Top 367 Referral coordinator Jobs in Washington, Dc

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Licensed Practical Nurse Referral Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $34.57 an hour
- Nursing
- Microsoft Excel
- Microsoft Outlook
Referral Coordinator-Part Time-DC JAIL
Unity Health Care. —Washington, DC
- $49,770 - $55,300 a year
- Part-time
- Spanish
- English
- Mid-level
Quick Apply
Operations Coordinator - NIH
Global Solutions Network Inc —Bethesda, MD
- $37.28 - $43.35 an hour
- Full-time
- Research
- Mid-level
- 3 years
- Travel reimbursement
- Profit sharing
Quick Apply
Remote Central Intake Coordinator
Emmett Healthcare —Washington, DC
- $80,168.39 - $90,000.00 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Case management
Quick Apply
9h
Patient Coordinator
Axle —Bethesda, MD
- $100,000 - $108,000 a year
- Writing skills
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
Quick Apply
Operations Coordinator - NIH (Short-Term)
Global Solutions Network Inc —Bethesda, MD
- $41.00 - $43.50 an hour
- Temporary
- Research
- Mid-level
- Bachelor's degree
- Travel reimbursement
- Profit sharing
Quick Apply
Administrative Assistant (Administrative Support Coordinator)
US Bureau of Prisons/Federal Prison System —Washington, DC
- $70,623 - $91,815 a year
- Online Application
- Customer service
- Pass drug screening
- Mid-level
2d
Patient Coordinator
Guidehouse Digital, LLC —Bethesda, MD
- $56,000 - $94,000 a year
- Full-time
- Bilingual
- HIPAA
- Administrative experience
- Commuter assistance
- Health savings account
4d
Sales Coordinator
AC Hotel Washington DC Convention Center —Washington, DC
- $26.44 - $28.84 an hour
- Weekends as needed
- Hotel
- High school diploma or GED
- Ability to sit for extended periods
- Wellness program
- Commuter assistance
Resident Services Coordinator
The Grandview by Erickson Senior Living —Bethesda, MD
- $54,940 - $70,000 a year
- Mid-level
- Geriatrics
- Health insurance
- Dental insurance
3d
Customer Care Service Support Coord
Johnson Controls —Capitol Heights, MD
- $29.80 - $38.00 an hour
- Full-time
- Microsoft Excel
- 5 years
- Mid-level
- Paid training
- Wellness program
Operations Coordinator
Guidehouse Digital, LLC —Bethesda, MD
- $74,000 - $124,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Commuter assistance
- Health savings account
4d
Unit Resource Coordinator
Luminis Health —Lanham, MD
- $20 - $33 an hour
- PRN
- Hospital
- Inpatient
- High school diploma or GED
- AD&D insurance
- Paid holidays
Faculty Services Coordinator
Howard University —Washington, DC
- $55,000 - $60,000 a year
- Full-time
- Word processing
- Writing skills
- English
- 403(b) matching
- Commuter assistance
Clinical Behavioral Health Intake Coordinator (On-Site)
BTST Services —Lanham, MD
- $50,000 - $60,000 a year
- 8 hour shift
- High school diploma or GED
- Children
- Organizational skills
- Paid training
- Disability insurance
Quick Apply
10d
Hospital Admissions Coordinator
Bridgepoint Consulting Services —Alexandria, VA
- $20.61 - $30.62 an hour
- Full-time
- Hospital
- Mid-level
- Military encouraged
- Continuing education credits
- Paid holidays
Quick Apply
Patient Service Coordinator
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- BLS Certification
- Urgent Care
- High school diploma or GED
Sales Coordinator
Washington Marriott Capitol Hill —Washington, DC
- $24 an hour
- Weekends as needed
- Hotel
- High school diploma or GED
- Ability to sit for extended periods
- Wellness program
- Commuter assistance

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

Apply Now

Job Details

$23.56 an hour

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Associate's degree
Medical terminology

Full Job Description

Zimmerman Associates, Inc. (ZAI) is seeking to hire multiple Referral Management (Non-Nurse) Reviewers to support our contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Region’s premier authority for appointment coordination and referral management services for beneficiaries within the Defense Health Network.

Pay Rate: $23.56 per hour plus $4.93 Health & Wellness Fringe

Role and Responsibilities:

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty referrals for Active-Duty Service Members and TRICARE Prime beneficiaries enrolled at Military Treatment Facilities (MTFs) within the National Capital Region.

This is an onsite opportunity

Qualifications / Skills / Experience:

Minimum of an Associate’s degree
At least 2 years of experience in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing/Insurance Referral
U.S. Citizenship required, with the ability to obtain a Public Trust Clearance
Knowledge of medical care criteria such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs), or other evidence-based Military Health System (MHS) guidelines
Familiarity with medical terminology and ability to learn MHS, VA-DOD Sharing Program, TRICARE, HIPAA, and release of medical information protocols
Excellent communication and interpersonal skills
Strong customer service orientation
Understanding of Access to Care Standards within the Direct Care System
Attention to detail, including correct use of deferral codes
Strong organizational skills with ability to prioritize tasks and manage time effectively
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook) and internet navigation

Essential Tasks:

Review and process referrals for administrative and clinical completeness and appropriateness, completing disposition within 24 hours of referral date
Collaborate with appointing centers, case managers, product line nurses, providers, clinics, managed care contractors, and other healthcare team members to ensure appropriate use of Direct Care and civilian network resources
Ensure patients are scheduled with the right provider, at the right time and place
Review compliance with Specialty Referral Guidelines (SRGs) per IRMAC protocols
Complete and return Clear Legible Reports (CLR) to ordering civilian providers within required Return of Favorable Response (ROFR) timelines
Manage telephone, written, and electronic communications regarding specialty appointments and referrals
Monitor and process referral management worklists (e.g., Genesis Work Lists) to ensure timely consult processing
Communicate referral status to patients, including benefit counseling and advocacy resources as needed
Reschedule or redirect patients within 3 days when referrals are disapproved or invalid, advising on other care options and Line-of-Duty issues
Receive and enter ROFR referrals in MHS-GENESIS from Military Contractor Support Centers (MCSC) portals for assigned specialties/product lines, adhering to all timelines and business rules
Verify patient eligibility and update demographics in MHS-GENESIS
Document patient interactions, especially when appointments are refused, and coordinate with Beneficiary Counselor and Assistance Coordinator as appropriate
Coordinate with product line nurses and clinics for special accommodations
Interface with MCSC and multidisciplinary teams to ensure referral appropriateness
Submit referrals to non-network providers for TRICARE Service Center medical necessity reviews
Monitor referral management voicemail and return patient calls within established guidelines
Provide External Provider Referral Online (EPRO) information as requested
Close unused referrals following DHA IPM and NCR Medical Directorate policies, notifying ordering providers accordingly
Orient and train new IRMAC staff on referral processes and timelines
Perform other duties as assigned

Zimmerman Associates, Inc. is an equal opportunity employer. We comply with Federal and State Equal Opportunity laws and consider qualified applicants without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, veteran status, or any other protected status.

#INDSPN

Apply Now

Refine Your Search

referral coordinator jobs in washington, dc

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Licensed Practical Nurse Referral Reviewer

Referral Coordinator-Part Time-DC JAIL

Operations Coordinator - NIH

Remote Central Intake Coordinator

Patient Coordinator

Operations Coordinator - NIH (Short-Term)

Administrative Assistant (Administrative Support Coordinator)

Patient Coordinator

Sales Coordinator

Resident Services Coordinator

Customer Care Service Support Coord

Operations Coordinator

Unit Resource Coordinator

Faculty Services Coordinator

Clinical Behavioral Health Intake Coordinator (On-Site)

Hospital Admissions Coordinator

Patient Service Coordinator

Sales Coordinator

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