In collaboration with the interdisciplinary team, provides clinical/financial care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The Referral Services Specialist works collaboratively with members of the health care team to assess the needs of an individual and family, facilitate the development of an interdisciplinary plan of care, coordinate care across service sites, evaluate the effectiveness of services, and negotiate for resources to promote cost-effective, quality outcomes. The Referral Services Specialist directs the admission of patients and manages the entry process of patients. Confers and reviews with physicians and physician extenders on medical admitting information to assess necessity. Ensures appropriate documentation.
Departmental Specific Summary
In collaboration with the Keck Referral Center interdisciplinary team, the Referral Services Specialists provides care coordination services evaluating options and services required to meet an individual's health care needs to promote quality outcomes. The Referral Services Specialists works collaboratively with members of the Keck Referral Center team to assess the needs of an individual and family, facilitate the development of an interdisciplinary plan of care, and coordinate care across service sites. The Referral Services Specialists directs the admission of patients and manages the entry process of the patient entering USC Care Ambulatory Services. Ensures appropriate transcription of incoming referrals, collection of medical records and minimum data sets, and completes other duties as assigned.
Essential Duties
On a daily basis, reviews all incoming referrals to initiate and maintain positive working relationship with patients and referring physicians.
Transcribes all incoming referrals into Ambulatory Referral Management
Determine desired means and frequency of communication with patients, i.e., emails, mailed communications , phone calls.
Daily review of referrals worklist within Ambulatory Referral Management
Adheres to USC policies, procedures, and standards.
Attends mandatory departmental staff meetings.
Provide literature as requested and follow-up regarding literature provided.
Provides pertinent feedback from patients and physicians to Marketing Department.
Provides clinical information regarding Protocol as requester.
Collaborates with USC Care clinical staff regarding new patient consultation.
Collaborates with financial counselors regarding new patient referral financial issues.
Collaborates with clinical staff regarding new patient consultations.
Collaborates with Medical Records to ensure timely processing of consultations.
Assist in the development and maintenance of departmental database to track and trend new patient calls for administrative and marketing purposes.
Performs other duties as assigned.
Provides pertinent feedback from patients and physicians to Marketing Department.
Provides clinical information regarding Protocol as requester.
Collaborates with Norris physicians regarding new patient consultation.
Collaborates with financial counselors regarding new patient referral financial issues.
Collaborates with clinical staff regarding new patient consultations.
Collaborates with Medical Records to ensure timely processing of consultations.
Assist in the development and maintenance of departmental database to track and trend new patient calls for administrative and marketing purposes.
Performs other duties as assigned.
Required Qualifications:
Req High school or equivalent
Req 3 years Healthcare experience. If no experience, bachelor's or master's degree in business administration, health administrative, or related field can be substitute for experience.
Req Organization/time management skills.
Req Demonstrate excellent customer…