Referral Coordinator Jobs

About The Position

Requirements

• 2 or more years of experience in a healthcare setting such as Medical Assistant, Patient Care Coordinator, Medical Case Manager, Care Navigator, Referral Coordinator, or other patient-facing role focused on care coordination, patient engagement, or population health.
• Demonstrated ability to build trust and establish strong relationships with patients, with a focus on delivering a high-touch, service-oriented experience.
• Strong communication skills with the ability to effectively engage, educate, and motivate patients from diverse backgrounds and varying health literacy levels.
• Proven ability to manage competing priorities, including outreach, scheduling, and follow up, while maintaining attention to detail and a high level of organization.
• Experience using electronic medical records (EMR/EHR) and patient engagement tools; proficiency in Microsoft Office applications (Word, Excel, Outlook) required.
• Ability to think critically, identify barriers to care, and implement solutions that support patient compliance and continuity of care.
• Strong interpersonal skills with the ability to work both independently and collaboratively within a multidisciplinary care team.
• Demonstrated commitment to providing compassionate, patient-centered care and maintaining professionalism in all interactions.
• Ability to work effectively in a mission-driven organization serving diverse populations, with respect to differences in race, ethnicity, gender identity, sexual orientation, socio-economic status, nationality, and religion.
• Currently have, or be able to obtain within 90 days of employment, a valid Fingerprint Clearance Card.
• Currently have, or are able to obtain within 30 days of employment, a clear TB test.
• Currently have, or are able to obtain within 30 days of employment, a current flu vaccination.
• Currently have, or are able to initiate within 30 days of employment, a Hepatitis-B primary vaccination series.
• Currently have, or are able to obtain within 30 days of employment, a CPR certification.

Nice To Haves

• Associate degree or additional training or certification in healthcare, public health, or related field.
• Familiarity with preventative care guidelines, care gap closure, HEDIS measures, or value-based care models.
• Experience supporting patient onboarding, patient education, or guiding individuals through healthcare services and systems.
• Graduation and certificate of completion or diploma from an approved and accredited (CAAHEP or ABHES) medical assisting training program, LPN, or RN.
• Experience in Integrated Care settings.
• Experience working in eClinicalWorks.
• Experience working with Microsoft PowerB and Excel.
• Bilingual in Spanish and English demonstrating Speaking & Listening skill.

Responsibilities

• Conduct proactive outreach to patients for appointment scheduling, reminders, and follow up to support care continuity.
• Monitor and manage no show rates and appointment cancellations, implementing outreach strategies to reduce missed visits.
• Coordinate appointments across services to ensure timely access to care and alignment with care plans.
• Meet with all new patients during their initial visit to provide a “Welcome to Prisma Community Care” experience, offering a high touch, white glove introduction to services and care expectations.
• Assist new patients with onboarding tools, including setup and education on the Healow messaging platform to support ongoing communication and engagement.
• Educate new patients on Prisma Community Care’s integrated care model and available services to ensure understanding and connection to care resources.
• Build and maintain trust-based relationships with patients to support long term engagement in care.
• Encourage active patient participation in care plans, treatment decisions, and overall health management.
• Utilize EMR and reporting tools to identify care gaps and patients due for preventative services, including annual physicals and screenings.
• Conduct targeted outreach to support closure of care gaps tied to HEDIS and other quality measures.
• Educate patients on the importance of preventative care and adherence to recommended screenings and follow up services.
• Track and follow through on completion of preventative and chronic care services to improve quality outcomes.
• Assist patients with medication adherence, including refill coordination and understanding prescribed treatments.
• Reinforce care plan compliance through ongoing communication and follow up.
• Collaborate with providers and care teams to monitor patient progress and escalate concerns as needed.
• Provide individualized education to patients regarding health conditions, treatment plans, and next steps in care.
• Identify and address barriers to care, including social, financial, transportation, or access related challenges.
• Leverage EMR, registries, and reporting tools to prioritize and execute targeted patient outreach.
• Maintain accurate and timely documentation of all patient interactions and outreach activities.
• Support quality improvement initiatives by contributing to performance on HEDIS measures and value-based care metrics.
• Track outreach outcomes and patient engagement efforts to inform continuous improvement strategies.
• Advocate for patients by coordinating solutions and connecting them to appropriate internal and community resources.
• Facilitate referrals to clinical programs, support services, and community-based resources as appropriate.
• Adhere to organizational policies, workflows, and regulatory requirements.
• Support compliance related activities and quality initiatives as assigned.
• Collaborate with leadership and care teams to ensure alignment with operational and quality goals.

Benefits

• 200 hours of PTO per year
• Up to 13 paid holidays per year
• Medical, dental, and vision insurance
• Basic life, short-term, and long-term disability insurance paid by Prisma Community Care
• Employee Assistance Plan (EAP)
• Retirement savings