Referral Coordinator

International Health and Medical Services•Houston, TX

13d•Onsite

About The Position

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 patient’s 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.

Requirements

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.
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.
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.

Nice To Haves

Knowledge of ICE/DHS medical case review and care preferred.
Advanced Cardiac Life Support (ACLS) preferred.
Proficiency in both English and Spanish is preferred.
Case Management Certification by ANCC preferred.
Proficiency in Spanish is preferred.

Responsibilities

Coordinate all onsite medical cases to ensure that appropriate and timely medical services are provided.
Liaise with local healthcare providers to identify the appropriate care, service, and location to manage the healthcare needs of patients.
Assure a comprehensive and effective Case Management process in support of patients to ensure functional care pathways are created.
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.
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 patient’s 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.