Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
ESSENTIAL JOB FUNCTIONS
Oversight of CARE Connections activities as required by Child Care Resource & Referral grant contract. (30%)
Ensure CCR&R grant/contract requirements and deliverables are clearly articulated, implemented and communicated to/with staff, students, participating families and appropriate agencies.
Work closely with CARE Connections Program Director and Southwestern Business Office in following complex budgets and fiscal management.
Attend all required CCR&R State network meetings and trainings.
Maintain positive relationships with all partners at the state and local levels.
Maintain status as a Sponsoring Organization through the Oregon Center for Career Development (OCCD) in Early Care and Education.
Participate in setting, meeting, and reporting on targets for achievement as identified by state and local agreements.
Oversee annual provider trainings, including the annual Retreat by the Lake conference.
Seek opportunities to enhance programming and extend professional development to a wider audience of early learning and care professionals.
Provide trainings to child care providers, early childhood educators, and parent groups as needed, using instructional delivery methods that support adult learners and promote quality interactions with young children. These trainings will be developed to assist early care and education professionals as they move up in the Oregon Registry Online system, and as they move forward with Spark (the State of Oregon Quality Rating Improvement System) (30%)
Offer trainings to providers, students, and parents in groups and individually using instructional methodology appropriate to the audience aligned with the training standards through OCCD and CCR&R Central Coordination.
Assist staff in completing assessments of Professional Development (PD) of child care providers as need determines in relation to supporting growth and movement in the Oregon Registry Online (ORO) steps.
Develop and implement training sessions. Complete Set 2 & Set 3 paperwork as needed.
Participate in mentor and coaching activities as required by grants.
Ensure that all training rosters are completed and entered into ORO.
Work with outside trainers to schedule trainings, contract, invoice, and provide technical support through trainings.
Supervise CARE Connections Staff, typically including Quality Specialist positions and Program Assistant positions. (15%)
Become trained in Reflective Supervision and provide Reflective Supervision at least bi-weekly.
Provide operational one-on-one meetings at least bi-weekly.
Stay up to date on training and educational requirements for supervisees, and ensure they are developing and meeting quarterly professional development goals.
Co-create and support ongoing quality improvement plans with SMARTE goals.
Evaluate performance and progression toward goals. Offer ongoing support and mentorship.
Provide written reports and data reports as required for grant deliverables, such as quarterly reports, work plans, training reports, and community data requests. (20%)
Receive training and participate in ongoing communities of practice to develop full competency with Find Child Care Oregon or other databases adopted by DELC to track data on early care and education programs in Oregon.
Extract data and create documents to provide a coherent picture of child care and early learning in our region.
Create narratives for reporting to capture grant activities for multiple grants.
Track data for internal projects and report as necessary.
Use ORO to extract training data for reports.
JOB TITLE: CARE Connections Resource & Referral Program Manager | LOCATION: Coos Campus |
FTE: Full-Time; 32-40 hours a week (1 FTE) | DEPARTMENT: CCR&R |
PAY GRADE: 27 | EXEMPTION STATUS: Non-exempt |
PHYSICAL REQUIREMENTS: Enclosed | REPORTS TO: CCR&R Program Director |
CLASSIFICATION: Administration | REVISION DATE: January 17, 2024 |
SUPPLEMENTAL INFORMATION:
Southwestern Oregon Community College only accepts applications through this online application system. We want you to be successful in applying with us. We highly encourage you to complete and submit your application in advance of the deadline.
For assistance with this, please email hr@socc.edu. For technical assistance with your application, please call (855) 524-5627.
Please note: We recognize that our application process can be lengthy, so before you begin, please read all of the stated requirements to determine if you meet them. Applicants must meet all of the stated minimum/special qualifications and additional requirements to be considered for this position. Based on your responses to the qualifying questions, the system may automatically screen you out from further consideration.
Required documents must be provided at the time of application. Please remove any personal information such as photographs, date of birth, gender, social security number, and other protected information from your documents. Documents containing protected information will be considered incomplete. Incomplete applications will not be considered.
Positions are subject to budget consideration and approval. For the candidate who is hired into this position, salary placement will be based on guidelines in administrative policies and procedures or collective bargaining agreements (as applicable). For this reason, please be sure to include everything in your application that you want the college to consider towards placement.
The college does not sponsor employees in the visa application process if they intend to use this as their means to work in the United States. This means that all required work visas must be in place and supported by appropriate evidence to be employed by Southwestern.
Final candidates will be subject to a criminal background check as part of the employment process.
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REASONABLE ACCOMMODATION STATEMENT:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.
This job description is a general description of essential job functions. It is not intended as an employment contract nor is it intended to describe all responsibilities, skills, effort, or work conditions associated with the job someone in this position would perform. All employees of Southwestern Oregon Community College are expected to perform tasks as assigned by Southwestern Oregon Community College supervisory/management personnel regardless of job title or routine job duties.
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VETERAN'S PREFERENCE STATEMENT:Applicants are eligible to use Veteran's Preference when applying with Southwestern Oregon Community College in accordance with ORS 408.225, 408.230 and 408.235; and OAR 105-040-0010 and 105-040-0015. Preference will only be given if the applicant meets the minimum qualifications and any special qualifications for the position and electronically attach the required documentation at the time of application.
DOCUMENTS REQUIRED:
For information regarding Veteran's Preference qualifications, visit the following website: http://www.oregonjobs.org/DAS/STJOBS/vetpoints.shtmlq
NON-DISCRIMINATION:
It is the policy of Southwestern Oregon Community College Board of Education that there will be no discrimination or harassment on the grounds of race, color, gender, marital status, sexual orientation, religion, national origin, age, political affiliation, parental status, veteran status or disability in any educational programs, activities or employment. Persons having questions about equal opportunity and nondiscrimination should contact Vice President of Administrative Services in Tioga 512. Phone 541-888-7206 or TDD 541-888-7368. All other issues, concerns, and complaints should also be directed to the Vice President of Administrative Services for referral to the appropriate Manager.
Annual Campus Crime/Annual Fire Safety (Clery Act) Report
The “Jeanne Clery Disclosure for Campus Security Policy and Campus Crime Statistics Act” (formerly the Campus Security Act) is a federal law that requires institutions of higher education to disclose campus security information, including crime statistics for the campus and surrounding area. As a current or prospective Southwestern student or employee, you have a right to obtain a copy of this information. You may review this information here: Annual Campus Crime/Annual Fire Safety (Clery Act) Report. You may also obtain a hard copy of this information upon request by contacting Administrative Services at 541-888-7206.
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