Referral Development Manager – NJ Medicaid (Home Care)
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Job Location:
Manahawkin, NJ - USA
Monthly Salary:
$ 80000 - 100000
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Referral Development Manager NJ Medicaid (Home Care)
About the Role
A multi-site home care agency in New Jersey is seeking a Referral Development Manager with strong hands-on experience inside one of New Jerseys major Managed Care Organizations (MCOs) such as Aetna Amerigroup Horizon NJ Health UnitedHealthcare Community Plan or WellCare.
This is not a clinical caseload role. Instead the focus is on leveraging established professional relationships within the MCO system to generate referrals for Medicaid and waiver clients who need follow-up home care services.
The ideal candidate is well connected to case managers transition-of-care specialists and discharge planners and can use those relationships to develop referral streams for the agencys home care programs.
Key Responsibilities
Build and maintain referral pipelines from MCOs hospitals rehab centers and provider networks.
Leverage existing professional contacts within NJ MCOs (case managers transition coordinators discharge planners) to generate qualified client referrals.
Serve as the key liaison between the home care agency and MCO care teams to ensure a smooth referral and onboarding process.
Partner with hospital discharge planners rehab facilities and community organizations to identify eligible Medicaid and waiver clients.
Track referral activity outcomes and growth metrics; report performance to leadership.
Represent the home care agency in meetings and networking opportunities to expand referral channels.
Qualifications
Minimum 35 years of experience working within or directly alongside NJ MCOs in a case management care coordination or provider relations role.
Strong active referral relationships with discharge planners transition-of-care specialists and case managers across NJ.
In-depth knowledge of NJ Medicaid programs waiver services and MLTSS.
Proven ability to drive business development or referral growth in healthcare settings.
Excellent communication networking and relationship-management skills.
Bachelors degree in healthcare social work business or related field preferred; equivalent experience considered.
Compensation & Work Arrangement
Base salary: $80000$100000
Quarterly incentive/bonus structure with OTE up to $150000
Primarily remote with occasional in-office presence and statewide travel as needed
Required Experience:
Manager
Key Skills
- Hyperion
- Acquisition
- Asset
- ABAP
- Basic
- Activex
About Company
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