Referrals Navigator

Fair Haven Community Health Care

FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is “To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive.”

For 53 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay.

Job Purpose

To assist clinicians and patients in managing specialty and diagnostic referrals. When necessary navigates patients through the health care system from the initiation of the referral, to obtaining prior authorization, scheduling appointments and tracking and following up on results.

Duties And Responsibilities

• Works in close partnership with the clinical teams to manage all aspects of external referrals
• Obtains prior authorization for referrals when necessary
• Makes appointments and any additional referral arrangements with patient referral sites
• Documents all aspects of the referrals process in the patient’s Electronic Health Record and communicates with referring clinicians when patients cannot be reached.
• Educates patients related to requirements of referrals, referral sites/ locations and/or appointment specifics.
• Works with the Referrals Supervisor to educate clinicians on changes to the referrals process
• Works with the Referrals Supervisor, Executive Management and Department Chairs to identify Performance Improvement needs and strategies for managing, tracking and following up on referrals
• Manages a system for follow up of referrals, by maintaining a searchable database, as directed by the Referrals Supervisor
• Works with teams and individual providers to clarify access issues, or other barriers for particular referrals or groups of referrals.
• Familiarizes self with and acts as an expert related to insurance practices and coverage or referrals by various payer sources
• Ensures patient confidentiality, and provides patients with needed information
• Performs other necessary duties as required by FHCHC to achieve the goal of providing high quality services and primary health care
  
  

Qualifications

• One year of experience in a health care setting required
• Referrals experience preferred
• Principles of proficient data entry, preferably using a database such as Excel and/or Access
• Excellent communication skills, pleasant attitude, ability to accept constructive criticism, and an ability to work well with staff and patients
• Fluency in English and Spanish required
  
  

Technical Qualifications

• High School diploma
• Computer skills
  
  

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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