Shared Market Clinical - Referral Coordinator, Bilingual

ArchWell Health•Jacksonville, FL

About The Position

The Referral Coordinator supports members as they navigate the healthcare delivery system, helping ensure they receive appropriate care in a timely manner. The coordinator guides members and their families to the appropriate specialists, whether inside or outside the center, and works with the multidisciplinary care team to understand care needs, identify barriers, and support progress toward care-plan goals. The role requires a strong understanding of the healthcare ecosystem, attention to detail, and a commitment to quality care for seniors. ArchWell Health provides value-based primary care for adults over 60 through accessible neighborhood centers, emphasizing provider-patient relationships, routine wellness, and a supportive community. The organization is committed to helping seniors stay healthy and engaged and is an equal opportunity employer.

Requirements

High school diploma or equivalent.
Bilingual in Spanish and able to pass a formal proficiency exam during 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.
Passion for helping senior members carry out care plans.
Ability to work effectively with diverse populations, including staff, providers, members, family members, insurance carriers, vendors, and the public.
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 within an interdisciplinary team.
Ability to multitask and manage competing priorities with strong attention to detail.
Proficiency with PC skills, including Microsoft Office.
Demonstrate 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 each member’s care needs and identify gaps or barriers to treatment.
Coordinate referrals to external providers, vendors, and services.
Document member referrals accurately and keep records current.
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 goals.
Follow 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 address healthcare-system, financial, or social barriers, including arranging interpreters, transportation, or prescription assistance as appropriate.
Serve as a system navigator and point of contact for members and families, enabling them to ask questions and raise concerns.
Perform additional duties as assigned.