Date Posted : 09 / 17 / 2025
Hiring Organization : Rose International
Position Number : 488696
Industry : Healthcare
Job Title : Referral Coordinator
Job Location : Duluth, GA, USA, 30096
Work Model : Onsite
Shift : Multiple shift options
Employment Type : Temporary
FT / PT : Full-Time
Estimated Duration (In months) : 4
Min Hourly Rate ($) : 25.00
Max Hourly Rate ($) : 32.00
Must Have Skills / Attributes : Clinical, Medicare
Experience Desired : overseeing or participating in individual discharge plans (4 yrs); Utilization Management / Quality Assurance activities (4 yrs)
Required Minimum Education : High School Diploma or equivalent
Have you got what it takes to succeed The following information should be read carefully by all candidates.
Job Description
Only qualified Referral Coordinator candidates located near the Duluth, GA area to be considered due to the position requiring an onsite presenceDegree requirement :
High School DiplomaRelease Coordinator Responsible for overseeing or participating in individual discharge plans which assist members and families to transition to the appropriate level of care upon the completion of the acute Treatment Plan with the measure of restoring social, emotional, financial, and environmental factors which affect and / or affected by the acute inpatient stay.
Discharge planning :
Partners with multidisciplinary teams to identify needs and collaborate and execute individual discharge plans.Discuss options for care proactively including Client resources and external community / government resources to assist member and caregiver(s) in developing short- and long-term care plans as appropriate.Collaborates with other disciplines in assessing, planning, and providing services for patients utilizing biopsychosocial information.Coaches member pre-discharge in advocating for self to receive appropriate services within Client and in the community.Ensures member and caregiver(s) are updated with approved discharge plans.Takes, reviews, evaluates, and prioritizes written and oral referrals.Maintains documentation, records, and data collections.Responsible for completion of required documents in a complete and timely manner.Functions as liaison to the Post-Acute Team to assure appropriate, timely placement of Client members in facilities.Serves as a liaison between patient and Client maintaining positive relationship with Client and providing for continuity of care.Identifies appropriate levels of care and facilities for referred patients, were applicable.Obtains placements, where applicable. Collaborates with internal and external resources in Client and the community to meet mutually agreed upon goals and objectives.Provides information and referral to community resources as requested.Coordinates exchange of information among Client, families, members, and all facilities involved in the discharge plan.Determines application of Client, Medicare, and any additional insurer benefits to specific patient situations.Coordinates the application of all active insurance coverage for the purposes of care transitions and ensures that coverage benefit coordination is communicated to all facilities involved.Participates in Utilization Management / Quality Assurance activities.Assists in coordinating communication between regional offices, clinics, hospitals, and field staff.Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case / utilization management.Works cross-functionally with other departments in striving to meet organizational goals and objectives.Works with referral sources to clarify and complete required clinical and psychosocial information.Provides consulting services to the local Client Acute Care Centers, Clinical Decision Units, and core hospital Client partners on occasion.Escalates issues and barriers timely and appropriately.Perform other related duties as necessary.Department : National Continuum Care Coordination hubShifts Available :
All of these are rotating weekends / holidays2 - 7 : 00am - 4 : 00pm shift1 - 3 : 00pm - 12 : 00am shift4 - 11 : 00pm - 8 : 00am shiftOnly those lawfully authorized to work in the designated country associated with the position will be considered.Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.Benefits :
For information and details on employment benefits offered with this position, please visit here. Should you have any questions / concerns, please contact our HR Department via our secure website.
California Pay Equity :
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.