Job Posting
Title: Referral Case Specialist
Base Salary Range: $43,680 - $45,760 plus benefits
FTE: Full-time, Non-Exempt
Our Mission: The Mission of South Central Family Health Center is to improve the quality of life for the
diverse Community of inner city Los Angeles by providing affordable and comprehensive health care and
education in a welcoming and multi-cultural environment.
To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering
comprehensive, high quality, affordable, efficient and culturally responsive services.
Responsibilities: The Referral Case Specialist will be responsible for processing referral requests from various
sources to ensure compliance with federal, state, or Health Plan specific requirements. The referral specialist is
accountable for facilitating timely authorizations and notifications as well as other referral management
functions. This position works closely providing support to a clinical team in order to facilitate the
administrative components of clinical referrals for various services.
• Provides day-to-day care coordination activities and referral follow-up
• Processes referrals on daily basis
• Follows up on referrals
• Research referrals and verifies information and ensure the prior authorization request is processed
accurately.
• Follows up on all specialist's reports for medical providers
• Initiates and manages clinical referrals for pre-authorization
• Act as a liaison between the primary care provider patients, specialist, and health plans
• Verifies insurance coverage and completes pre-authorization following established process and
procedures.
• Conducts culturally appropriate Multi-Component Care Plans and update as need on a quarterly basis
• Participates in case conferences and provide input related to care issues
• Provides case management
• Develops and implement a client-centered proactive Care Model
• Assists in the development and implementation of a web-based Management Information System
• Implements quality improvement and evaluation activities
Qualifications:
• High School Diploma or equivalent required
• AA Degree, preferred
• Current BLS Certification required
Top benefits or perks: As a team member at South Central Family Health Center, you'll enjoy competitive
wages and generous benefits:
• Benefits: Health care, dental, life insurance
• 403 (b) Retirement plan
• Education Reimbursement
• Career development: Entry-level employees have opportunities to work in management, HR or other
areas of the company.
Job Posting
Contact/application information:
To apply please visit South Central Family Health Center's website at:
Family-Health-Cent