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BJC HealthCare

Referral Coordination Registered Nurse. Job in Glen Carbon Gr8Jobs

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Job Description

BJC HealthCare is seeking a dedicated RN Referral Coordinator to join our Healthcare & Medical Services team. In this role, you will coordinate and manage patient referrals, ensuring timely access to appropriate specialists and services. You will collaborate closely with physicians, clinical teams, and external partners to streamline referral processes, verify insurance, and support continuity of care. BJC HealthCare offers a collaborative, mission-driven environment that values compassionate care, medical excellence, safety, and innovation, giving you the opportunity to make a meaningful impact on patient outcomes. Responsibilities Review and process weekend referrals from physicians, clinics, hospitals, and community providers to appropriate BJC services. Conduct clinical review of referral information, identifying patient needs and ensuring appropriate level and setting of care. Collaborate with physicians, case managers, social workers, schedulers, and ancillary teams to coordinate safe and timely transitions of care. Communicate with patients and families to explain referral processes, next steps, and follow-up instructions. Prioritize and escalate urgent or complex referrals to ensure timely evaluation and intervention. Verify and obtain missing clinical documentation and assist in facilitating authorizations or scheduling when needed. Document all referral and coordination activities accurately and completely in the electronic health record (EHR). Maintain strict adherence to HIPAA, regulatory requirements, and BJC policies related to patient privacy and safety. Participate in quality and process improvement initiatives related to referral workflows and care coordination. Utilize evidence-based practice and professional nursing standards to guide decision-making in referral triage and coordination. Required Skills Patient triage via phone and electronic referrals Care coordination and discharge planning Referral management and follow-up Electronic health record (EHR) documentation Clinical assessment and critical thinking Interdisciplinary communication Knowledge of payer requirements and authorizations Time management and prioritization Patient and family education HIPAA and patient privacy compliance