Referrals Supervisor

Referrals Supervisor

Requirements

• Knowledge of products, services, standards, policies and procedures in a healthcare environment
• Network Management experience/understanding
• Understanding of cost as it relates to Medicare parts A, B and D
• Proficient in Microsoft Excel, Outlook and Word
• Written and oral fluency in English
• Ability to effectively communicate with employees, patients and other individuals in a professional and courteous manner
• Ability to pay close attention to detail and to ensure accuracy of reports and data
• Bachelor’s degree preferred; relevant, equivalent experience may be substituted for education on a year-for-year basis
• Minimum five (5) years’ supervisory experience of teams greater than three (3) employees
• Experience working with Physicians and Directors on a daily basis
• Experience reviewing data and making decision based of the data
• Experience working in Medicare managed care environment

Responsibilities

• Provides extraordinary customer service to all internal and external customers (including patients and other ChenMed team members) always. Establishes and maintains relationships with identified service providers.
• Conducts all activities as outlined in the job description for Care Coordinator. Provides coverage for Care Coordinators when they are on paid time off or call out.
• Supervises centralized care coordinators in their day to day activities. Ensures the completeness and accuracy of all tasks. Assists coordinators with complicated referrals.
• Provides referral consulting support to assigned centers. Acts as referrals liaison for Center Managers. Answers questions and assists the center referral staff (care coordinators) at the request of the Center Manager and provides feedback to Center Managers when needed.
• Ensures Preferred Provider List is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when network adequacy impacts access to care.
• Generates and analyzes all Business Intelligence reports; releases to the care coordinators.
• Training of new care coordinators and assisting with training of new processes with direction from Referral Manager.
• Covers for Referral Manager while on PTO.
• Provides feedback to Referrals Manager to conduct performance evaluations for referrals team members.
• Submits Workday timecards and approves PTO for care coordinators.
• Performs other duties as assigned and modified at manager’s discretion.

Preferred Qualifications

• Bachelor’s degree preferred; relevant, equivalent experience may be substituted for education on a year-for-year basis