Transition and Referral Coordinator

Community Medical Services•Phoenix, AZ

7h•Onsite

About The Position

Community Medical Services (CMS) is hiring a Transition and Referral Coordinator to oversee client transitions across the full continuum of care with internal and external OTPs, to wraparound community services and system partners. This role connects clients to resources, tracks outcomes, coordinates care, and advocates for clients' best interests, ensuring patient-centered support across housing, employment, medical, justice, and other pathways supporting treatment. As you join our mission to help those suffering from substance use disorders reclaim their lives, expect to thrive in a comfortable, welcoming, and fun environment where you are valued for the work you do, championed by passionate leaders, and equipped with the tools and ongoing training you need to achieve your goals.

Requirements

High school diploma or GED required
Minimum of two years of experience working with individuals with substance use disorder
Three to five years of experience in a clinical or community resource setting with care coordinator and/or case management experience preferred
Ability to travel regularly to assigned CMS sites and partner locations
Valid Driver License and Motor Vehicle Clearance (satisfactory driving record for 39 months)
Basic to intermediate computer knowledge
Problem solving, conflict resolution, and strong customer service skills
Passion, humility, integrity, positive attitude, mission-driven, and self-directed
Excellent organizational skills, accuracy, and attention to detail
Ability to keep accurate notes and records
Culturally competent and sensitive to client and employee needs
Ability to communicate clearly and effectively between all organizational levels and with outside providers
Ability to match client needs with available community services across multiple sectors
Knowledge of local, state, and federal regulatory requirements

Nice To Haves

Previous experience coordinating referrals or transitions across multiple service sectors
Experience with wraparound service coordination (housing, employment, medical, justice system navigation)
Experience with database management and outcome tracking
Bilingual (English/Spanish) communication skills
Familiarity with local resource landscape and community partnerships

Responsibilities

Coordinates client transitions across internal and external OTPs and system partners, including warm handoffs, and scheduling.
Coordinates wraparound service referrals and linkages, and conducts proactive follow-up to track engagement, outcomes, and client experience.
Coordinates with other departments with discharge and transition plans.
Maintains related reporting, tracking referrals, transitions, and outcomes, and escalating partnership barriers
Advocates for clients, resolves access barriers, and ensures coordinated, gap-free care across systems
Maintains required documentation and confidentiality (HIPAA/42 CFR Part 2), including informed consent, and completes related administrative tasks