Complex Care Resources Specialist

Role Overview and Purpose

The Complex Care Resource Specialist supports Neighborhood Healthcare's mission and vision by coordinating patient referrals related to chronic care and social determinants of health (SDoH).

Responsibilities

• Completes thorough referral processes according to standard procedures and protocol.
• Tracks all referrals in designated logs and via eCW.
• Documents all actions taken in patient medical records in accordance with current regulations and guidelines.
• Discusses referral process with patients, including costs under provider direction.
• Verifies insurance eligibility and submits treatment authorizations.
• Administers SDoH program according to standard procedures and protocols.
• Maintains accurate lists of specialists/providers by funding source and community resources.
• Acts as liaison between patients, clinic/providers, specialty care providers, health plans/funding sources, and community resources.
• Impacts patient experiences by demonstrating courteous and helpful behavior.
• Shares accountability for overall patient health outcomes.
• Attends meetings on and off-site as necessary.

Additional Qualifications (Knowledge, Skills, and Abilities)

• Excellent verbal and written communication skills.
• Knowledgeable about and experience with medical terminology.
• Familiarity with computer skills, including spreadsheets and databases.
• Ability to manage multiple tasks simultaneously.
• Teamwork and independent work abilities.
• Professional handling of confidential information.

Physical Requirements

• Ability to lift/carry 25 lbs.
• Standing for extended periods.

Compliance (Safety & HIPAA)

• Follows safety procedures as outlined in IIPP and reports injuries and unsafe conditions.
• Maintains current knowledge of policies and procedures.
• Uses appropriate body mechanics for an injury-free environment.
• Familiarizes with fire extinguisher and emergency exits locations.
• Maintains privacy of all patient, employee, and volunteer information.
• Reports unethical, fraudulent, or unlawful behavior.

Benefits

• Partially company-paid Medical, Dental, and Vision Plans.
• Two plus weeks of vacation.
• Nine holidays including two floating holidays.
• Sick/Personal time.
• Volunteer Time Off (VTO).
• 403b Retirement plan (similar to a 401k).
• Optional Health and Wellness events.
• and much more!

Pay Range

$22.88 to $32.04 per hour, depending on experience, education, and additional qualifications.