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POSITION SUMMARY: The Referral Coordinator is responsible to participate as an integral member of the care team and works under the direction of the Director of Health Center Operations. The Referral Coordinator is responsible for processing, tracking, and facilitating all aspects of referrals made to specialty care providers in a timely, courteous, professional and accurate manner. The Referral Coordinator facilitates all types of referrals for specialty care and serves as a liaison between primary care providers, patients, and specialty care providers. Referral Coordinator is responsible for maintaining relationships with specialty care providers via the use of specialty care compacts.

SPECIFIC RESPONSIBILITIES: Maintain ongoing tracking and appropriate documentation on EHR referrals to promote team awareness and ensure patient safety; Maintains a current list of approved referral sources, referral guidelines and care compacts; Assemble information concerning patient's clinical background and referral needs as defined in referral guidelines and specialty care compacts; Contact review organizations and insurance companies to ensure prior approval requirements are met; Ensures all referral information is complete and submits to referral entity in a timely manner; Review details, patient instructions and expectations about the referral with patients via phone, mail, secure, e-mail, patient portal, or face to face when needed. Addresses barriers and directs patients to areas of assistance, maintaining knowledge of resources and support; Works together with the Care Team on patient follow-up and trouble-shooting; Responds to incoming telephone calls, patient portal messages regarding referrals in a timely manner; Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers; Ensure that referrals are addressed in a timely manner. Ensure that the referral tracking report is kept up to date on a weekly basis; Tracks and monitors all referrals to ensure that they are completed and consult reports are received in a timely manner; Ensure that referring providers are kept up to date on the status of all referrals; Ensure that patient's electronic health record is up to date with information on specialist consults; Notifies Supervisor and/or Manager of any issues regarding referrals including access concerns, trends in barriers of care and any other issue potentially affecting timely patient care; Ensures cultural sensitivities to the patient/staff of Tri-Town Community Action Agency Health Center; Demonstrate a working knowledge of Patient Center Medical Home approach to care; Ability to know and understand the multiple computer-based information systems; Ability to demonstrate knowledge of various Health Insurance Products; and Ability to work with different project assignments such as outreach and patient engagement efforts.

REQUIRED QUALIFICATIONS: A High School Diploma or GED is required; Graduate from an accredited Medical Assistant Program (minimum 12 month program); Previous experience in coordinating referrals in an outpatient setting is preferred. Bilingual in English and Spanish speaking abilities preferred.

APPLICATION PROCESS: Cover letters, resumes and three (3) written letters of recommendation due to Tri-Town Community Action Agency’s Human Resources Director (Sue Connaughton) at sconnaughton@tri-town.org; fax to 401-351-6611; mail to Tri-Town Community Action Agency, 1126 Hartford Avenue, Suite 201, Johnston, RI 02919.

To learn more about Tri-Town’s Health Center and Rhode Island in general, click here

Tri-Town is an Equal Opportunity Employer

South County Community Action Agency  ·  1935 Kingstown Road, Wakefield, RI 02879  ·  P: 401-789-3016  ·  F: 401-515-0139
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