Referrals - Care Coordination Specialist

Healthy Connections • Mena, AR

1d • $16 - $19 • Onsite

About The Position

The Care Coordination Specialist will play an instrumental role in a department that is providing fully coordinated patient care to improve the overall performance of the value-based care population across the healthcare continuum by ensuring patients receive the right care, at the right time, by the right people. The Care Coordination Specialist is responsible for facilitating multiple components of care to include but not limited to the scheduling of Annual Wellness Visits, gaps in care closure, as well as playing a critical role in the onboarding of patients into other key care management programs. This individual will assist in providing value-based, cost-effective healthcare services throughout the care continuum by meeting Key Performance Indicators (KPIs) and quality measures as set forth by the Accountable Care Organization (ACO), insurances, and Healthy Connections Quality Team. The Care Coordination Specialist is an essential liaison between patients and practice by coordinating medical treatment, building relationships with patients, serving as an advocate for the champion of patient’s health, and connecting patients with social and community support systems for continuation of care.

Requirements

• High school education
• Must have a working knowledge of Microsoft office products, and familiarity with network systems.
• Excellent organizational, written and customer service skills necessary.
• Ability to travel to all locations and to meetings outside of the service area.
• Ability to understand verbal communication and instruction, exchange verbal information and to present information verbally.
• Ability to establish and maintain effective, courteous working relationships with patients, staff team members, business entities and others.
• Ability to organize, prioritize and problem-solve independently.

Nice To Haves

• Experience working with electronic health records (EHR) and referral management software.
• Knowledge of healthcare regulations such as HIPAA and patient privacy standards.
• Certification in care coordination or case management (e.g., CCM, CPC).
• Bilingual abilities to support diverse patient populations.

Responsibilities

• Manage and process patient referrals by coordinating with healthcare providers, specialists, and insurance companies to ensure timely and appropriate care.
• Verify patient insurance eligibility and benefits related to referrals to prevent coverage issues and delays.
• Schedule appointments and follow up with patients and providers to confirm referral completion and address any barriers to care.
• Maintain detailed and accurate records of all referral activities in compliance with healthcare regulations and organizational policies.
• Communicate effectively with patients to provide clear instructions and support throughout the referral process, addressing any questions or concerns.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED