PRC Administrative Specialist for Medical Referrals

Tohono O'odham Nation Healthcare; Sells (AZ); On-site; USD 52,000 - 78,000; Full time

Job summary

Tohono O'odham Nation Health Care seeks a PRC program administrator responsible for allocating PRC funds and coordinating alternate healthcare resources to support the TONHC user population. The role covers the PRC branch and may be stationed at multiple TONHC facilities within the region.

The incumbent will enter referrals, determine patient eligibility, and manage communications with clinics, staff, and external providers while ensuring proper fund utilization and timely follow-up.

Qualifications

• Knowledge of HIPAA and privacy regulations as applied to PRC.
• Understanding of PRC program operations and funding processes.
• Ability to prepare financial statements and reports for the PRC program.
• Strong communication with clinical teams, vendors, and patients.

Responsibilities

• Maintain PRC referrals, eligibility, and priority determinations.
• Enter referrals and related data into the RCIS system.
• Coordinate scheduling and follow-up for referred visits.
• Prepare PRC financial status reports and forecasts.

Skills

HIPAA compliance

PRC program knowledge

Financial stewardship

Communication

Independent work

Education

High School Diploma

Tools

RCIS system

Job description

Tohono O'odham Nation Health Care seeks a PRC program administrator responsible for allocating PRC funds and coordinating alternate healthcare resources to support the TONHC user population. The role covers the PRC branch and may be stationed at multiple TONHC facilities within the region.

The incumbent will enter referrals, determine patient eligibility, and manage communications with clinics, staff, and external providers while ensuring proper fund utilization and timely follow-up.