PACE Referrals Supervisor

Job description

Position Summary: Under the direct supervision of the PACE Referrals Manager, the Referrals Supervisor assists the Referrals Specialists to ensure adherence to policies, procedures, and PACE regulatory requirements. The role is focused on achieving goals related to the efficient and timely processing of referrals and authorizations to ensure prompt care for PACE participants. Essential Functions of the Job: - Assists in the development and implementation of departmental policies and procedures to meet participant and care team objectives, fostering an efficient and quality-driven environment that meets performance and productivity goals. - Coordinates the distribution of workload to ensure efficiency and ongoingly monitors productivity. - Takes the lead in the investigation of issues impacting the referral process and/or PACE participants care. When necessary, implements changes in the workflow to improve the referrals process. - Interprets and communicates changes in workflows, policies and expectations to the Referral Specialists while setting clear expectations. - Functions as a super-user for all PACE platforms (i.e. Epic, QuickCap) that interact with the PACE referral process....