Patient Care Coordinator Referrals

Website La Maestra Family Health Center

Job Title: Patient Care Coordinator Referrals

Reports to: Referrals Manager

Job Status: Non Exempt


The Patient Care Coordinator is responsible for coordinating with clinical staff to support patients to receive the comprehensive care and referrals essential to health and wellness. The Patient Care Coordinator is responsible for the management of specialty and managed care medical referrals and linkages to community-based partners and educational services. Receives referral reports from physicians, registered nurse, and medical assistants, calls and responds to patients’ needs in person or by telephone.


  • Responsible for assessment, case plan development and advocacy
  • Document when each referral is ordered through when it is completed in i2i Tracks and NextGen patient management systems
  • Reports and reviews with Liver Clinic RN urgent referrals
  • Accountable for checking voicemails daily and returning all patient calls/messages within 24 hours of receiving each message
  • Compiles referrals for records, by category, department office, and disposition
  • Communicates with patients to make appointments
  • Maintains up to date reference materials and files
  • Documents telephone call conversation when speaking with each patient in regards to the patient’s referral
  • Responsible for following up once per week to close out referral and retrieve reports from specialist
  • Interviews patients to ascertain nature of referral visit. Records information on standard forms and logs
  • Communicates with physicians or medical offices to which the patient us being referred for medical care. Routes form to appropriate physician or office for action.
  • Notifies supervisors of patterns of poor provision of service
  • Meet minimum requirement of 20 referrals per day
  • Maintain effective communication and working relationships with other employees and patients
  • Attend staff meetings
  • Performs other duties as assigned

Patient Centered Medical Home Essential Responsibilities (Principals):

  • Collaborate with individual patients, their personal physicians, and when appropriate the patient’s family to ensure accessible, comprehensive, compassionate, and culturally competent care
  • Facilitate care by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.
  • Ensure all decisions respect patients’ wants, needs, and preferences and that patients have the education and support they require to make decisions and participate in their own care.
  • Continually strive to attend to each patients’ “whole person,” in the context of the patient’s personal and medical history and life circumstances, rather than focusing on a particular disease, organ, or system

Job Requirements:

Education: High School Diploma or GED.

Certification:  Medical Assistant Certificate or Medical Office Administrative Support Certificate preferred

Experience: 1-2 years experience in physician office or hospital setting as a medical assistant, patient services representative, or similar experience.

Verbal and Written Skills to perform the job:  Bilingual (English/Spanish). Familiarity with basic word processing, spreadsheet, and database applications.  Accurate keyboarding skills.

Technical knowledge and skills required to perform the job:  Excellent verbal, written and interpersonal communication skills and the demonstrated ability to work with diverse individuals and groups.  Demonstrate high levels of self-initiation and direction. Knowledge of communities we serve. Knowledge and experience working in medical settings and interacting collaboratively with medical teams.  Skill in analyzing situations and making timely decisions.

Physical and Mental Requirements:  Work involves sitting, talking, hearing, using hands to handle, feel or operate objects, tools, or controls, and reaching with hands and arms. The employee may be required to push, pull, lift, and/or carry up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Quality Management

  1. Display knowledge of normal signs of human development and ability to assess and provide age appropriate care.
  1. Contribute to the success of the organization by participating in quality improvement activities

Customer Relations

  1. Respond promptly and with caring actions to patients and employees.  Acknowledge psychosocial, spiritual and cultural beliefs and honor these beliefs.
  2. Maintain professional working relationships with all levels of staff, clients and the public.
  3. Be part of a team and cooperate in accomplishing department goals and objectives
  4. Interacts and communicates in a manner to reflect an understanding of the patient’s age, culture, state of health, and level of comprehension


  1. Maintain current knowledge of policies and procedures as they relate to safe work practices.
  2. Follow all safety procedures and report unsafe conditions.
  3. Use appropriate body mechanics to ensure an injury free environment.
  4. Be familiar with location of nearest fire extinguisher and emergency exits.
  5. Follow all infection control procedures including blood-borne pathogen protocols


  1. Maintain privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes.
  2. Comply with all regulations regarding corporate integrity and security obligations. Report unethical, fraudulent or unlawful behavior or activity.

Work Environment

  1. The noise level in the work environment is usually moderate

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Interested Applicants please submit Cover Letter and resume to:
Human Resources Department
Email: | Fax: 619-269-1291

La Maestra Community Health Centers is an equal opportunity employer and does not
discriminate on the basis of race, religion, color, sex, national origin, age, sexual orientation, gender, disability or any other legally protected status.

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