Referral Case Manager

MyCHN; Webster (TX); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

100% Paid Employee Health & Dental

401(k) with 4% Employer Match

Professional Growth & Career Advancem

Mission-Driven Team Culture

Job summary

MyCHN seeks a dedicated Referral Case Manager to connect patients with specialty services, coordinate care, and maintain clear communication among providers and patients. The role emphasizes accuracy, timeliness, and patient-centered support.

In this fast-paced environment, you will educate patients, assist with barriers to care, and collaborate with internal teams to ensure seamless care transitions and compliant documentation in the EHR.

Qualifications

• Proven customer service and patient support skills.
• Strong verbal and written communication abilities.
• Excellent organizational skills with multi-tasking capability.
• Resourceful problem solving with patient-focused mindset.
• Proficiency with EMR systems and basic computer applications.
• Teamwork and collaboration with clinical staff.

Responsibilities

• Monitor and process referrals daily.
• Review referral information for accuracy and necessity.
• Coordinate specialty referrals per guidelines and provider availability.
• Educate patients on referral status and scheduling steps.
• Assist patients with barriers to specialty care (transport, insurance, scheduling).
• Communicate with providers and care teams to ensure continuity of care.
• Document referral activities in the EHR and track outcomes.
• Escalate urgent cases to clinical leadership as needed.
• Support quality initiatives and HIPAA compliance.
• Participate in team meetings and workflow improvements.

Skills

Customer service

Verbal & written communication

Organizational skills

Problem solving

EMR proficiency

Team collaboration

Education

High School Diploma or equivalent

Medical Assistant Certification

Job description

Are you ready for new challenges and new opportunities?

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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.