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Referrals Supervisor | Revised 06/27/2023
T.H.E. Health and Wellness Centers
JOB DESCRIPTION
POSITION: REFERRALS SUPERVISOR
DEPARTMENT: Medical Unit / Operations
STATUS: Full-Time, Non-Exempt
REPORTS TO: Chief Operations Officer
POSITION SUMMARY:
Under the direction of the Chief Operations Officer, this position is responsible for the
oversight of the department performance and staffing, referral clerks/coordinators
supervision, coordination, and implementation of approved workflows, ensure
regulatory compliance with required submission timelines, adherence to policies and
procedures, and performs daily data entry, review and analysis for all
referrals/authorizations submitted by the health centers timely and accurately.
Essential Duties and Responsibilities:
1. Supervision of all Referral Clerks/Referral Coordinators including, but not limited
to daily assignments, attendance, performance evaluations, new hire
training/education/competency, and delegation of other duties based on
business needs.
2. Responsible for department daily operations for referrals submission, and
processing to ensure compliance on required timelines.
3. Referrals entry and processing based on assigned providers or department needs
to ensure timely submission, patient communication, and addressing of all
referrals/authorizations.
4. Serve as the primary contact/liaison for the Referrals Department.
5. Promote a team-based approach to delivering quality, cost-efficient care where
patient satisfaction is the primary goal and implement effective tools to improve
operational efficiency and control costs.
6. Promote a positive working relationship with community agencies, external and
internal stakeholders.
7. Collaborates with the department, and assists in the development,
implementation, and compliance of departmental goals and quality
improvement activities, recommend establishment/revision of policies and
procedures, budgetary goals, and performance reports.
8. Ensure that all referrals/authorizations are processed within the required
timeframe based on urgency.
9. Communicate with providers, clinical and non-clinical support staff, and other
departments on updates pertaining to referral submission/follow up to ensure
accuracy and completeness of all requested referrals/authorizations.
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Referrals Supervisor | Revised 06/27/2023
10. Assist with the development, implementation and compliance of departmental
goals, policies, procedures, budgets, and reporting tools.
11. Personnel management, including but not limited to personnel qualification
requirements recommendation, drafting procedure manuals, conducting in-
service programs, and implementation/validation of record and reporting
systems.
12. Facilitate daily/weekly huddle, and monthly department meeting to provide
updates, changes, and feedback loop with the Referrals Department.
13. Report progress, operational issues, process improvement, and
incidents/grievances to Chief Operations Officer monthly and on as needed
basis.
14. Participate and provide department performance/update in monthly QI/QA
meetings, and other meetings as required.
15. Other duties as assigned.
Education and Experience Requirements:
• Highschool graduate or equivalent.
• Computer proficiency required, EMR user experience highly desirable.
• Excellent organizational skills, oral and written communication skills
• A valid California Driver's license and access to insured automobile
• Two or more years of experience working in a professional setting, healthcare
related and/or supervisory experience, FQHC experience preferred.
• Ability to work with population of diverse cultural, educational, social, and
economic backgrounds.
• Bilingual English/Spanish preferred.