Job Posting
Title: Referral Case Specialist
Base Salary Range: $45,760 - $47,840 plus benefits
FTE: Full-time, Non-Exempt
Seeking for a skilled and dedicated Referral Case Specialist who wants to make a difference in our
community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment!
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.
General Summary: Under the direct supervision of the Referral & Medical Administrator, Referrals Case
Specialist is responsible for coordinating interdepartmental patient referrals, processing referrals on the EMR
and population software applications to ensure compliance with federal, state, or Health Plan specific
requirements. Responsible for collecting data regarding quality measures and preparing reports for internal and
external reporting purposes. The ideal candidate will have to perform some of the following essential duties.
• Provide day-to-day care coordination activities and referral follow-up from various medical departments,
such as Women's health (OB), pediatrics, behavioral health, dental etc.
• Process and track all department referrals on daily basis on NextGen EHR and patient population
software
• Follow up on internal dental referrals and close completed referrals
• Schedule patients and manage patient referrals for dental specialty programs in conjunction with UCLA
CBCE programs: Endodontics, Oral Surgery, and Pediatric Dentistry, as applicable
• Financials screening of patients, insurance or other medical coverage verification.
• Assists in opening/closing clinic
• Follows up on all specialist's reports for medical providers
• Conducts culturally appropriate Multi-Component Care Plans and update as need on a quarterly basis
• Assists the Referral Medical Manager with administrative duties on programs as it applies to Medi-Cal
Managed Care, Healthy Families, and CPSP.
• Maintains close working relationships with case managers, social services, and admitting staff, to
successfully coordinate available services
• Responsible for ensuring the integrity and quality of Women's health services delivered in the
Comprehensive Perinatal Services Program (CPSP), Family Planning, OB/GYN, and other Referral
related services.
• Provide referrals to WIC, dental, counseling services, family planning, and/or other community
resources based on patient needs.
• Collaborate with other departments (Behavioral Health, Pediatrics, Dental and Primary Care) to connect
patient to other services as part of their care.
• Utilize i2i tracks' perinatal tracking to collect and document all UDS prenatal data and keep data up to
date throughout the pregnancy and postpartum.
• Received mental health referrals on i2i and close completed referrals on Nextgen.
• Mail out letters (follow up letters, referrals and re-engagement)
Job Posting
• Manage and coordinate client appointments efficiently, utilizing organizational systems and
communication channels to ensure timely access to behavioral health services.
• Send test actions to medical providers to inform them about the patient's mental health services.
• Provide education and information to patients and their families, paying particular attention to providing
education in a manner most suitable for an effective client learning experience.
Qualifications and Experience:
• High School Diploma or equivalent required
• AA/AS Degree preferred
• Completion of formal health education program required, preferably at Associate of Science level.
• Bi-lingual/bi-literate English/Spanish required
• Must have minimum two (2) to three (3) years' experience in clinical setting
• Knowledge of health education issues as they pertain to family planning, the prevention of STD's,
appropriate self-care and other psycho-social issues surrounding chronic diseases such as diabetes and
hypertension.
Skills and Abilities:
• Good written, oral and customer service skills
• Excellent interpersonal, organizational, and project management skills
• Proficient in MS Office Suite Word, Excel, type 40 wpm
• Ability to handle multiple phone line
• Multi-task and detail oriented
• Ability to work well in a team environment, remains motivated, is self-directed, and demonstrates
initiative.
Licensure and Certifications:
• Current California Driver's License and Automobile Insurance
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.
Contact/application information:
To apply please visit South Central Family Health Center's website at:
Family-Health-Cent