Referral Case Manager

Mychn; Clute (TX); Vor Ort; USD 45.000 - 65.000; Vollzeit

Benefits dieser Stelle

100% Paid Employee Health & Dental Ins

401(k) with 4% Employer Match

Opportunities for Professional Growth

Supportive, Mission-Driven Team

Meaningful Work That Impacts Patient C

Improve Healthcare Access for Undersrv

Zusammenfassung

MyCHN, a nonprofit healthcare leader serving the Greater Houston and Gulf Coast region, seeks a Referral Case Manager to connect patients with specialty services and coordinate care across providers.

You will educate patients on referral status, assist with barriers to access, and maintain thorough documentation within the EHR while ensuring HIPAA compliance and effective communication across clinical teams.

Qualifikationen

• High School Diploma or equivalent required.
• Excellent customer service and patient support skills.
• Strong verbal and written communication.
• Organizational skills to manage multiple priorities.
• Experience with EMR systems and basic computer applications.
• Team collaboration and coordination with clinical teams.

Aufgaben

• Monitor and process referrals generated by MyCHN providers on a daily basis.
• Review referral information for accuracy, completeness, and medical necessity.
• Coordinate specialty referrals according to established guidelines and provider availability.
• Educate patients on referral status, appointment scheduling, and next steps in their care journey.
• Assist patients in overcoming barriers to specialty care, including transportation, insurance verification, and appointment coordination.
• Communicate effectively with providers, specialists, and internal clinical teams to ensure continuity of care.
• Maintain accurate documentation of referral activities and patient interactions within the Electronic Health Record (EHR).
• Track referral outcomes and ensure appropriate follow-up.
• Escalate urgent or complex cases to clinical leadership when necessary.
• Support quality initiatives and maintain compliance with organizational policies and HIPAA regulations.
• Participate in team meetings and contribute to workflow improvement initiatives.

Kenntnisse

Customer service

Communication

Organization

Problem solving

Teamwork

Ausbildung

High School Diploma

Medical Assistant Certification

Tools

EMR systems

Computer literacy

Jobbeschreibung

Join MyCHN as a Dynamic Referral Case Manager!

Are you passionate about helping patients navigate their healthcare journey? Do you thrive in a fast-paced environment where organization, compassion, and communication make a real difference? If so, we want you on our team!

At MyCHN, a nonprofit healthcare leader serving the Greater Houston and Gulf Coast region, we are committed to building healthier communities through accessible, high-quality care. As a Referral Case Manager, you'll play a vital role in connecting patients with specialty services, coordinating care, and ensuring seamless communication between providers, specialists, and patients.

Your Responsibilities

• Monitor and process referrals generated by MyCHN providers on a daily basis.
• Review referral information for accuracy, completeness, and medical necessity.
• Coordinate specialty referrals according to established guidelines and provider availability.
• Educate patients on referral status, appointment scheduling, and next steps in their care journey.
• Assist patients in overcoming barriers to specialty care, including transportation, insurance verification, and appointment coordination.
• Communicate effectively with providers, specialists, and internal clinical teams to ensure continuity of care.
• Maintain accurate documentation of referral activities and patient interactions within the Electronic Health Record (EHR).
• Track referral outcomes and ensure appropriate follow-up.
• Escalate urgent or complex cases to clinical leadership when necessary.
• Support quality initiatives and maintain compliance with organizational policies and HIPAA regulations.
• Participate in team meetings and contribute to workflow improvement initiatives.

What You'll Need

• High School Diploma or equivalent
• Exceptional customer service and patient support skills
• Strong verbal and written communication abilities
• Organizational skills with the ability to manage multiple priorities
• Resourceful problem-solving abilities and a patient-focused mindset
• Proficiency with Electronic Medical Records (EMR) systems and basic computer applications
• Strong teamwork and collaboration skills

Preferred Qualifications

• Previous experience in healthcare administration or a similar healthcare setting
• Medical Assistant Certification

Why You'll Love Working With Us

• 100% Paid Employee Health & Dental Insurance
• 401(k) with 4% Employer Match
• Opportunities for Professional Growth and Career Advancement
• Supportive, Mission-Driven Team Culture
• Meaningful Work That Directly Impacts Patient Care
• The Opportunity to Improve Healthcare Access for Underserved Communities

Make a Difference Every Day

As a Referral Case Manager, you'll be the bridge between patients and the specialty services they need to achieve better health outcomes. Your dedication, compassion, and attention to detail will help ensure every patient receives the care and support they deserve.