Referral Coordinator
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
Position is responsible for supporting the physician and interdisciplinary team in facilitating the patient experience, with the underlying objective of enhancing the quality of clinical outcomes, managing and developing the referral process, and focusing on patient satisfaction while managing the cost of care and providing timely and accurate information to physicians, case managers, patients and their families.Job Description
Referral Coordinator
Advance Heart Failure Clinic
(FT, Day)
Minimum Qualifications:
Education:
- High School diploma or equivalent required. Bachelor’s degree in Business or Marketing preferred.
License/ Certification:
- Current State of Texas license/permit to practice vocational or professional nursing preferred.
Experience / Knowledge / Skills:
- Three years of healthcare experience with progressive responsibilities.
- Three to five years of relevant business or clinical operations experience.
- Strong analytical, data management and computer skills.
- Current working knowledge of discharge planning, Medicare, Medicaid and managed care reimbursement.
- Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families.
- Performs duties in a manner to promote quality patient care and customer service/satisfaction, while promoting safety, cost efficiency, and a commitment to the CQI process.
- Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.
Principle Accountabilities:
- Responsible for welcoming patients to the practice, identifying and introducing care providers, and setting expectations for program services.
- Coordinates the intake of new patient information including obtaining medical records, coordinating visits according to treatment plan, and communicating with patients, family, referring physicians and ancillary providers along the way.
- Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician.
- Completes proactive patient screens as requested by MDs, facility staff and/ or patients and their families.
- Develops a method to identify inpatient referrals and establish a communication plan with those referring physician/practices.
- Maintains referring physician database for tracking and trending market referral patterns.
- Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.
- Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress to discharge, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
- Collaborates and maintains active communication with physicians, nursing staff and other members of the multi-disciplinary care team, patients and their families, and other healthcare companies.
- Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization.
- Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and quality of services.
- FOR HOME HEALTH: Referral management employees will receive and work all referrals.
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