Referral Coordinator

Job description

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. ESSENTIAL JOB FUNCTIONS: The Care Coordinator will work with Care Center of Excellence, Physician Management Resources (PMR), market leaders, external clients and HMO to establish, maintain and support outpatient utilization management in PMR and delegated utilization management in ChenMed Medical Centers. Primary Duties and Responsibilities Daily review of approved and pended outpatient requests for PMR clients and ChenMed Markets. Provide insights to the PMR team and Network Director and work with them to take action. Facilitate a daily process to help redirect poorly supported requests by: Providing feedback to Humana, Careplus, Wellcare and Coventry and working through daily authorization requests when information is missing. Create process for managing requests when patients need to see the primary care provider...