PRC Referral Coordinator (TI-43689)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION • Coulee City, WA

11d • $24 - $27 • Onsite

About The Position

This is a Non-Exempt position. The Referral Coordinator is responsible for overseeing and managing the referral process within the Purchased/Referred Care (PRC) program. This position ensures timely coordination of care between patients, internal providers, and external specialists by facilitating referrals and maintaining documentation. The Referral Coordinator plays a key role in ensuring patients receive necessary off-site healthcare services and that all PRC referrals comply with applicable policies and funding guidelines.

Requirements

• Requires a Associate’s degree in healthcare administration or related field preferred.
• Minimum of three (3) years of experience in referral coordination, case management, or PRC support.
• Experience working within tribal or IHS health systems is highly preferred.
• Requires valid driver’s license and ability to pass a background check.
• Requires HIPAA certification or willingness to obtain.
• Requires CPR certification.
• Requires knowledge of PRC policies, IHS referral protocols, and tribal health system practices.
• Requries familiarity with medical terminology, billing codes, and insurance verification.
• Requires proficiency in Microsoft Office and EHR systems.
• Requires strong organizational skills and attention to detail.
• Requires effective communication and customer service skills.
• Ability to manage multiple referrals and follow up in a timely manner.
• Ability to maintain confidentiality and adhere to HIPAA regulations.
• Ability to communicate effectively with patients, staff, and external providers.
• Ability to work both independently and as part of a team.
• Ability to adapt to changing procedures and program requirements.
• Ablity to sit and work at a computer station for extended periods.
• Occasional lifting of files, records, or office supplies up to 25 pounds.
• Requires hearing and speaking to exchange information and read documents.
• Ability to travel occasionally for training or program coordination.

Nice To Haves

• Experience working within tribal or IHS health systems is highly preferred.
• Requires a Associate’s degree in healthcare administration or related field preferred.

Responsibilities

• Overseeing and managing the referral process within the Purchased/Referred Care (PRC) program.
• Ensuring timely coordination of care between patients, internal providers, and external specialists by facilitating referrals and maintaining documentation.
• Ensuring patients receive necessary off-site healthcare services
• Ensuring that all PRC referrals comply with applicable policies and funding guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees