Care Coordinator

JOB DESCRIPTION: Responsible for coordinating and completing referrals ordered by providers, acquiring and verifying third party information for referrals, obtaining and arranging referral appointments, and/or tracking referrals and task as deemed necessary.

SUPERVISION: Directly supervised by the CSR/Care Coordination Program Manager.

TYPICAL PHYSICAL DEMANDS: Requires standing, walking, stooping, bending, kneeling and must be able to move up to 25 pounds. Requires the use of office equipment, i.e., copiers, computers, etc.

FUNCTIONS AND RESPONSIBILITIES:

• Assists in scheduling referrals, consults, and diagnostic testing.
• Tracks results of referrals, consults, and diagnostic testing
• Coordinate all aspects of completing referrals ordered by providers and contacts patients when authorization is obtained. (i.e. obtain pre-op authorizations and insurance authorizations).
• Arrange referral appointments ensuring proper paperwork is given to patient for appointment per orders (i.e. labs, x-rays, post hospital visits, etc.)
• Track referral “no shows” in Electronic Health Record and bring to the attention of the ordering provider.
• Maintain communication with the provider and patient regarding appropriate specialist to refer to in each case.
• Maintain specialty provider list including payor sources providers accept.
• Make appropriate notations on patient’s health record and bring to the attention of the ordering provider any problems regarding obtaining referrals including:
  • Obtaining authorizations from third party payors.
  • Making appointments with specialty providers.
  • Patients refusing a referral.
  • Patients not showing for a referral appointment.
• Document accurately in Electronic Health Record.
• Performs other duties as assigned.
• Contacts patients overdue for care and encourages appropriate follow up care
• Coordinates continuity of patient care with patients and families following hospital admission, discharge, and ER visits.
• Performs other duties as assigned.