Shared Market Clinical - Referral Coordinator

ArchWell Health•Tucson, AZ

19h

About The Position

ArchWell Health is a healthcare provider focused on improving the lives of senior members through neighborhood clinics and wellness-focused communities. 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 guides members and their families in connecting with specialists and other services, both inside and outside the center. The coordinator partners with a multidisciplinary care team to understand member needs, identify gaps and barriers to treatment, coordinate referrals, maintain accurate referral records, and monitor progress on care-plan goals. The position also serves as a point of contact for members and families, helps address healthcare-system and social or financial barriers, and promotes communication among the care team and treating clinicians. The role requires attention to detail, familiarity with the healthcare ecosystem, and a commitment to helping seniors access quality care.

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.
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 in an interdisciplinary team.
Ability to multitask and manage competing priorities with strong attention to detail.
Proficiency with PCs and Microsoft Office.
Fluency in Spanish or languages spoken in the communities served, where necessary.

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.
Complete and maintain accurate, current documentation for member referrals.
Build and nurture relationships with members and their families to facilitate care coordination.
Carry out activities and ongoing monitoring outlined in members’ care plans, including 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 address 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 direct channel for questions and concerns.
Perform additional duties as assigned.