Kaniksu Community Health is a non-profit, award winning Community Health Center that provides integrated, team-based healthcare in north Idaho. Patients consider us their partner in healthcare, over the course of their life and the spectrum of their health needs. From prevention and wellness to medical, dental, and behavioral health. From pediatric to geriatrics, we believe that quality healthcare should be accessible, approachable and affordable for everyone.

We don't just say it. We prove it.

· In one year we decreased the rate of patients with uncontrolled diabetes by 20%.

· We rank in the top 10% of CHC's in the country for clinical quality.

· We report the highest level of control in the state for our hypertensive population.

The benefits of working for KCH include:

· Medical, Dental, Vision, and Life insurance.

· Flexible schedule, with the option of 4x10s, or 5x8s.

· Vacation and sick leave.

· Tuition reimbursement.

· 4% 401K employer match.

· In-house medical, dental, or behavioral health services.

· Year round, affordable on-site childcare at KCH Kid's Club. **

** Position Summary:

The Referral Coordinator role is critical to the effective functioning of the PCMH model of primary care delivery. This role, depending on the needs of Kaniksu Community Health, may function across all KCH Clinic sites or the role may be designated for a specific clinic site. The Referral Coordinator will be responsible for managing all outgoing referrals and pre-authorizations from our multiple clinic sites.

Position Qualifications:

• High school diploma or general education degree (GED); or equivalent combination of education and experience.

• 2+ years' experience in a medical environment with knowledge of medical terminology required (MA, CNA licensing preferred).

• Computer skills to include proficiency in word processing; Excel (building, manipulating spreadsheets), strong technical aptitude with the ability to learn new programs quickly; previous experience using an Electronic Health Record preferred, strong preference for NextGen knowledge.

• Must be highly organized and detail oriented.

• Must be process minded and able to follow precise directions;

• Advanced, extensive, and documented experience in general office administration and office functions;

• Excellent oral and written communication skills.

• Ability to maintain corporate confidentiality and strict HIPPA compliance.

• Promotes and upholds the Mission of Kaniksu Community Health and strives to exemplify that in all patient, co-worker contact as a representative of the organization.

• The ability to work in the absence of direct supervision.

• Excellent time management & critical thinking skills.

• Tact and graciousness in dealing with our organizations public, continuous professionalism with patients and co-workers.

• Must be able to work under conditions of constant interruption while remaining on task.

Position Responsibilities:

Under the direction of the KCH Director of Nursing, KCH Charge Nurse and Medical Staff Providers and as a member of the Kaniksu Community Health Patient Centered Medical Home (PCMH) Team; the Referral Coordinator: ****

• Responsible for documentation and implementation of policies and procedures defining the referral process at KCH for all clinic locations.

• Works directly with insurance payers to pre-authorize outgoing specialist referrals.

• Maintains and up-to-date registry of available specialists in the area; work directly with KCH providers to keep an up- to- date log of all internal referral possibilities; make recommendations to utilize internal services when/where appropriate.

• Serves as a resource to referring providers and payers on the specialist / organization most suited to fulfill the referral request.

• Generates records within NextGen with all pertinent referral information, delivers the referral letter via fax and/or via the Share Portal and tracks that document through all stages of the referral to completion.

• Updates the patient's medical health record (including diagnoses, health histories, and/or other pertinent health management information) if/when applicable

• Performs outreach to referred specialists, to facilitate and coordinate continuity of care

• Review and close care gaps as appropriate with referral processing

• Manages tracking logs to ensure timely follow-up and completion on all created referrals.

• Assist with quarterly and annual referral tracking, including evaluation of measurable outcomes in the referral department

• Facilitates communication between the provider care teams, the referred specialist, and the patient if/when applicable to coordinate & complete open referrals

• Works closely with KCH providers, nursing staff, and office personnel to capture and document co-management relationships within NextGen; works closely with the referral coordination team, to ensure that pertinent patient data is being transferred as per the co-management agreement.

• Monitors Meditech to ensure that all KCH patient hospital admissions are captured; generates patient history documents and transfers that data to the hospital in a timely fashion to enable a high level of continuity in their care.

• Ensures that defined processes are followed, looks for process improvement opportunities to report to the PCMH team on a monthly basis.

• Other duties as assigned.