Referrals Manager

Here at SNAHC, you are joining a team and company at a time of growth and transformation. You will love being surrounded by people who are as passionate as you are about healthcare and giving back to the community. Please note that individual total compensation for this position will be determined at the Company's sole discretion and the wage range for this role considers a wide range of factors including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At SNAHC, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $58,573 - $79,246.
Position Summary:
The Referrals Manager (MREF) reports to the Chief Operating Officer and is responsible for administering, managing, planning, and coordinating all activities of referral staff. The Referrals Manager will develop programmatic goals and objectives, monitor outcomes, and implement internal audit procedures.
Essential Functions:

• Organizes, directs, coordinates, and supervises the operations of the referrals department.
• Demonstrates a high level of interpersonal skills, time management skills, and an ability to meet established productivity standards.
• Provides oversight of daily operations for the department including staffing, training, metrics, performance, and reporting.
• Ensures that referrals are processed in a timely manner.
• Supervises, directs, trains, and evaluates performance of all referral staff.
• Serves as a liaison between the clinical care team, patients, health plans, and specialty offices to resolve referral concerns.
• Maintains ongoing tracking and appropriate documentation on referrals to promote clinical staff awareness and to ensure patient safety when using the electronic health record system.
• Proficiently tracks and records reports in the EHR as they are received.
• Develops and maintains policies and procedures that are in alignment with the health center's mission and accreditation standards.
• Stays current with changing medical insurance requirements to meet patient needs. Creates monthly productivity reports.
• Participates in system of record quality improvement projects for the Medical Department.
• Maintains inventory of equipment and supplies.
• Coordinates with medical plans and stakeholders to identify patterns and access issues and to formulate solutions.
• Monitors staff compliance with universal precautions and OSHA standards; identifying and coordinating the correction of hazards; and training department staff on required elements and changes.
• Complies with all state and federal laws and regulations, as they pertain to position including; HIPAA, sexual harassment, scope of practice, OSHA, etc.
• Other duties as assigned.

• Uses time efficiently to keep commitments while prioritizing and planning work activities.
• Excellent leadership and communication skills.
• Self-directed, assertive, and creative in problem solving, systems planning, and patient care management.
• Ability to work independently, handle a high degree of responsibility, and prioritizes multiple assignments.
• Strong analytical skills.

• Communication and Relationships
• Initiative
• Planning and Organizing
• Safety
• Teamwork
• Clinical and Operational Issue Response
• Staff Supervision and Development

• 2 years of management experience.
• 2 years of prior authorization experience.
• Knowledge of the principles of case management and care coordination.
• Knowledge of laws, rules, and regulations regarding utilization review of government programs such as Medicare, Medi-Cal, and GMCs.
• Working knowledge with EHR, ICD-10, and CPT coding systems.

• Experience in an FQHC or community health setting, engaged in supervision of clinical staff, as a member of a multi-disciplinary team preferred.
• Knowledge of traditional, cultural, and spiritual practices of the diverse AI/AN community, as well as ability to work with other racially, culturally, ethnically, and financially diverse populations.
• Bilingual