Supervisor, Referrals

JOB SUMMARY 

The Supervisor, Referrals leads a team of referral coordinators that are responsible for supporting Centrum referral management function. The team will assist in the processing and coordination of referrals. Necessary actions may include data entry, health plan escalation, notification of determinations and coordination of clinic referrals. The Supervisor position will provide guidance, training and oversight to a group of referral coordinator inquiries directly.  This individual will serve as a role model for team members, assuring both members and providers have a positive experience with the services they receive.  The Supervisor, Referrals ensures all related initiatives meet all applicable health plan regulatory requirements.   

DUTIES & RESPONSIBILITIES 

The Supervisor, Referral job description is intended to point out major responsibilities within the role, but it is not limited to these items. 

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  Provide leadership and direction to a team of referral coordinators, inclusive of training and performance oversight. 

  
  


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  Support staffing and scheduling plans to meet departmental objectives as provided by leadership, including meeting specified service levels.  

  
  


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  Monitor operational key performance indicators to track service delivery against targets. 

  
  


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  Enforce policies and procedures to ensure compliance with state and federal agencies as well as accreditation standards. 

  
  


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  Support the development and maintenance of standard operating procedures related to corresponding program functions. 

  
  


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  Participate in the development of operating models to execute utilization management solutions. 

  
  


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  Other duties and responsibilities as assigned. 

  
  

EDUCATION AND PROFESSIONAL EXPERIENCE 

(LICENSURES AND CERTIFICATIONS) 

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  High School Diploma or GED required, bachelor’s degree in a related field preferred. 

  
  

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  Three (3) or more years of supervisory experience within a consumer support function 

  
  


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  Two (2) or more years of healthcare related experience 

  
  

PROFESSIONAL COMPETENCIES 

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  Approaches challenges calmly and objectively to identify the best solution.  

  
  


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  Capable communicator that can interact with others at multiple levels within the organization, customers, and providers. 

  
  


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  Leads through influence and example. 

  
  


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  Strong operational mindset and uses data to draw insights. 

  
  


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  Thrives on driving results in a collaborative environment. 

  
  

WORK ENVIRONMENT 

The majority of work responsibilities are performed in remote setting, carrying out detailed work sitting at a desk/table and working on the computer.