Referral Coordinator - Tucson

ArchWell Health•Tucson, AZ

22d

About The Position

ArchWell Health is an innovative healthcare provider focused on improving the lives of senior members through neighborhood clinics and wellness-focused care. The Referral Coordinator supports members as they navigate the healthcare system, helping ensure they receive appropriate care in the right setting and in a timely manner. The role serves as a guide for members and their families in accessing specialists and other services, both inside and outside the center. The coordinator works with a multidisciplinary care team to understand members’ care needs, identify treatment gaps and barriers, coordinate and document referrals, and maintain communication among members, families, providers, and care team members. The role also monitors follow-up and progress against care plan goals, helps members address financial or social barriers, and protects the confidentiality of health information.

Requirements

High school diploma or equivalent.
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.
Strong communication and rapport-building skills within 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 strong attention to detail.
Proficient PC skills, including Microsoft Office.

Nice To Haves

Degree or college-level coursework in healthcare.
Medical Assistant or medical administrative experience.
Experience with EMR systems, ideally eClinicalWorks or similar.
Fluency in Spanish or languages spoken by the communities served, where necessary.

Responsibilities

Partner with the multidisciplinary care team to understand each member’s care needs and identify gaps and barriers to treatment.
Coordinate referrals to external providers, vendors, and services.
Complete and maintain accurate 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, ensuring 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.
Help members solve problems related to the healthcare system 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, responding to questions and concerns.
Perform additional duties as assigned.