Referral Coordinator

Position contingent upon award

The Referral Coordintator will coordinate all onsite medical cases to ensure that appropriate and timely medical services are provided. This task will be achieved through liaising with local healthcare providers to identify the appropriate care service and location to manage the healthcare needs of patients.

The Referral Coordinator will assure a comprehensive and effective Case Management process in support of patients to ensure functional care pathways are created. Case Pathways must promote effective communication with the medical care team in the identification of individuals requiring Case Management and the utilization of opportunities within the local healthcare system. The Referral Coordinator will utilize and maintain an approved data collection system in support of the program to demonstrate an effective end-to-end case management process.   

• Facilitate the capacity and capabilities within the Onsite Medical Teams and the requirement for care within the local health care system.  
• Responsible for the tracking trending and reporting of managed cases to support the defined reporting requirements of the client.
• Coordinate patient care throughout the healthcare continuum. 
• Collaborate with social services to define patients needs and assist in plans for social service care. 
• Reassess patient needs based on current evaluation of patient care. 
• Serve as an advocate for the patient within the internal and external healthcare system.  
• Serve as 24/7 POC for local hospitals to provide clinical instructions/discharge instructions. 
• Communicate with clinicians regarding treatment requirements such as medications etc. 
• Coordinate with evacuation services for patient pick-up from local hospital. 
• Coordinate and verify insurance eligibility and coverage for specified care with receiving facilities. 
• Provide patient education on benefits services and other resources. 
• Facilitate communication with patients providers and payers to secure successful outcomes. 
• Ensure a comprehensive system to evaluate the healthcare needs of the individual and/ or family to facilitate their overall wellness and one that addresses health issues to enhance the short and long-term outcomes. 
• Ensure input from the Quality Assurance and Medical Team/s is collated for reviews and revisions.   
• Participate in Interdisciplinary Team Meetings as required with the onsite medical leadership. 
• Maintain accurate case management documentation in accordance with HIPAAA and other local laws pertaining to confidentiality. 
• 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 :

Experience Required:

• Minimum of 5 years full-time experience in a medical care setting. 
• Knowledge of the nursing process teaching principles decision making and problem-solving techniques.
• Ability to multitask prioritize and meet demanding deadlines. 
• Ability to provide competent comprehensive care under stressful situations.
• Results oriented and able to meet project deliverables. 
• Cultural sensitivity and awareness with the willingness to work with a foreign national patient population.
• Effective oral written communication and interpersonal skills. 
• Proficient IT skills including use of electronic medical records systems and software skills. 
• Knowledge of ICE/DHS medical case review and care preferred.

Education Required:

• Graduate from and accredited Licensed Practical Nurse or Vocational Nurse Program. 
• Must have and maintain an unrestricted and current license as an LVN/LPN/RN issued by the state licensing authority in the state where services are performed.  
• Current Basic Life Support (BLS) Certification.
• Advanced Cardiac Life Support (ACLS) preferred.
• Proficiency in both English and Spanish is preferred.
• Case Management Certification by ANCC preferred. 

Physical Requirements:

• Required to walk unaided at a normal pace for up to 5 minutes and maintain balance.
• Required to jog/fast walk up to ¼ mile.
• Requires physical exertion such as lifting objects greater than 30 pounds.
• Required to perform CPR/emergency care standing or kneeling.
• Must have the ability to assist sick injured or aging patients or staff exiting the building (may require lifting dragging wheeling or carrying someone who weighs significantly more than self).
• Must be able to see hear and smell with aids if necessary.
• Must be able to lift push or carry 30 pounds.
• Must perform the duties of my job in a stressful and often austere environment without physical limitations.
• Sitting and/or standing for extended periods of time.
• Average manual dexterity for computer operation.
• Phone or computer use for extended periods of time.

Other Special Qualifications:

• Must maintain current/physical residency in the continental U.S.
• Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment.
• U.S. citizen and have resided in the U.S. for the last five years (unless abroad on official U.S. government duty).
• Successfully engage in and complete a thorough Background Investigation.
• Poses or have ability to obtain required security clearances.
• Proficiency in Spanish is preferred.

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 applicants 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 Health and Medical Services complies with all federal state and local minimum wage laws 

International Health and Medical Serivdes 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. 

Remote Work :

No

Employment Type :

Full-time