PACE Referrals & Care Coordination Specialist

Ignite Human Capital LLC; Riverside (CA); On-site; USD 52,000 - 68,000; Full time

Job summary

Ignite Human Capital LLC in Riverside, CA is seeking a Referrals Specialist to coordinate all referrals and follow-up care for PACE participants. The role handles receiving, processing, scheduling, and following up on referrals for diagnostic testing, medical specialists, and other providers.

It is a full-time, onsite position based in Riverside. The Referrals Specialist will serve as the main contact for providers, schedule appointments, arrange transportation, and manage EMR updates to ensure

Qualifications

• Experience coordinating referrals and follow-up care.
• Strong communication with providers, clinics, and families.
• Experience using EMR systems for referrals and scheduling.

Responsibilities

• Serve as the main point of contact for providers and clinic staff on referrals, authorizations, and appointment scheduling
• Prepare, process, and complete referrals accurately and on time, including urgent and stat referrals
• Arrange transportation for participants to internal and external medical appointments, including escort coordination
• Communicate referral details and appointment instructions to participants and their families
• Track referrals in designated logs and in the electronic medical record (EMR)
• Follow up on submitted authorization requests, maintain status updates in the EMR, and escalate issues until the referral loop is closed
• Complete surgery scheduling with proper CPT codes and all follow-ups, including pre/post orders, labs, PAs, and imaging
• Manage re-authorizations across all payors, working with clinical teams to prevent lapses or delays in care
• Review consultation reports for needed follow-up and work with providers to process them promptly

Job description

Ignite Human Capital LLC in Riverside, CA is seeking a Referrals Specialist to coordinate all referrals and follow-up care for PACE participants. The role handles receiving, processing, scheduling, and following up on referrals for diagnostic testing, medical specialists, and other providers.

It is a full-time, onsite position based in Riverside. The Referrals Specialist will serve as the main contact for providers, schedule appointments, arrange transportation, and manage EMR updates to ensure