Referral Coordinator

Healthcare Without Rival

Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a Full Time Referral Coordinator to join our team in Elko, NV.

Anticipated schedule will be Monday-Friday, 8am-5pm. Great opportunity offering work/life balance - no nights or weekends! Prior medical office experience and Proficiency in MS Office Suite required. Bilingual/Spanish skills a plus.

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.

Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.

Essential Functions:

• Working with the member, primary care provider, supervisor and other members of the health services team (EAP, Case Managers, Fitness, TPA, etc.) to identify and prioritize member's health care goals
• Identifies, facilitates and secures access to needed medical and mental healthcare services and appointments, social service benefits and community resources for the client’s member population and dependents. This includes: assisting members with completing housing and social service applications, accessing transportation, obtaining needed medical and social information to move applications forward, connecting member to appropriate agency to address needed services.
• Performs liaison functions between City agencies, residents, and community organizations, to provide assistance and facilitate participation in public service programs.
• Documents all encounters and follow up plans in Epic.
• Coordinates and attends meetings and collaborates with community partners to move the member toward stability.
• Works in collaboration with health services team members and care providers both in the facility and in the community including but not limited to: behavioral health services, disease care management specialist, social workers and community-based organizations to help the member maintain bidirectional communication and achieve optimal health outcomes.
• Assists members in scheduling appointments for clinical/medical and other community-based social services and assists with arranging transportation as needed to ensure access to services.
• Participates in case conferences to ensure that each member’s care team is aligned with a shared plan of care and up-to-date information on each member. Provide written status updates on a regular basis as requested and verify documentation of all such activities in member chart.
• Adheres to timeframes and quality standards regarding completion of member assessments, reassessments, care plans, and documentation (including case notes, updates, consents, etc.).
• Maintain a directory of provider services including medical, behavioral health, social support and other services as needed to support referral and coordination activities. Identify valuable resources to share with the rest of the team to the benefit of all members.
• Maintain positive and productive personal presentation with internal and external contacts, ensuring all engagements with staff/coworkers, members, and community partners are professional, courteous, and respectful.
• Attend program meetings, community meetings, committees, and trainings as requested; maintain and promote a positive image of Premise Health and the client with the goal of fostering positive community relations to the benefit of the served members and agency mission at large.
• Is familiar with the Premise Health policies and procedures to assure quality assurance and quality improvement are properly implemented as needed.
• Complete an in-depth initial needs assessment; subsequently completing and overseeing a member centered plan to address at risk areas.
• Implementation of the plan addressing at risk areas with documented follow up and monitoring of the plan
• Provide advocacy and knowledge of available and appropriate services for members and their families/collaterals.
• Participate in case conferences with the member care team on an as needed basis (with a minimum on case conference every three months with the exception of the Highly Utilizers member)
• Being available for referral for crises intervention, having to remain with a member until the issue is resolved or addressed.
• Complete accurate and up to date documentation; conduct daily follow ups to address any issues, review the previous day’s activities, and to discuss any client issues and or/new insight regarding a member.
• All other duties as assigned.

Job Requirements:

• High School diploma/GED

Preferred Experience:

• Prior experience accessing and navigating community resources preferred.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.

Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.