Referral Services Specialist Job at Tucker Parker Smith Group (Alhambra)

Referral Specialist

Enroll clients referred to Pomelo’s doula network by health plans, providers, an...

Location

United States

Salary:

45000.00 - 55000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Excellent customer service and communication skills
Experience working with various healthcare referral systems
Are internet-connected, able to work remotely
Familiar with working with people assigned to Medicaid health plans
Passionate about changing the current landscape of healthcare
Strong organizational, documentation, and time-management skills
Ability to work independently and as part of a team

Job Responsibility

Conduct outbound calls and digital outreach (SMS, email) to referred clients to drive new client enrollments, meeting quality and productivity requirements
Document all incoming referrals and interactions in systems of record with timely and accurate updates
Match clients with existing doulas in the Pomelo Care doula network
Coordinate with health plan case managers and external healthcare providers to share updates on referrals and achieve enrollment goals
Track, monitor, and enroll referrals, ensuring timely processing and communication with all parties
Manage inbound calls from potential clients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Achieve member enrollment goals as driven by company KPIs
Confirm client’s health plan eligibility details via automatic clearinghouse and online health insurance portals
Participate in training and development opportunities to stay current on healthcare trends and regulations

What we offer

Competitive healthcare benefits
Generous and flexible vacation policy

Fulltime

Therapy Support Specialist

The Therapy Support Specialist is an integral part of the Rehabilitation Therapy...

Location

United States , Winooski

Salary:

21.84 - 31.79 USD / Hour

The University of Vermont Health Network

Expiration Date

Until further notice

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

Patient check-in and scheduling
Managing incoming referrals
Obtaining prior authorizations
Providing telephone service
Other administrative support as assigned

Fulltime

Bilingual Housing Specialist

Bilingual Housing Specialist - Support Families in Boston! Are you passionate ab...

Location

United States , Boston

Salary:

24.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

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

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

Care Coordinator Specialist

CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for a C...

Location

United States , Lewistown

Salary:

20.00 - 25.00 USD / Hour

CareGivers America

Expiration Date

Until further notice

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

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

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

New

RN Clinical Care Guide

The Clinical Care Guide (RN) will be a key contributor to our first-class care t...

Location

United States , Scottsdale

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

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

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

RN Clinical Care Guide

The Clinical Care Guide (RN) will be a key contributor to our first-class care t...

Location

United States , Scottsdale

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

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

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

Call Center Specialist

Premium Health is looking for outstanding candidates for the Call Center Special...

Location

United States , Brooklyn

Salary:

20.00 - 23.00 USD / Hour

Premium Health

Expiration Date

Until further notice

Requirements

Work well under pressure
Work in fast paced environments

Job Responsibility

Answer phone calls
Schedule appointments
Verify medical insurances
Create referrals
Respond to patient medical questions
Perform tasks as assigned by supervisor

What we offer

Public service loan forgiveness (PSLF)
Paid Time Off
Medical plans
Dental plans
Vision plans
Retirement plans

Fulltime

Specialist support worker

Join our specialist support worker team! We're seeking experienced and passionat...

Location

United Kingdom , Hawick

Salary:

18.00 - 25.00 GBP / Hour

Randstad

Expiration Date

February 23, 2026

Requirements

Experience supporting children and young people in a residential setting
Confidence in de-escalating heightened behaviors and using de-escalation techniques
Experience making decisions in challenging situations
Understanding of detailed and accurate record-keeping and incident reporting
Creativity in engaging and building trust
Sound communication and judgment
Clarity on protecting personal and professional boundaries
Be a consistent part of a team offering dedicated support
Provide and maintain availability for the duration of support
Take time to read relevant reports, referrals, and profiles

Job Responsibility

Dedicate your experience to a child or young person
Provide day-to-day support (activities, appointments, family contact)
Engage and encourage participation in activities and structure
Provide accurate reports for care plans and goals
Play a critical role in safety and wellbeing

What we offer

Elevated pay rate
Consistent and predictable rolling rota
Supportive team and excellent communication from Randstad
Variety of pay options
Opportunity to use and develop specialist skills
Access to professional development training

Referral Services Specialist

Tucker Parker Smith Group

Location:
United States , Alhambra

Category:
Health and Beauty

Contract Type:
Contract work

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 10, 2026

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Job Responsibility:

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