Job Description

The Medical Referral Coordinator/Licensed Independant Social Worker Case Manager manages the medical referral process by identifying needs for further higher-level care and admission of medically eligible patients. Utilize Milliman guidelines and other healthcare industry accepted criteria for writing referrals and comply with referral management protocols.

Key Responsibilities:

• Maintains a highly level of professionalism dealing with stakeholders and team.
• Ensures compliance with HIPAA & OSHA standards, as well as all office policies and protocols.
• Works with clinical providers to establish medical referrals for specialty care not available on project.
• Manages the entire referral process and assist patients with scheduling emergency and urgent care according to insurance plan.
• Coordinates with the International SOS Government Medical Services, Inc. Assistance Center when necessary.
• Performing administrative duties including, answering incoming calls and responding to all messages for the billing department.
• Providing excellent customer service responding to patient inquiries promptly and accurately.
• Active participation in day-to-day office activities, including a variety of meetings and task force groups to improve procedural processes, obtain approvals, and remain abreast of new developments and policy requirements and regulations.
• Active participation in Mass Casualty exercises and events.
• Completes required organizational compliance education, including assigned requirements that are client-specified, for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.

This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.

Qualifications

Basic Requirements/Certifications:

• Minimum of three (3) years of experience in healthcare.
• Proficiency in Microsoft Office applications (Excel, PowerPoint, Word, Outlook).
• Current American Heart Association Basic Life Support (BLS) certification.

Education Required:

• Master's degree in social work or equivalent required.

Physical Requirements:

• Work is normally performed in a typical interior/office work environment.
• Work involves sitting and standing for prolonged periods of time.
• May require bending, stooping and lifting up to 15 lbs.

Other Special Qualifications:

• On call availability is a requirement for this role.
• Must be able to read, write & speak English to effectively communicate
• This position is accompanied.
• US Citizen or Permanent Resident Card is required.
• US DOD CNACI or the ability to obtain one is required.
• Must be able to relocate.
• A valid passport is required and must be in your possession prior to relocation.

Additional Information

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data.

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International SOS Government Medical Services, Inc. complies with all federal, state, and local minimum wage laws.

International SOS Government Medical Services, Inc. is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.