Referral Coordinator

Overview

Essen Health Care is an integrated healthcare delivery organization that provides high quality, compassionate, and accessible medical care to many of the most under-served residents of New York State. Guided by a population health model of care delivery, Essen's patient-centric approach is focused on meeting patient needs in all care settings. Founded in 1999, Essen clinicians provide care in all five boroughs of New York City. With 150 primary and specialty care physicians and almost 100 advanced clinicians, Essen Health Care is one of the largest, most comprehensive private medical groups in New York City, and is recognized for excellence in patient satisfaction and clinical care. With five clinical divisions, patient care is provided in medical offices, 16 urgent care centers, hospitals, and nursing homes, as well as directly to patients in their homes. The Care Management division cares for the community by addressing social determinants of health through RNs, care managers and care coordinators. Essen clinicians provide quality care for nearly 30,000 patient lives across our five clinical divisions. Essen was one of the initial practices to have achieved 'Level 3 Patient Centered Medical Home' designation in New York by the National Committee for Quality Assurance. In 2018, Essen Health Care was nominated for the Heritage Innovation Award. Essen continues to expand and grow in the five boroughs while extending its breadth of services and continuing to provide the communities with leading edge care.

Job Summary

The Referral Coordinator is responsible for managing and processing patient referrals within the House Calls medical services framework, with a primary focus on the Consumer Directed Personal Assistance Program (CDPAP). This role ensures that all forms and documentation related to patient care and CDPAP services are accurately completed and submitted, facilitating smooth and efficient delivery of services.

Responsibilities

Patient Referral Management:

Process and review incoming patient referrals to ensure they meet the criteria for House Calls and CDPAP services.

Coordinate with healthcare providers, patients, and CDPAP agencies to gather necessary information for

referrals.

Verify and validate patient eligibility for CDPAP services according to regulatory guidelines.

Documentation and Form Completion:

Accurately complete and submit all required forms and documentation related to patient care and CDPAP services.

Ensure compliance with state and federal regulations in all forms and paperwork.

Maintain organized records of all referral and patient documentation.

Coordination and Communication:

Serve as the primary point of contact for patients and their families regarding referral and CDPAP-related inquiries.

Communicate effectively with healthcare providers, CDPAP agencies, and other stakeholders to facilitate patient care and service coordination.

Provide updates and follow-ups to ensure timely processing of referrals and resolution of any issues.

Compliance and Quality Assurance:

Ensure all referral processes adhere to company policies, state, and federal regulations.

Participate in audits and quality assurance activities to maintain high standards of service and

documentation accuracy.

Administrative Support:

Assist with scheduling and coordination of home visits and patient care as needed.

Provide support in the preparation and maintenance of reports and documentation related to patient care and referral processes.

Other Duties:

Projects or tasks assigned by House Calls Management

Qualifications

Patient Focus: Prioritizes the needs of patients/members in all actions and decisions.

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Drive Results: Exhibits an achievement mindset, takes initiative, and fosters a culture of continuous improvement to meet performance goals.

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Instills Trust: Builds effective relationships grounded in trust, fostering collaboration and productive outcomes.

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Self Development: Values continuous learning, growth, and adaptation to enhance skills and embrace feedback.

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Being Resilient: Bounces back from setbacks, learns from challenges, and moves forward with strength.

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Ensures Accountability: Takes ownership and fosters accountability within their team.

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Builds Effective Teams: Sets teams up for success by emphasizing clarity, relationships, and optimized processes.

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Collaborates: Brings together diverse talents to achieve common goals through effective communication and cooperation.

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Courage: Confronts challenges with integrity and determination, resolving conflicts constructively.

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Manages Ambiguity: Navigates uncertainty with adaptability and resilience during times of change.

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Drives Vision and Purpose: Inspires a positive outlook and rallies support around a shared vision for organizational success.

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Values Differences: Cultivates a respectful work environment where diverse perspectives are valued and leveraged for collective success.

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Qualification

Preferred (P) Required (R)

Education

High school diploma or equivalent; additional education or certification in healthcare administration or a related field is preferred.

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Skills

Preferred (P) Required (R)

Experience planning, implementing and executing large scale projects

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Exceptional people management skills. Strong ability to motivate, guide and support team members to ensure project success and foster collaborative work environment

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Proficiency in project management software

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Strong problem-solving skills and attention to detail and ability to address/ resolve conflict / disagreements in a constructive manner.

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Ability to foster positive work environment that encourages collaboration, open & smooth communication

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Ability to be agile, pivot and make adjustments in a fast-paced environment

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Empathetic and patient-focused demeanor. Ability to handle multiple tasks and manage competing priorities. Team-oriented with a collaborative approach.

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Equal Opportunity Employer

ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.