Job description

Position Summary

The Referral Specialist for Ryan White department directs a client to needed core medical or support services in person or through telephone, written, or other type of communication. This service may include referrals to assist eligible clients to obtain access to other public and private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient Assistance Programs, and other state or local health care and support services, or health insurance Marketplace plans).

Key Referral Specialist activities include:

• Complete Referral Determination Assessment (RDA) to determine client level of coordinated care.
• Communicate with clients 30 days prior to eligibility expiring and documenting all attempts.
• Refer client to EIS if client has fail to communicate after three attempts.
• Facilitate referral to oral health, transportation and nutrition
• Track referrals to other core medical, support services, and partner services.

• Provide education to clients regarding available benefits programs, assist with applications, provide advocacy with appeals and denials, assist with recertification and provide advocacy in other areas relevant to maintain benefits/resources.
• Maintains all required and appropriate documentation for client records and progress notes for assigned cases in accordance with Miracle of Love, Inc. policy and procedures and Orange County Board of County Commissioners requirements.
• Meets services productivity (direct client services) standard of 28 units per day for the provision of Referral Specialist services in accordance with applicable quality criteria, which are supported by appropriate record documentation, which meet specifications, documentation, requirements with Miracle of Love’s standards.

Essential Skills and Experience:

• Clean criminal history
• Bilingual - Fluent in English & Spanish
• Ability to be an active listener to others and to establish and maintain effective working relationships while demonstrating understanding, patience and tact in dealing with clients, personnel and the general public. Demonstrate leadership qualities and the ability to plan, organize and coordinate work assignments.

• Ability to communicate effectively verbally and in writing.
• Ability to establish and maintain relationships, empathizes, and communicates with clients and family members.
• Ability to maintain complete and up-to-date record documentation

Physical demands and work environment

• Physical demands: While performing the duties of this job, the employee is occasionally required to walk, sit; use hands to fingers, handle or feel objects tools, or controls; reach with hands and arms; balance; stoop; talk or hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job included close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Physical or mental ability to carry out the activities of position responsibilities.
• Work environment: While performing the duties of the job, the employee is exposed to bodily fluids, weather conditions prevalent at the time of duty. The noise level is usually minimal to moderate.

Job Type: Full-time

Pay: From $35,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
All employees/customers are required to wear a mask and common surfaces are sanitized on a regular basis.

Application Question(s):

• Are you willing to undergo a background check, in accordance with local/regulations?
• What is your expected salary range?"

Education:

• Associate (Preferred)

Experience:

• Case Management/Social Work: 1 year (Preferred)
• Customer service: 2 years (Preferred)

Language:

• Fluent English & Spanish (Required)

License/Certification:

• FL Driver's License or access to reliable transportation (Preferred)

Work Location: In person

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