San Jose, California, United States Premise Health Full timePremise Health Referral Coordinator Job DescriptionPremise Health is seeking a highly skilled and compassionate Referral Coordinator to join our team. As a Referral Coordinator, you will play a vital role in connecting members with community resources, ensuring they receive the care and support they need to thrive.Key Responsibilities:Assess, care plan, and...
-
Referral Coordinator
1 week ago
San Francisco, California, United States Mission Neighborhood Health Center Full timeJob SummaryMission Neighborhood Health Center is seeking a highly skilled Referral Specialist to join our team. As a Referral Specialist, you will be responsible for coordinating medical referrals to outside hospitals and agencies, ensuring timely and accurate processing of referrals, and providing exceptional customer service to patients and healthcare...
-
Bilingual Referral Coordinator
3 weeks ago
San Marcos, California, United States TrueCare Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Medical Referral Specialist to join our team at TrueCare. As a Referral Coordinator, you will play a critical role in ensuring the smooth coordination and processing of medical referrals for services and procedures.Key ResponsibilitiesCoordinate and process medical referrals for services and...
-
Referral Coordinator
3 weeks ago
San Jose, California, United States Premise Health Full timeAbout the RolePremise Health is seeking a highly skilled Referral Coordinator to join our team in San Jose, CA. As a key member of our interdisciplinary team, you will play a vital role in connecting members with community resources and services.Key ResponsibilitiesAssess and prioritize member needs, working closely with primary care providers, supervisors,...
-
Referral and Surgery Coordinator
4 weeks ago
San Bernardino, California, United States Loma Linda University Medical Center Full timeJob Summary:As a Referral and Surgery Coordinator at Loma Linda University Medical Center, you will play a critical role in managing and coordinating the authorization process for patients of all reimbursement types. Your primary responsibility will be to ensure that all referrals received from providers are complete with necessary information to facilitate...
-
Referral and Surgery Coordinator
4 weeks ago
San Bernardino, California, United States Loma Linda University Medical Center Full timeJob Summary:As a Referral and Surgery Coordinator at Loma Linda University Medical Center, you will play a critical role in managing and coordinating the authorization process for patients of all reimbursement types. Your primary responsibility will be to ensure that all referrals received from providers are complete with necessary information to facilitate...
-
Referral Intake Coordinator
3 days ago
San Bernardino, California, United States Loma Linda University Medical Center Full timeJob SummaryWe are seeking a highly organized and detail-oriented Referral Intake Assistant to join our team at Loma Linda University Medical Center. As a Referral Intake Assistant, you will play a critical role in obtaining new patient demographic and financial information, verifying insurance eligibility, and scheduling initial...
-
Referral Intake Coordinator
6 days ago
San Bernardino, California, United States Loma Linda University Medical Center Full timeJob SummaryAs a Referral Intake Assistant-TI at Loma Linda University Health, you will play a vital role in ensuring seamless patient care. Your primary responsibilities will include obtaining new patient demographic and financial information, verifying insurance eligibility, and scheduling initial appointments. You will also be responsible for maintaining...
-
Referral Coordinator
6 days ago
San Bernardino, California, United States Loma Linda University Medical Center Full timeJob Summary:As a Referral Intake Assistant-TI at Loma Linda University Medical Center, you will play a vital role in ensuring seamless patient care. Your primary responsibilities will include obtaining new patient demographic and financial information, verifying insurance eligibility, and scheduling initial appointments. You will also be responsible for...
-
Referral Specialist
2 weeks ago
San Marcos, California, United States Gary and Mary West PACE Full timeJob Title: Referral SpecialistWe are seeking a highly skilled Referral Specialist to join our team at Gary and Mary West PACE. As a Referral Specialist, you will play a critical role in coordinating and processing medical, dental, and optical referrals and authorizations for our participants.Key Responsibilities:Coordinate care with primary care providers...
-
Program Coordinator
3 weeks ago
San Diego, California, United States The Salvation Army Full time{"title": "Program Coordinator", "content": "Job SummaryThe Salvation Army Adult Rehabilitation Center (ARC) is seeking a skilled Program Coordinator to join our team. As a Program Coordinator, you will play a vital role in supporting the rehabilitation program for men and women. Your primary responsibility will be to conduct screening interviews, process...
-
Care Coordinator
2 weeks ago
San Diego, California, United States Family Health Centers of San Diego Full timeJob Title: Care CoordinatorFamily Health Centers of San Diego is seeking a highly motivated and compassionate Care Coordinator to join our team. As a Care Coordinator, you will play a vital role in providing exceptional healthcare services to our patients, particularly those who are underserved and vulnerable.Job Summary:The Care Coordinator will work under...
-
Intake Coordinator
4 weeks ago
San Diego, California, United States The Salvation Army Full time{"title": "Intake Coordinator", "content": "Job SummaryThe Salvation Army is seeking an Intake Coordinator to join our team. As an Intake Coordinator, you will be responsible for conducting screening interviews with applicants, determining eligibility for our program, and processing admitted beneficiaries. You will also be responsible for maintaining ongoing...
-
Program Coordinator
6 days ago
San Diego, California, United States The Salvation Army Full timeProgram CoordinatorThe Salvation Army Adult Rehabilitation Center (ARC) is seeking a highly motivated and organized Program Coordinator to join our team. As a Program Coordinator, you will play a vital role in supporting the daily operations of our rehabilitation program, ensuring the smooth delivery of services to our beneficiaries.Key...
-
Program Coordinator
2 weeks ago
San Diego, California, United States The Salvation Army Full timeJob Title: Program Intake CoordinatorJoin The Salvation Army team as a Program Intake Coordinator and play a vital role in supporting individuals in their journey to rehabilitation.About the Role:We are seeking a highly organized and detail-oriented individual to conduct screening interviews, process admitted beneficiaries, and maintain ongoing contact with...
-
Care Coordinator
3 days ago
San Diego, California, United States Family Health Centers of San Diego Full timeJob Title: Care CoordinatorFamily Health Centers of San Diego is seeking a highly motivated and compassionate Care Coordinator to join our team. As a Care Coordinator, you will play a vital role in providing exceptional healthcare services to our patients, particularly those who are underserved and vulnerable.Job Summary:The Care Coordinator will work under...
-
Intake Coordinator
3 weeks ago
San Diego, California, United States The Salvation Army Full timeJob SummaryWe are seeking a highly organized and detail-oriented Intake Coordinator to join our team at The Salvation Army. As an Intake Coordinator, you will be responsible for conducting screening interviews, processing admitted beneficiaries, and maintaining ongoing contact with referral sources.Key ResponsibilitiesConduct screening interviews with...
-
Program Coordinator
2 weeks ago
San Diego, California, United States The Salvation Army Full timeAbout the RoleWe are seeking a highly motivated and organized Program Coordinator to join our team at The Salvation Army Adult Rehabilitation Center. As a Program Coordinator, you will play a vital role in supporting the rehabilitation program for men and women.Key ResponsibilitiesConduct screening interviews with applicants to determine eligibility for the...
-
Social Services Coordinator
4 weeks ago
San Diego, California, United States Blue Shield of CA Full timeAbout the RoleThe Social Services Coordinator provides telephonic support and resource referrals to Blue Shield of CA members, in addition to administrative support to the Social Service Behavioral Health Care Management Team and Manager/Supervisor. The Coordinator regularly reaches out to members and/or family members with the goal of screening for social...
