Case Management Referral Coordinator

About Our Client:

The organization operates as a specialty care management entity focused on improving outcomes for individuals with complex injuries and diagnoses. Established in 1991, it has a long-standing commitment to value-based care, delivering clinical solutions including risk-based management, case management, specialty networks, home health services, decision support, and payment integrity programs.

About the Opportunity:

The CASE MANAGEMENT REFERRAL COORDINATOR role supports referral operations within the Workers’ Compensation Solutions business unit. The position is responsible for managing referral requests end-to-end to ensure accuracy, timely communication, and proper assignment. This role enhances customer experience by delivering high-quality service and collaborating with internal and external partners in a remote setting.

Responsibilities:

• Manage referral email inboxes.
• Assign, enter, and fulfill referrals in the ALARISware System.
• Attend ongoing training and calls as required.
• Accurately interpret geographical locations for decision-making.
• Handle case re-openings and process payor, insurer, jurisdiction, claim number, or case type updates on open cases.
• Utilize AI tools to support daily tasks, improve efficiency, and enhance work quality.
• Perform other duties as assigned by supervisors.

Requirements:

• High School Diploma or equivalent.
• Knowledge of Microsoft and relevant computer applications.
• Basic business and customer service experience preferred.
• Strong organizational skills and attention to detail.
• Effective time management.
• Self-motivated with ability to work independently.
• Proficient in Microsoft Office and web-based applications.
• Ability to build relationships in a virtual environment.
• Team collaboration skills.
• Problem-solving skills.
• Clear, concise, professional verbal and written communication.
• Ability to use a personal computer extensively.
• Ability to accurately gather, synthesize, and communicate information.
• Maintain a home office with high-speed internet and suitable privacy.
• Availability for in-person or phone meetings as needed.

Pay Range and Compensation Package:

• Hourly rate of $20 to $21.

Benefits & Perks:

• Health insurance options including PPO, HDHP, and HMO (with Kaiser available for CA employees).
• 401(k) matching contributions.
• Employer-paid life and disability insurance.
• Flexible spending and commuter accounts.
• Employer-matched Health Savings Account contributions.
• Paid time off and personal holiday programs.
• One paid volunteer day per calendar year.
• Learning and development programs to support continual growth.

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.