CrawlJobs Logo

Referral Services Specialist

tpsmithgroup.com Logo

Tucker Parker Smith Group

Location Icon

Location:
United States , Alhambra

Category Icon

Job Type Icon

Contract Type:
Contract work

Salary Icon

Salary:

25.00 - 33.00 USD / Hour

Job Description:

A leading private medical enterprise is seeking a Referral Services Specialist to join a fast-paced, mission-driven healthcare environment. This role is ideal for someone who enjoys solving problems, coordinating complex workflows, and making a direct impact on patient access to care. The team is actively working through a backlog of referral documentation, making this an exciting opportunity to step in, contribute immediately, and help streamline critical processes.

Job Responsibility:

  • Review referrals and identify missing or incomplete documentation
  • Coordinate care across multiple service sites and specialties
  • Collaborate with providers and care teams to assess medical necessity
  • Support patient intake and admissions processes
  • Communicate with patients and families regarding care coordination needs
  • Ensure accurate and timely documentation within clinical systems

Requirements:

  • 2–3 years of experience in scheduling, case management, or utilization review
  • Bilingual in English and Spanish – MUST HAVE
  • High school diploma or equivalent
  • Experience reviewing healthcare documentation and identifying gaps
  • Minimum of 3 years of healthcare experience
  • Strong organizational, time-management, and communication skills
  • Proficiency with computer systems and standard healthcare technology

Nice to have:

  • Graduate of an accredited Medical Assistant or LVN program
  • 1 year of experience in scheduling, case management, or utilization review
  • Certified Medical Assistant (CMA) or LVN with a valid California license

Additional Information:

Job Posted:
January 10, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Referral Services Specialist

Therapy Support Specialist

The Therapy Support Specialist is an integral part of the Rehabilitation Therapy...
Location
Location
United States , Winooski
Salary
Salary:
21.84 - 31.79 USD / Hour
uvmhealth.org Logo
The University of Vermont Health Network
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • H.S. Diploma or equivalent required
  • Coursework in administrative or medical sciences preferred
  • Proven customer service experience required
  • Must be a strong team player who is flexible, adapts well to change and is able to collaborate with multiple different teams across a variety of Rehabilitation Therapy sites
  • The therapy support specialist excels at multi-tasking, works well independently, has strong attention to detail, and demonstrates solid organizational skills
  • Robust computer skills and the ability to learn new computer programs are essential
  • The successful candidate demonstrates initiative, possesses a process-improvement mindset, and has excellent verbal and written communication skills
Job Responsibility
Job Responsibility
  • Patient check-in and scheduling
  • Managing incoming referrals
  • Obtaining prior authorizations
  • Providing telephone service
  • Other administrative support as assigned
  • Fulltime
Read More
Arrow Right

Bilingual Housing Specialist

Bilingual Housing Specialist - Support Families in Boston! Are you passionate ab...
Location
Location
United States , Boston
Salary
Salary:
24.00 USD / Hour
bhsg.com Logo
Beacon Hill
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bilingual (Spanish / English speaking skillsets)
  • Associate's Degree (Bachelor's preferred) in Human Services or related field OR High School Diploma
  • 3+ year's experience with housing subsidies and homeless issues
  • Valid MA Driver's License
Job Responsibility
Job Responsibility
  • Conduct assessments & intensive housing searches
  • Provide referrals, advocacy, and stabilization support
  • Build relationships with landlords and utility companies
  • Mediate disputes to ensure housing stability
  • Fulltime
Read More
Arrow Right

Care Coordinator Specialist

CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for a C...
Location
Location
United States , Lewistown
Salary
Salary:
20.00 - 25.00 USD / Hour
caregiversamerica.com Logo
CareGivers America
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • 3+ years of Customer Service experience required
  • 3+ years of Home Care experience preferred
  • Scheduling experience strongly preferred
  • HHAeXchange experience strongly preferred
Job Responsibility
Job Responsibility
  • Oversee and manage the care coordination process for a caseload of patients, ensuring continuity and quality of care
  • Monitor patient progress, evaluate outcomes, and modify care plans as necessary to achieve optimal health outcomes
  • Manage the intake process, including reviewing referrals, verifying insurance coverage, and obtaining necessary authorizations for services
  • Ensure timely and accurate completion of required documentation, including patient assessments, consent forms, and care plans
  • Collaborate with referral sources, healthcare providers, and internal teams to ensure smooth transitions and facilitate the start of care
  • Serve as a primary point of contact for patients, families, and healthcare professionals, providing ongoing communication and support throughout the care coordination process
  • Facilitate effective communication and information sharing among the care team, ensuring all members are informed of pertinent patient information and updates
  • Act as a resource and mentor to Care Coordinator Associates, providing guidance and support in complex care coordination cases
  • Advocate for patients and their families to ensure their needs, preferences, and rights are respected and met throughout the care process
  • Monitor and evaluate the quality-of-care coordination services provided, ensuring adherence to regulatory standards and best practices
What we offer
What we offer
  • Medical, Dental & Vision Insurance
  • 401(k) with a 6% match
  • Paid Time Off
  • 10 Paid Holidays
  • Employee Assistance Program
  • Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)
  • Voluntary Term Life and AD&D Insurance
  • Legal Services Insurance
  • Short-Term and Long-Term Disability
  • Accident, Critical Illness & Hospital Indemnity Insurance
  • Fulltime
Read More
Arrow Right
New

Qualified Children's Social Worker

Do you have experience working with children and their families? Are you wanting...
Location
Location
United Kingdom , North Lincolnshire
Salary
Salary:
35.00 GBP / Hour
https://www.randstad.com Logo
Randstad
Expiration Date
March 18, 2026
Flip Icon
Requirements
Requirements
  • SWE Registration
  • 2 year post qualifying experience within UK
  • Eligibility to work in the UK
  • Double vaccinated
  • Experience working in children services
Job Responsibility
Job Responsibility
  • Provides a duty, contact, referral and assessment service for members of the public and other professionals making a referral to the specialist social work services
  • Receives referrals and with the appropriate supervision determines initial service delivery
  • Undertakes enquiries and assessments under Section 17 of the Children Act and with appropriate supervision determines the most appropriate actions and interventions to meet the safeguarding and welfare needs of Children in Need and children in need of protection
  • Works closely with other agencies and professionals to ensure that the most appropriate services are provided to children and their families to meet their assessed needs
  • Maintains all case records in line with departmental policy and uses computer systems as required
  • With appropriate supervision formulates and implements appropriate plans to meet the needs of children and their families
What we offer
What we offer
  • £300 referral scheme
  • Dedicated consultant
  • Access to a variety of Social Care jobs Nationwide
  • DBS and Compliance Service
  • Quick and Easy Registration Process
  • Access to CPD
Read More
Arrow Right

Admin and Referral Worker

To provide responsive, trauma-informed administrative and frontline support to i...
Location
Location
United Kingdom , Pontllanfraith
Salary
Salary:
23154.00 GBP / Year
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
March 20, 2026
Flip Icon
Requirements
Requirements
  • Current valid driving licence
  • Access to a car and insurance covering business use
Job Responsibility
Job Responsibility
  • Provide responsive, trauma-informed administrative and frontline support to individuals accessing services
  • Collaborate to deliver high quality, specialist, trauma informed VAWDASV services
  • Provide a tidy, organised and informative Hwb
  • Act as a welcoming, calm and respectful first point of contact
  • Respond to visitors and enquiries in a non-judgemental and compassionate manner
  • Maintain a clear understanding of services
  • Coordinate the effective and confidential use of office systems
  • Collaborate to ensure safe and effective running of services
  • Manage incoming donations
  • Assist team members when required
  • Parttime
Read More
Arrow Right
New

Service Advisor

Are you looking for a challenging and rewarding role in healthcare? We are looki...
Location
Location
United Kingdom , Bulwell, Nottingham
Salary
Salary:
27485.00 - 30162.00 GBP / Year
nottinghamcitycare.nhs.uk Logo
Nottingham CityCare Partnership CIC
Expiration Date
March 11, 2026
Flip Icon
Requirements
Requirements
  • Understanding of confidentiality/ Data Protection
  • Knowledge of customer relations and an understanding of cultural issues
  • Excellent communication skills both written and verbal
  • Excellent telephone manner
  • Excellent interpersonal skills
  • Ability to effectively prioritise and organise own workload to meet deadlines
  • Advanced keyboard skills
  • Able to communicate effectively with customers when in distress
  • Able to work effectively as part of a team
  • Train others on own role and procedures
Job Responsibility
Job Responsibility
  • Provide the first level of non-clinical triage to patients using questionnaires embedded within our clinical software, SystmOne
  • Book visits and signpost callers as appropriate, escalating urgent cases onto a clinical responder or the emergency services as appropriate
  • To act as a single point of contact for the management of referrals and appointments to services hosted by Nottingham City Care Partnership
  • To take ownership of the patients referral to ensure all required clinical information is obtained for the clinical service that is most appropriate to meet the patients needs
  • To accurately input and update patient records using various electronic systems
  • To provide an excellent, high-quality service to all customers using Nottingham Health & Care Point (NHCP) hosted by Nottingham City Care Partnership
  • To work within a busy administration team environment and to facilitate and administer a referral management, appointment booking & signposting function on behalf of majority of City Care Services, including specialist services
  • To possess a high standard of customer care principles and aim to achieve positive stakeholder experience from all that use the NHCP service
  • To work in collaboration with City Care services, stakeholders & Social care to support the aim for patients to get the right care from the right person at the right time in the right place
  • To multi-task a variation of calls, including clinical calls for City Cares Community Nursing patients. This involves prioritising calls & making judgments based on the information provided by the patient/carer/Health Professional & tools within SystmOne
What we offer
What we offer
  • Enhancements for working evenings after 20:00hrs, weekends & Bank Holidays under Agenda for Change Terms & Conditions
!
Read More
Arrow Right

RN Clinical Care Guide

The Clinical Care Guide (RN) will be a key contributor to our first-class care t...
Location
Location
United States , Scottsdale
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Current state license to practice as a Registered Nurse
  • BLS certification
  • Electronic Medicare Records experience
  • Customer service orientation and experience
  • Strong communication skills across multiple modalities
  • Highly collaborative
  • Empathy and advocacy
  • Exceptional organizing skills, detail-orientation
  • Must be able to maintain confidentiality at all times
  • Active AZ fingerprint clearance card
Job Responsibility
Job Responsibility
  • Support members both in-person and virtually with real-time consultation, education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
  • Play a critical role in the achievement of improved health outcomes and cost savings
  • Be an empathetic problem-solver and become the most visible partner to all patients
  • Clarify and explain referral for specialist and diagnostic service recommendations
  • Care for end to end process as needed, for referral or specialist services
  • Lead center in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
  • Support members with chronic conditions by providing education, reminders, and other support
  • Handle the management and integration of office processes
  • Lead service and schedule requests on member’s behalf
  • Inform and equip Care Team with referral information and requirements
  • Fulltime
Read More
Arrow Right

RN Clinical Care Guide

The Clinical Care Guide (RN) will be a key contributor to our first-class care t...
Location
Location
United States , Scottsdale
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Current state license to practice as a Registered Nurse
  • BLS certification
  • Electronic Medicare Records experience
  • Customer service orientation and experience
  • Strong communication skills across multiple modalities
  • Highly collaborative
  • Empathy and advocacy
  • Exceptional organizing skills, detail-orientation
  • Must be able to maintain confidentiality at all times
  • Active AZ fingerprint clearance card
Job Responsibility
Job Responsibility
  • Support members both in-person and virtually with real-time consultation, education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
  • Play a critical role in the achievement of improved health outcomes and cost savings
  • Be an empathetic problem-solver and become the most visible partner to all patients
  • Clarify and explain referral for specialist and diagnostic service recommendations
  • Care for end to end process as needed, for referral or specialist services
  • Lead center in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
  • Support members with chronic conditions by providing education, reminders, and other support
  • Handle the management and integration of office processes
  • Lead service and schedule requests on member’s behalf
  • Inform and equip Care Team with referral information and requirements
  • Fulltime
Read More
Arrow Right