Waterfall Community Health Center’s mission is: "To promote access to quality integrated health services that meet the needs of individuals with barriers to care on the Southern Oregon Coast." JOB DESCRIPTION JOB TITLE: REFERRAL COORDINATOR STATIS: HOURLY, NON-EXEMPT DEPARTMENT: FRONT OFFICE DEADLINE TO APPLY: DECEMBER 5, 2014 GENERAL SUMMARY OF DUTIES: Support mission and goal achievement, organizational quality and patientcentered care. Comply with organizational policies, procedures, standards of care and related laws and regulations including HIPAA and OSHA regulations. Protect the dignity, privacy and confidentiality of patients and their families, as well as co-workers and others. The role of the Referral Coordinator is to assist the Primary Care Team by coordinating referral and related care needs of individual patients. Function as the primary point of contact for the transmission of information between providers and patients and providers and managed care plans, specialists and community referral organizations. Assist patients and families to navigate the referral process. Serve as a patient advocate in communicating patient requests for interventions and or action by the Care Team. The Referral Coordinator will have access to PHI during the course of his/her work activities. The Referral Coordinator will use this information to prepare both patient and medical records for visits with the provider and to keep the flow of work going smoothly in the clinic. The Referral Coordinator will have access to the full electronic medical record and the EPIC Practice Management system. Provide excellent customer service to all internal and external customers, which includes team members, patients, volunteers, students, visitors, and vendors, by consistently exceeding the customer’s expectations. SUPERVISION EXERCISED: Supervision is not a responsibility of this position SUPERVISION RECEIVED: Reports to the Clinic Site Manager ESSENTIAL RESPONSIBILITIES: Referrals: 1. Provide an effective communication link between patient, specialists and community referral organizations, and medical staff, including relaying messages from providers to and from Primary Care Provider (PCP) or other providers 2. Coordinate referrals for specialist consultations, diagnostic studies, community resources, and Coordinated Care Organizations (CCO) 3. Assist in coordination of care with pharmacies, insurance companies and other providers in the community. Ensure that information goes when and where it is needed 4. Track external and internal referrals as outlined in WCHC referral procedure. Ensure all reports are received in a timely manner from referral, and distribute report to appropriate PCP 5. Send records to specialists as requested 6. Participate in team decisions regarding data requirements for pro-actively managing the team’s panel 7. Use and update the directory of resources in the community to meet basic health and human needs 8. Perform other duties as assigned by supervisor. N/HR/Job Descriptions/Front Office 1 ESSENTIAL RESPONSIBILITIES: Communication & Teamwork 1. Openly, clearly and respectfully share and receive information, opinions, concerns and feedback in a supportive manner 2. Work collaboratively by mentoring new and existing co-workers, building bridges and creating rapport with team members across the organization GENERAL RESPONSBILITIES: Front Office Duties 1. As needed, perform the duties of Scheduler, Medical Records, and Patient Service Representative EDUCATION: High school diploma or GED EXPERIENCE: Minimum three years’ experience in the medical field BEHAVIORAL COMPETENCIES: Accountability – Role model WCHC’s mission, vision, and shared values Customer Focus - Listen to the voice of the customer and strive to delight them by exceeding their expectations Teamwork – Work done by several associates with each doing a part, but all contributing to the efficiency of the whole Ethical – Demonstrate integrity, honesty, and stewardship in all encounters at work Respect – Demonstrate consideration and appreciation for co-worker and patients Communication – Demonstrate the ability to convey thoughts and ideas as well as listen to and understand the perspective of others Cultural Sensitivity – Respectful of other individuals regardless of their race, creed, religion, color, national origin, ancestry, age, sex, sexual orientation, gender identity, marital status, atypical heredity, cellular or blood trait, disability, liability for service in the US Armed Forces, or any other legally protected status. QUALIFICATIONS: Excellent customer service skills Keyboarding skills at 45+ wpm Ability to report for work as scheduled Ability to embrace the mission of Community Health Center (WCHC) Ability to demonstrate the core values of quality, integrity, respect, partnership and compassion Willingness to work a flexible schedule when circumstances necessitate Willingness to accept the philosophy, purpose, and ideals of the organization Ability to use Microsoft Office Suite of products Use of electronic health records Ability to maintain a non-judgmental attitude KNOWLEDGE: Knowledge of HIPAA rules and regulations as related to all aspects of a health care organization Knowledge of software programs related to computer system Knowledge of medical terminology SKILLS: Skill in identifying problems, researching and recommending resolutions Skill in identifying problems, researching and recommending solutions Skill in exercising initiative, judgment, discretion, and decision-making Skill in maintaining corporate quality assurance Skill working with electronic medical records Excellent time management skills Ability to interact with people in a manner which shows respect, sensitivity, and professionalism Ability to work effectively with people from diverse cultures and diverse socioeconomic situations Ability to properly document procedures specific to this job description Ability to handle confidential material N/HR/Job Descriptions/Front Office 2 Ability to work at a rapid pace, being involved in several duties at one time Ability to communicate effectively both verbally and in writing to patients and team members of all skill levels Ability to work effectively as a team member, as well as independently, when needed Ability to work with all departments and personnel levels Ability to use a wide range of office machines including personal computers WORKING CONDITIONS: Exposed to – Cold/heat controls, close contact with sick people Hazardous Conditions - Exposure to blood borne pathogens, infectious diseases, potential exposure to physical violence, exposure to potentially hazardous chemicals Multiple Duties: All duties can be expected to be performed concomitantly. Must be able to work under conditions of constant interruption and be able to stay on task Physical Demands – Lifting, bending, reaching, pushing, carrying, sitting, vision corrected in normal range, hearing corrected in normal range Physical Effort – Mobility to visit all work sites and attend training, meetings, etc. as required Multiple Duties: All duties can be expected to be performed concomitantly. Must be able to work under conditions of constant interruption and be able to stay on task Working environment – In an office/clinical setting and occasionally out in the field; Occasional evening or weekend work Periodic state and national travel; travel between clinic sites HIPAA REQUIREMENTS: This position has access to Protected Health Information (PHI) in order to perform the functions of the job and employee shall apply the minimum necessary standard of HIPAA at all times. You are only to read the content of these records to the extent needed to accomplish the assigned task. PHI shall only be discussed on a need to know basis. Maintain strict confidentiality and respect the privacy of others. Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish WCHC’s Mission. I have read this job description and fully understand the requirements and expectations set forth therein. I hereby accept the position of Referral Specialist and agree to perform the identified essential functions and expectations in a safe manner and in accordance with WCHC’s established policies and procedures. N/HR/Job Descriptions/Front Office 3