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Referral Coordinator

Curana Health -
Remote

Apply Now

Job Details

Full-time
11 days ago

Qualifications

Collaborate with healthcare professionals
Performance improvement leadership
Accreditation standards (regulatory compliance area)
Achieving HIPAA compliance
Quality of care (regulatory compliance area)
Managed care organization experience
Team leadership
Workflow management (operations management method)
Intake
Operations coordination
Healthcare Administration
Coaching
Regulatory compliance
Bachelor's degree in business
Care documentation
Mid-level
Incident Escalation
Associate's degree in healthcare administration
3 years
Medical scheduling
Team development
Key Performance Indicators
Healthcare referral management
Overseeing care coordination
Professional development support
Utilization management
Task prioritization
Client referral services
Quality compliance management
Patient transport coordination

Full Job Description

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people to help us do it.

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

Founded in 2021, we've grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

Ranked #147 on the Inc. 5000 list of America's fastest-growing private companies, we're just getting started. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place—and we look forward to working with you.

For more information about our company, visit CuranaHealth.com.

Summary

The Referral Coordinator is responsible for overseeing the intake and referral management function to ensure timely, accurate, and compliant access to care. This requires hands‑on expertise in referral coordination, serving as a key liaison between providers, patients, health plans, and internal clinical teams. The Referral Coordinator provides daily management of the referrals for the health plan, coordination of appointments for members, along with scheduling member supplemental benefits such as transportation and companion care.

Essential Duties & Responsibilities

Intake & Referral Operations

Oversee the intake and referral process from receipt through completion, ensuring referrals are processed accurately and within established turnaround times.
Coordinate referrals with internal departments, external providers, and health plan partners to ensure timely access to services.
Monitor referral workflows to identify delays, barriers, or trends impacting patient access and escalate issues as appropriate.
Serve as a subject matter expert for intake and referral processes, policies, and system workflows.

Support staff development through ongoing education, feedback, and process reinforcement.

Communication & Collaboration

Act as a primary point of contact for providers, clinical leadership, and operational partners related to intake and referral activities.
Collaborate with clinical teams to resolve referral issues, clarify orders, and ensure appropriate care coordination.
Support patient and caregiver communication regarding referral status, expectations, and next steps as needed.

Quality, Compliance & Performance Management

Ensure intake and referral operations comply with organizational policies, payer requirements, and regulatory standards, including HIPAA.
Identify opportunities for workflow optimization and lead continuous improvement initiatives.

Systems & Documentation

Ensure referral documentation supports continuity of care, reporting needs, and compliance requirements.
Partner with leadership on system enhancements or process changes impacting intake and referral workflows.

Qualifications

Required Qualifications

Associate degree or higher in healthcare administration or a related field preferred.
Minimum of 3–5 years of experience in healthcare intake, referral coordination, care coordination, or utilization‑related operations.

Preferred Qualifications

Bachelor’s degree in healthcare administration, business, or a related field.
Experience in managed care, utilization management, or population health environments.
Demonstrated experience managing performance metrics and driving operational improvements.
Familiarity with regulatory and accreditation requirements impacting intake and referrals.

Knowledge, Skills, and Abilities

Strong leadership, coaching, and team development skills.
Excellent organizational, analytical, and problem‑solving abilities.
Ability to manage competing priorities in a fast‑paced, high‑volume environment.
Clear, professional written and verbal communication skills.
Patient‑centered, service‑oriented approach with a focus on access to care.

Apply Now

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