Massachusetts Veterans Jobs

Summary: Acquires and implements referrals for those patients with upcoming visits in-house and outside HMA. Performs in accordance with the facility?s policies and procedures. Follows the facility?s standards for ethical business conduct. Conducts self as a positive role model and team member. Participates in facility committees meetings in-services and activities. Responsibilities: KEY RESPONSIBILITIES: The RC maintains strict patient confidentiality. The RC attends bi-weekly staff meetings. The RC assesses existing referral processes to ensure that the minimum standards set within the PCHI/HMA network are met as they pertain to referral review. The RC evaluates office staff ability to comply with referral management goals and will determine if assistance is required to effect changes in referral patterns. The RC interacts with HMA administrators site managers PCP?s and the Medical Director in these efforts to ensure that patient flow and office procedures are not negatively impacted by changes in referral management requirements. The RC concurrently reviews with the PCP those referrals that fail to meet established guidelines. Under the direction of the PCP the RC will explore possible alternatives to referrals which fall outside of the recommended guidelines. The RC implements processes to track referral activity under the direction of the department Director. This is accomplished by a centralized office location and a monthly meeting with office support staff. Staff meetings will integrate all members of the team. Other information: REQUIRED QUALIFICATIONS: Business College degree/certificate preferred with three to five years experience in a health care delivery system. Advanced computer skills including knowledge of spreadsheet. Skills and Abilities Required. Requires the ability to work independently and establish an effective relationship with physicians Nurse Practitioners Physician Assistants office staff and other health care providers in physician?s offices community agencies hospitals and other health care facilities. Requires autonomy in decision-making using sound judgement based on factual information using established industry guidelines. Requires ability to identify risk-prone or problematic situations and know when to seek department Manager?s assistance. Requires ability to remain organized with workflow in spite of frequent interruptions. Requires the ability to demonstrate flexibility in assignment and remain calm and courteous with all patients family hospital staff and co-workers. Requires ability to use a computer keyboard and screen on a daily basis and utilize a headset for telephonic communication as necessary. Working Conditions: The work environment is one of a typical office work environment. Extensive computer work such as data entry verifying system data and correcting/updating information is necessary. While performing the duties of this job the employee is frequently required to sit walk; stand; reach with hands and arms; climb or balance; stoop kneel crouch or crawl; and talk or hear. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibility: Referral Staff