REFERRAL COORDINATOR

POSITION DESCRIPTION

JOB TITLE: Referral Coordinator

DEPARTMENT: Centralized Services

REPORTS TO: Centralized Services Manager

FLSA STATUS: Non-exempt

CREATED: 20130902

LAST REVISION: 20190311

POSITION SUMMARY

The Referral Coordinator assists the care team by coordinating care for scheduled patients and proactively organizing care for patients not on the schedule, thus offering complete preventive care for all patients empanelled on the team, especially those with serious, complex, or chronic health conditions or psychosocial issues.

KEY RESPONSIBILITIES

External service coordination and documentation

• Identify appropriate resources to meet patients’ needs in a timely and cost effective manner
• Schedule or facilitate patient referrals for external diagnostic testing or services
• Obtain insurance authorization for appointments or procedures when necessary, and act as a liaison between patients and insurance company as needed
• Provide information to patients about external providers as needed to coordinate effective provision of services to the patient
• Effectively communicate with patients, hospitals, insurance companies, and other providers to properly coordinate care and ensure the completion of necessary services
• Complete follow up activities for incomplete referrals and respond appropriately (i.e. make another appointment, contact patient, contact referral site for report, etc.)
• Maintain accurate and timely data for properly tracking, reporting and conducting follow-up on all of the above activities

Program support

• Use and update directory of resources in the service area to meet basic healthcare and supportive services needs
• Perform data entry as required by grants and other programs
• Facilitate communication between patients, providers and other clinical support staff

Other universal working standards and documentation

• Greet and interact with all patients, staff and visitors in a pleasant and professional manner.
• Be knowledgeable of and in compliance with applicable standards, laws and regulations by regulatory and accrediting organizations such as: BPHC, JCAHO, CLIA, OSHA, and the State and Federal Governments. Maintain patient confidentiality according to HIPAA and the CCHS Confidentiality Agreement.
• Regularly check mail, e-mail and voicemail and respond promptly and professionally to all inquiries.
• Attend to shared responsibilities in each work area, including answering phones, cleaning, stocking, and organizing common work areas, and assisting with orientation and training of other employees as needed.
• Work a reasonable schedule, which may include an assignment at any location and during any of the hours that CCHS provides services.
• Perform other tasks as needed, but which are not detailed within this job description.
• Performing other duties as required to assist CCHS in achieving its mission.

JOBS THIS POSITION DIRECTLY SUPERVISES

Job Title

Number of Incumbents

POSITION REQUIREMENTS

Skills:

• Interpersonal communication and mediation skills to successfully collaborate with a diverse staff in a variety of capacities throughout the organization.
• Organizational skills for ensuring the completion of a large volume of work in a systematic manner.
• Initiative and creativity for problem solving and pro-active improvement of the clinic operations.
• Capable of exemplifying the values of Christ Community Health Services in all circumstances.
• Bilingual candidates could be preferred in some locations.

Education: High school diploma required. Relevant college degree or experience in a health care setting preferred.

Experience: Clinical and/or practice management experience preferred.

Licenses or Certifications: None.

Mental Requirements

Level 1 – Requires some concentration and normal attention. Generally, once the job is learned, the tasks can be performed more or less automatically.

Level 2 – Requires high periods of concentration intermittently and normal attention. Generally, even once the job is learned, tasks will require normal attention to deal with recurring variables.

X

Level 3 – Requires a high level of concentration and high level of attention intermittently. Generally, the approach to tasks may be consistent, but the number of steps required and/or the number of variables involved creates the possibility of errors unless the incumbent pays close attention.

Physical Requirements

Activity

Approximate % of Time

Comments

Sitting

Standing

Walking

100%

Approximate percentage of time spent lifting, pulling and/or pushing: 10%

Maximum number of pounds required (with or without assistance): 25 lbs.

Types of objects the incumbent is required to lift/pull/push: Boxes, carts, equipment, patients, supplies

Machines and Equipment Used:

Machines, Equipment, Tools

Approximate % of Time

Degree of Hand-Eye Coordination Required

Approximate percentage of time incumbent spends in “on-the-job” travel, excluding commuting to regular work location:

Working Conditions

Office environment and clinic setting with some exposure to individuals with potentially contagious infections; low-moderate risk of injury

OTHER REQUIREMENTS

The specifics of each position will vary somewhat from one location to another.