Home Health Referral Care Coordinator

Summary: Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. They are seeking a Home Health Referral Care Coordinator to support their Home Health referral coordination team by coordinating home health and IV therapy referrals and ensuring timely, accurate referral processing. Responsibilities: - Provide staffing for home health and IV therapy referrals, assist Intake Department with taking new home health referrals as needed - Promote positive public relations with referral sources and identify Network providers to staff and accept home health referrals - Ensure accuracy of demographic data, contacting appropriate referral source to obtain orders, medical records, and any needed documentation to staff cases - Address inquiries and questions in a timely, professional manner. Provide excellent follow up as appropriate with supervisor, coworkers and/or residents - Identify local vendors to provide needed services, negotiate rates when necessary and provide single case agreement with vendor to ensure appropriate pricing and margins - Answer phone calls, accurate document management, intake referrals, letters of authorization, and pricing negotiations. Demonstrate appropriate knowledge of Injured Workers' rights, ensure privacy, dignity, and well-being of Injured Workers - Positively support the mission, values, and vision of Paradigm through effective communication with internal and external customers, serve as positive role model, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives - Provide a work environment free from all illegal and discriminatory behavior and harassment, including sexual harassment - Assist with on-call duties on assigned weekends with compensation Required Qualifications: - Some College and/or Medical Background, LPN preferred - Work Comp Insurance, Referrals, and Authorizations experience preferred - Proficient reading, writing, grammar, and mathematics skills; knowledge of medical terminology; good interpersonal relations and communicative skills; moderate PC skills with emphasis on accuracy; excellent organizational and prioritization skills with ability to multi-task - Computer Proficient: MS Office, Word, Excel, and PowerPoint - Able to cooperate and work cohesively with all co-workers, management, and external customers - Able to plan and complete job duties with minimal supervisory direction, utilize sound judgment, tact, diplomacy, and compassion in verbal and written communication - Able to demonstrate appropriate follow up with supervisor, co-workers or residents regarding reported complaints, problems, and concerns - Knowledgeable of injured workers' rights and ensure an atmosphere which allows for the privacy, dignity, and well-being of each injured worker - Ensure confidentiality of all data, including injured worker's demographics, employee, and operations data - Able to complete requirements for in-service training, maintain acceptable attendance and appropriate dress code Preferred Qualifications: - LPN preferred - Work Comp Insurance, Referrals, and Authorizations experience preferred Required Skills: Work Comp Insurance, Referrals, Authorizations Important Skills: Medical Terminology, MS Office Nice-to-Have Skills: Mathematics Skills, PC Skills Benefits: Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only)., Financial incentives– Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions., Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest., Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year., Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.