SUMMARY:

Acquires and implements referrals for those patients with upcoming visits in-house and outside BUH/HMA. Performs in accordance with the facility’s policies and procedures. Follows the facility’s standards for ethical business conduct. Conducts self as a positive role model and team member. Participates in facility committees, meetings, in-services, and activities.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

RESPONSIBILITIES:

• The RC maintains strict patient confidentiality.

• The RC attends bi-weekly staff meetings.

• The RC assesses existing referral processes to ensure that the minimum standards set within the PCHI/HMA network are met as they pertain to referral review.

• The RC evaluates office staff ability to comply with referral management goals and will determine if assistance is required to effect changes in referral patterns. The RC interacts with HMA administrators, site managers, PCP’s and the Medical Director, in these efforts to ensure that patient flow and office procedures are not negatively impacted by changes in referral management requirements.

• The RC concurrently reviews with the PCP those referrals that fail to meet established guidelines. Under the direction of the PCP, the RC will explore possible alternatives to referrals, which fall outside of the recommended guidelines.

• The RC implements processes to track referral activity under the direction of the department Director. This is accomplished by a centralized office location and a monthly meeting with office support staff. Staff meetings will integrate all members of the team.

REQUIRED QUALIFICATIONS:

• Three to five years' experience in a health care delivery system. Advanced computer skills including knowledge of spreadsheet.

• Skills and Abilities Required.

• Requires the ability to work independently and establish an effective relationship with physicians, Nurse Practitioners, Physician Assistants, office staff and other health care providers in physician’s offices, community agencies, hospitals and other health care facilities.

• Requires autonomy in decision-making using sound judgement based on factual information, using established industry guidelines. Requires ability to identify risk-prone or problematic situations and know when to seek department Manager’s assistance.

• Requires ability to remain organized with workflow in spite of frequent interruptions. Requires the ability to demonstrate flexibility in assignment and remain calm and courteous with all patients, family, hospital staff and co-workers. Requires ability to use a computer keyboard and screen on a daily basis and utilize a headset for telephonic communication as necessary.

WORKING CONDITIONS:

• The work environment is one of a typical office work environment. Extensive computer work, such as data entry, verifying system data and correcting/updating information is necessary. While performing the duties of this job the employee is frequently required to sit, walk; stand; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; and talk or hear. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISORY DUTIES:

Referral Staff

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Daily Hours: 

Driving Required: