JOB SUMMARY: Responsible for assisting the care team (provider, medical assistant, behavioral health provider, etc.) by coordinating services for patients who are part of the assigned panel, especially those with serious, complex, chronic or psychosocial issues.

JOB DUTIES: Responsible in facilitating access to appropriate health services by assisting with the coordination of referrals, admissions, discharge and/or transfer of patients to specialty care, hospitals, nursing homes, rehabilitation facilities, or residential care facilities, including the following:

Provide an effective communication link between patient, medical staff, behavioral health staff, rehabilitation facilities, hospitals, etc.

Schedule, coordinate and track referrals for diagnostic testing and specialty care.

Assist in coordination of care with other providers in the community, ensuring that information goes when and where it is needed.

Facilitate provider communication at regular intervals throughout patient’s hospitalization or stay at other facilities.

Maintain ongoing communication with discharge planners, case managers, and care coordinators at facilities to which patients are periodically admitted.

Ensure all patients are tracked and data entered into systems for follow up and reporting.

Coordinate with medical staff to ensure that case management services are provided to patients with complex medical and/or psychosocial problems.

Handle protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

• The Referral Coordinator will have access to protected health information during the course of his/her work activities. The Referral Coordinator will use this information to communicate medically necessary information to other health care providers to facilitate care for the patient.
• Applying the minimum necessary standard for HIPAA, the employee will have access to the full medical record, the practice management system, and the chronic disease registry system.

Consistently demonstrate and uphold CCCHC’s principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.

All duties as assigned.

Special Knowledge, Skills, Abilities and Attributes:

• Demonstrated ability to exercise sound judgment.
• Ability to communicate clearly and concisely.
• Ability to plan and be organized.
• Ability to work well under pressure, take initiative and be flexible and cooperative.
• Self-motivated and independently productive.
• Ability to maintain confidentiality of patient information and Company records.
• Ability to work effectively with both employees and managers.
• Ability to convey a positive and professional image to patients and employees.
• Ability to work effectively with people from diverse cultures and diverse socioeconomic situations.
• Professional appearance and demeanor.
• Basic level of skill with Microsoft Office including Word, Excel, Outlook, and ability to use other computer programs and applications in ways that facilitate panel management.
• Required to know, follow and enforce safe work practices, and be aware of company policies and procedures related to job safety, including safety rules and regulations.
• Knowledgeable of medical terminology/abbreviations.
• Knowledgeable of the health care system including managed care contracting, Medi-Cal, Medicare, and local IPAs.

Education and Experience Requirements

• Bilingual in English/Spanish preferred (or English/Vietnamese if assigned to Garden Grove).
• Current CA LVN or RN license required
• High School diploma or GED required.
• Two years of college desirable.
• Prior case management experience preferred.
• Prior experience working with underserved populations preferred.

Central City Community Health Center offer a dynamic work environment with competitive salaries and benefits. Central City Community Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Central City complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

Job Type: Full-time

Pay: $19.03 - $26.48 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Riverside, CA 92503: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: One location

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