Referral Coordinator - Plaquemine, LA

SUMMARY

Managing, tracking, and monitoring of outgoing and internal referrals to ensure patient safety, care coordination and continuity of care; Assists with healthcare access to manage patient care.

POSITION DUTIES

• Knowledge and understanding of Employee Handbook.
• Carry out the meaning of the CSMD Mission and Vision statements.
• Practice a culture of safety to reduce or prevent risk of injury, claims, loss or liability by utilizing the Risk Management and Infection Control Plan.
• Perform responsibilities with a high-quality standard to yield improved compliance, quality, and patient outcome measures by adhering to the Quality Improvement Plan.
• Be present and ready for work as scheduled.
• Attend in-service trainings, departmental meetings, and community events.
• Work cohesively with team members.
• Maintains a database of health center referral contacts throughout Baton Rouge and CSMD service areas, specifically within agencies providing health and social services to patients.
• Acts as liaison to hospitals, specialty clinics, other providers outside of CSMD to track and monitor referrals.
• Coordinates referrals to health services based on provider's orders.
• Ensures that all documentation is completed and in the electronic medical record (EMR)
• Maintains updated referral resources
• Upholds and completes referrals to ensure the entire referral process is complete
• Initiates authorizations for referrals through insurance payors
• Ensure that referrals are addressed in a timely manner
• Outreach to patients and health agencies on status of referrals
• Works closely with Health Information Technology department and Care Coordination to ensure timely coordination of care.
• Works closely with Clinical Care Team to assist with coordinating appointments for patients
• Promptly reviews all incoming referrals for "critical need" or attention required immediately by the provider.
• Adheres to all CSMD policies and procedures.
• Other job duties as assigned.

REQUIREMENTS

Education

• Minimum of high school diploma
• Preferred Certified Medical Assistant or Licensed Practical Nurse or associates in a health field
• Minimum of three years of experience with working referrals;
• Demonstrates a high level of skill at building relationships and providing excellent customer service
• Inhibits a strong attention to detail and accuracy
• Has the ability to utilize computers for data entry and information retrieval
• Demonstrates knowledge of the referral process for a variety of insurance plans
• Demonstrates success in researching and resolving complex issues
• Must have strong written and verbal communication skills.
• Must have pleasant telephone etiquette; ability to deal tactfully and effectively with patients; must have strong computer skills, use of Microsoft applications and familiarity with electronic health records.
• Must be critical-thinking and detailed-oriented.

SUPERVISES

N/A

TRAINING

Relias Track A Non-Clinical

Relias CareSouth Onboarding

PERFORMANCE MANAGEMENT EVALUATION TYPE

Patient Engagement

PHYSICAL REQUIREMENTS

• Visual acuity - always
• Hand - eye coordination - always
• Manual Dexterity - always; fine manipulation of keyboard
• Lifting approximately 10-15 lbs.,
• Pushing, Pulling - sometimes
• Stooping, Bending, and Standing - sometimes
• Walking- frequent; short distances

WORK ENVIRONMENT

• Indoor, environmentally controlled
• Exposure to disease or infections
• No vibrations
• Exposure to artificial and/or natural light
• Exposure to outdoor weather elements