The Referral Coordinator II is responsible for managing the specialty referral process when a provider identifies a higher level of care is needed. This role plays a critical part in facilitating seamless transitions of care for patients in need of specialty care, ensuring they receive appropriate support and resources throughout their healthcare journey.

North Shore Community

Health (NSCH) is a highly accomplished community health organization that prides itself on its compassionate approach to serving the surrounding communities with comprehensive and culturally sensitive care. Comprehensive primary care. Dental services.

Behavioral health care. Care management. Nurse care management. NSCH operates service sites at Gloucester, Peabody, and Salem Family Health Centers, ensuring convenient access to care. Additionally, NSCH extends its reach through school-based health centers within the Salem and Peabody School Districts.

As a community-based safety net healthcare provider, NSCH actively encourages diversity and welcomes staff members who reflect the rich tapestry of our communities. We aim to foster a supportive and rewarding environment that empowers our team members to provide exceptional care to our communities.

North Shore Community

Health’s mission is to build healthy communities by providing exceptional care to all.

Healthy

People | Vibrant Communities We take our responsibility to ourselves, each other, and the NSCH Community very seriously. Integrity is the foundation of healthy relationships. To have courage is to have the fortitude to take risks and to extend one’s behaviors, actions, and thoughts beyond one’s comfort zone.

We provide care that is respectful of and responsive to individual patient needs and values. We take the time to listen to concerns, understand what is important, and provide appropriate solutions and care. We do this through coordination and integration of care, collaboration, and teamwork.

NSCH is committed to the health and well-being of its community, patients, and staff. We, North Shore Community Health (NSCH), are an equal employment opportunity employer.



We do not and will not make any personnel decisions (like recruiting, hiring, job assignments, and promotions) based on age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity, gender expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

Oversee the referral coordination to specialty services. # Collect proper supporting data for each referral before sending it to the specialist. # Provide feedback to the manager and/or care team. # Respond to inquiries as to the status of the referral by assessing the request and evaluating the circumstances to provide the correct information. # Verify insurance and obtain prior authorizations with insurance companies via phone, in writing, or electronically. # Document entry in EMR as a non-billable encounter and enter the specialty appointment in the referral log. # Direct patient to outside resources when needed as requested by primary care physician. # Keep patient information private and communicate professionally with everyone involved in the referral process. Ability to utilize advanced reporting tools and data to inform decision-making and improve outcomes ~Warm and professional telephone manner with patience and positive memory ~Competency with Microsoft Office Suite; Ability to maintain strict adherence to confidentiality policies ~Commitment to incorporating North Shore Community Health’s mission and values into daily activities ~High School diploma or equivalent required; associate degree or additional training in healthcare administration or related field preferred ~Minimum of two (2) years of customer service experience,



preferably in a medical setting; prior experience with referral coordination or patient navigation strongly preferred ~Bilingual in Spanish/Portuguese and English preferred Clinic, urgent care, mobile unit, telehealth, etc. # Regular interaction with colleagues, supervisors, and/or clients occurs in person, by phone, and via digital communication platforms. # Standard office hours apply, with occasional flexibility required to meet deadlines, attend meetings, or respond to organizational needs. # Work may require sitting or standing for extended periods, using computers and other standard office equipment. # Employees are expected to follow all organizational policies and procedures, including those related to safety, confidentiality, and ethical conduct. Occasional lifting of materials (e.g., Ability to sit or stand at a desk for extended periods, with consistent use of computers and telephones ~May be required to travel to multiple sites within a single day As a health center, NSCH ensures that all employees comply with the annual requirements for vaccinations and health screenings.

All employees must be vaccinated against COVID-19 as a condition of their employment unless they have been granted a religious or medical exception. Proof of COVID-19 vaccination must be provided, and prospective employees must be vaccinated before their first day of employment, submitting their vaccination record and pre-hire paperwork. If you need to request an exemption from the vaccine requirement or have any inquiries regarding this policy, please get in touch with the Human Resources Department at [email protected] North Shore Community Health, our commitment lies in fostering a diverse workforce.

Your skills could be a great fit for this role or other opportunities within North Shore Community Health. With facilities in Salem, Peabody, and Gloucester, NSCH offers access to New England’s coastal charm just thirty minutes outside of Boston.

The North

Shore is connected to the city via the Rockport Commuter Rail line, which makes stops in Salem and Gloucester.

North Shore Community

Health

📌 Referral Coordinator Managed Care (Ottawa)
🏢 North Shore Community Health
📍 Ottawa