Medical Referral Coordinator (International Opportunity)

Job Description

Job Description

Company Description

International SOS Government Medical Services, Inc. delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS Government Medical Services, Inc., headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. To protect your workforce, we are at your fingertips : internationalsos.com

Job Description

The Medical Referral Coordinator / Licensed Independant Social Worker Case Manager manages the medical referral process by identifying needs for further higher-level care and admission of medically eligible patients.  Utilize Milliman guidelines and other healthcare industry accepted criteria for writing referrals and comply with referral management protocols.

Key Responsibilities :

• Maintains a highly level of professionalism dealing with stakeholders and team.
• Ensures compliance with HIPAA & OSHA standards, as well as all office policies and protocols.
• Works with clinical providers to establish medical referrals for specialty care not available on project.
• Manages the entire referral process and assist patients with scheduling emergency and urgent care according to insurance plan.
• Coordinates with the International SOS Government Medical Services, Inc. Assistance Center when necessary.
• Performing administrative duties including, answering incoming calls and responding to all messages for the billing department.
• Providing excellent customer service responding to patient inquiries promptly and accurately.
• Active participation in day-to-day office activities, including a variety of meetings and task force groups to improve procedural processes, obtain approvals, and remain abreast of new developments and policy requirements and regulations.
• Active participation in Mass Casualty exercises and events.
• Completes required organizational compliance education, including assigned requirements that are client-specified, for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.

This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.

Qualifications

Basic Requirements / Certifications :

Education Required :

Master's degree in social work or equivalent required.

Physical Requirements :

Other Special Qualifications :

Additional Information

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and / or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data.

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International SOS Government Medical Services, Inc. complies with all federal, state, and local minimum wage laws.

International SOS Government Medical Services, Inc. is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.