Shared Market Clinical - Referral Coordinator, Bilingual

ArchWell Health•Jacksonville, FL

19h

About The Position

The Referral Coordinator supports members as they navigate the healthcare delivery system and helps ensure they receive appropriate care in the right setting. Acting as a guide for members and their families, the coordinator facilitates timely access to specialists and other services, both inside and outside the center. The role works closely with ArchWell Health’s multidisciplinary care team to understand members’ needs, address barriers to treatment, coordinate referrals, and monitor progress toward care plan goals. The position also supports clear communication among members, families, care teams, and treating clinicians while maintaining accurate documentation and protecting confidential health information. The successful candidate is bilingual in Spanish and passionate about helping seniors access quality care.

Requirements

High school diploma or equivalent.
Bilingual in Spanish and able to pass a formal proficiency exam as part of the selection process.
Two years of experience in referral management or care coordination.
Deep understanding of the healthcare ecosystem, ideally including benefits and insurance authorization.
Basic medical terminology.
Understanding of Medicare criteria for equipment and supplies.
Knowledge of CPT and ICD-10 codes.
Working knowledge of specialists and community resources that can assist members.
Strong communication and rapport-building skills across an interdisciplinary team.
Ability to work effectively with diverse populations, including staff, providers, members, family members, insurance carriers, vendors, and the public.
Ability to multitask and manage competing priorities with high attention to detail.
Proficient PC skills, including Microsoft Office.
Passion for helping senior members successfully carry out care plans.
Ability to embody and serve as a role model for ArchWell Health’s values: Be compassionate, Strive for excellence, Earn trust, Show respect, Stay resilient, and Always do the right thing.

Nice To Haves

Degree or college-level coursework in healthcare.
Medical Assistant or medical administrative experience.
Experience with EMR systems, ideally eClinicalWorks or similar.

Responsibilities

Partner with ArchWell Health’s multidisciplinary care team to understand members’ care needs and identify gaps and barriers to treatment.
Coordinate referrals to external providers, vendors, and services.
Complete accurate and current documentation for member referrals.
Build and maintain relationships with members and their families to facilitate care coordination.
Carry out activities and ongoing monitoring outlined in members’ care plans, supporting routine follow-up and progress toward care plan goals.
Adhere to HIPAA standards and protect the confidentiality of protected health information.
Promote clear communication among the care team and treating clinicians to support positive member outcomes.
Help members solve potential healthcare-system issues and financial or social barriers, including arranging interpreters, transportation services, or prescription assistance as appropriate.
Serve as a system navigator and point of contact for members and families, providing a way to ask questions and raise concerns.
Perform additional duties as assigned.