6466-Referral Coordinator (Full Time Regular)

Job Description

Job Description

Salary : S18-$24

SHIFT : Monday Friday @ 8am to 5pm

LOCATION : Nuestra East LA, CA

Role and Responsibilities :

• Direct all work activity of the Health Center Referrals Department.
• Plan, organize, and coordinate the operation of referrals for the Health Center Network.
• Provide oversight of daily operations for department including staffing, training, metrics, performance and reporting.
• Coordinate the implementation and maintenance of the electronic health record referral and tracking system, phone system, and other systems and acts as a liaison with IT staff and works with staff to resolve any issues.
• Supervise, direct, train, and evaluate performance of referral staff across multiple clinical sites.
• Effective scheduling of staff and workflow to provide optimum coverage with available resources to meet department goals relating to production and quality.
• Answer inquires, provide information, and resolve complaints from providers, patients, or other agencies in regard to referrals.
• Review status on Treatment Authorization Request (TARs) and any other authorizations or requirements of manages care organizations to assure compliance with health plan programs.
• Follow-up on pending referrals.
• Cooperatively work with outside agencies to help patients apply for alternate resources when appropriate.
• Collaborate with clinical staff and the Quality Management department in reviewing, managing, and follow up on tracking systems for immunizations and other outcome metrics.
• Investigate difficult cases and is the lead contact for patients’ or providers’ inquires / concerns in obtaining appropriate care for the patient.
• Interview, hire, and perform disciplinary action and performance evaluations for employees.
• Maintain inventory of supplies and equipment for the referral department.
• Ability to relate to the public regardless of racial, ethnic, economic, sexual orientation, and gender identity status.
• Maintain and foster relationships with community providers, agencies and organizations involved in care transitions and continuity of care for patients.
• Works collaboratively as a team member with all staff members.
• Promote and believe in BHS mission statement.
• Other duties as assigned.

Required Knowledge, Skills and Abilities :

• Associate’s degree in healthcare or a related field.
• Possession of current California Driver’s License.
• Experience working for a community clinic and with Medi-Cal and Medicare.
• Thorough understanding of medical terminology, payor sources, insurance, and program requirements.
• Ability to build collaborative support system with community agencies and organizations.
• Ability to demonstrate / convey respect for cultural and lifestyle diversities of clients and staff.
• Ability to present to diverse communities / populations, at all levels of internal / external organizations.
• Ability to recognize personal issues that may have an impact on job performance and interactions with clients.
• Ability to note documentation in electronic medical record system.
• Strong verbal and written communication skills.
• Proven track record of, and ability to demonstrate ethical and professional standards of behavior.
• Basic knowledge of referrals, both in and out of the BHS treatment system.
• Basic knowledge and Experience in utilizing Microsoft Office, specifically MS Word and Excel.
• Able to speak, understand, and communicate in Spanish

Desired Knowledge, Skills and Abilities :

• Knowledge of drug and alcohol dependency, mental health, family systems and 12-Step / recovery resources in the community.
• Experience participating in Patient Centered Medical Home (PCMH) model of care.

Physical Demands :

• While performing the duties of this job, the employee is regularly required to stand, sit, talk, hear and use hands and fingers to operate a computer and telephone keyboard reach.
• Light to moderate lifting is occasionally required (up to 25 lbs.)
• Ability to sit at a computer terminal for an extended period of time.
• Ability to travel locally to clinical sites including, but not limited to : Santa Ana, East LA, Wilmington, Carson, and Hawthorne.

Work Environment :

• Moderate noise (i.e. office with computers, printers, phone, light traffic)
• Professional office environment.

Behavioral Health Services (BHS) is a non-for-profit, community-based health care organization, whose mission is to transform lives by providing substance abuse, mental health, drug-free transitional living, family preservation, prevention and Family Health Center and other related health services to the residents of Southern California.

If you are interested in being a part of this dynamic organization, please apply.

BENEFITS : BHS offers a full complement of benefits for eligible employees : Medical, Dental, Vision, 401K, Long & Short Term Disability and Life Insurance.

APPLICATIONS : Applicants may email resume to [email protected] or fax to (310) 679-4621, or apply in person at 15519 Crenshaw Blvd.

Gardena, CA 90249. NO PHONE CALLS PLEASE.

BHS IS AN EQUAL OPPORTUNITY EMPLOYER

BHS will consider applicants with criminal history as required.