Referral Services Manager

Family HealthCare Network•Visalia, CA

21h•$71,552 - $114,484•Onsite

About The Position

The Referral Services Manager is responsible for managing operational aspects of the referrals and health information functions including related to, customer service, compliance, and staffing.

Requirements

Proficiency in written and verbal communication, basic mathematics, computer applications, and technical systems.
Completion of a Bachelor’s Degree program with a recognized major and a minimum cumulative GPA of 2.5; OR Comparable experience that includes two years of experience in health records management and completion of a high school diploma with a minimum cumulative GPA of 2.5, or General Educational Development (GED) with a minimum overall score of 162.5, and healthcare-related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.
If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma or Bachelor’s degree.
A minimum of four years of leadership experience or 5 years of progressively greater responsibility or significant contributions to projects and initiatives that demonstrate leadership skills.
Thorough understanding of the theory of the profession in order to determine “why” things are done.
A minimum credit score of 650.
Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs and other elements.
Ability to use Microsoft Excel to analyze data, including the use of formulas, functions, lookup tables and other standard spreadsheet elements.
Ability to develop sophisticated presentations in Microsoft PowerPoint, including the use of embedded objects, transitions and other elements.
Effectively communicate, verbally and in writing, opinions and extrapolations of information collected and synthesized/analyzed.
Responsible for the resolution of conflicts.
Compiles, analyzes and prepares information in an effective written form, including correspondence, reports, articles or other documentation.
Effectively conveys technical information to non-technical audiences.
Regularly required to sit and use repetitive hand movement to type and grasp.
Frequently required to stand or walk.
Occasionally lift and/or move up to 20 pounds.

Nice To Haves

RHIT or RHIA certification preferred.

Responsibilities

Provides management to departmental staff, including performance management, hiring/firing recommendations, fostering a culture of accountability and excellence, developing action plans, empowering staff, delegating duties, assisting with budget development and monitoring, ensuring regulatory compliance, overseeing employee training, recommending workflow/policy changes, and identifying/presenting referral and health information issues.
Manages referral-related functions, ensuring referrals are tracked and processed within expected timelines, managing staff productivity to meet performance metrics, ensuring adherence to referral workflows and policies, managing operations related to referrals and resources, conducting internal audits of referrals for compliance, and communicating with internal and external providers.
Manages and monitors referral workflows and performance to ensure adherence to appropriate referral sources and clinical pathway workflows, reviews referral data and specialist sources for access and cost-effectiveness, identifies strategies to reduce specialty care costs, ensures specialty database is current, presents referral and health information issues to the Director, and develops relationships with the professional community.
Manages health information related functions, ensuring medical releases and other health information functions are processed within expected timelines, managing staff productivity, ensuring adherence to health information workflows and policies, ensuring compliance with health information requests and handling, conducting random audits, maintaining and managing clinical forms, creating indexing guidelines, and managing record retention and purging.
Serves as an internal consultant on health information management issues including release of information, confidentiality, information security, storage and retrieval, record retention, authorship and authentication, standardization of medical vocabularies, and use of classification systems.
Monitors changes in legislation and accreditation standards that affect health information management.
Prepares weekly and monthly reports, analyzes data to identify problem areas, and develops and implements strategies to address them.
Adheres to the Attendance and Absenteeism Policy.
Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.
Performs other duties as assigned.