Complex Care Referrals & Coordination Specialist

Neighborhood-Healthcare; Poway (CA); On-site; USD 32,000 - 44,000; Full time

Benefits offered by this job

Medical, Dental and Vision plans (part

Vacation & Holidays

Sick/Personal time

Volunteer Time Off

403b Retirement plan

Job summary

Neighborhood Healthcare is seeking a Complex Care Resource Specialist to coordinate chronic care and SDoH referrals, traveling to NHC sites as needed. You will track referrals, verify insurance, and document actions in medical records per regulations.

Strong communication and organizational skills are essential to support patients and care teams. Travel required to attend meetings and train staff; bilingual abilities are preferred.

Qualifications

• High school diploma/GED.
• CA driver’s license with proof of insurance required for travel.
• One year health-related field experience preferred.
• Bilingual English/Spanish or English/Arabic preferred.

Responsibilities

• Completes thorough referral processes according to standard procedures and protocol to ensure accuracy.
• Tracks all referrals in the designated logs and via eCW.
• Documents all actions taken in patient medical records in accordance with current Clinic, DHS, and health plan regulations/guidelines.
• Discusses all aspects of the referral process provided by the treating provider with patients, including the cost of referral under provider direction.
• Verifies insurance eligibilities and submission of treatment authorizations.
• Administers the SDoH program according to standard procedures and protocols.
• Collaborates and build partnerships with external entities to become familiar with referral sources.
• Maintains accurate lists of specialists/providers by funding source and other community resources as approved by the management.
• Acts as liaison between patients, clinic/providers, specialty care providers, health plans/funding sources, and community resources.
• Impacts patient experiences by demonstrating courteous and helpful behavior and a commitment to accuracy.
• Shares accountability for overall patient health outcomes, working in coordination with care teams.
• Operates to instill confidence in our care and in our facilities to patients, fellow employees, and other stakeholders.
• Attends meetings on and off site when deemed necessary by supervisor.

Skills

Referral coordination

SDoH coordination

Documentation

Communication skills

Multitasking

Planning & organization

Teamwork

HIPAA/compliance

Education

High school diploma/GED

CA Driver's license

Bilingual English/Spanish or English/Arabic preferred

Tools

MS Excel

Databases

eCW

Job description

Neighborhood Healthcare is seeking a Complex Care Resource Specialist to coordinate chronic care and SDoH referrals, traveling to NHC sites as needed. You will track referrals, verify insurance, and document actions in medical records per regulations.

Strong communication and organizational skills are essential to support patients and care teams. Travel required to attend meetings and train staff; bilingual abilities are preferred.