Registered Nurse (RN) – Referral Management
Location: RAF Lakenheath, Brandon,
Job Type: Professional Services
Company: Decypher
Category: Medical Services
Job Description Apply Now
The Registered Nurse (RN) – Referral Management position is a specialized nursing role focused on coordinating patient referrals, ensuring efficient communication between various healthcare providers, and maintaining high standards of patient care. As a Registered Nurse (RN), you will play a pivotal role in facilitating the referral process, supporting both patients and healthcare teams to optimize access to care. This position demands a comprehensive understanding of nursing practices, exceptional organizational skills, and the ability to manage complex administrative and clinical workflows. If you are passionate about making a difference in patient outcomes and thrive in a collaborative, fast-paced healthcare environment, this opportunity is designed for you.
In this role, the Registered Nurse (RN) will manage referral appointments in compliance with established access-to-care standards, both within the direct care system and through external providers. You will be responsible for reviewing, validating, and authorizing medical and surgical referrals, as well as laboratory, radiology, pharmacy, and other hospital procedures. The RN will work closely with internal multidisciplinary teams, external network providers, and managed care support staff to address patient needs and resolve process-related concerns. Your expertise in verifying patient eligibility, tracking referral outcomes, and ensuring timely documentation will contribute directly to effective patient care coordination and the achievement of optimal health outcomes.
Additionally, the Registered Nurse (RN) in Referral Management will coordinate with specialty clinics for pre-appointment requirements, provide patients with detailed instructions, and ensure all necessary documentation is delivered for referred care visits. You will facilitate smooth communication across the healthcare continuum, participate in team meetings, and provide feedback on utilization and referral processes. The RN will also be responsible for data management, including the entry and tracking of referrals in healthcare databases, and will offer ongoing training to clinical staff on referral protocols and best practices.
This position requires a current, active, and unrestricted nursing license and a solid foundation in professional nursing standards. Strong interpersonal and communication skills are essential, as you will interact with patients, providers, and administrative staff daily. By joining the team as a Registered Nurse (RN) specializing in Referral Management, you will be instrumental in enhancing patient satisfaction, supporting safe and timely access to care, and upholding the highest standards of healthcare service delivery.
Registered Nurse (RN) – Referral Management Summary- Coordinate and manage patient referrals to specialty clinics and external providers
- Serve as a liaison between patients, healthcare providers, and third-party administrators to expedite care
- Ensure accurate and timely documentation of all referral activities and outcomes
- Support the healthcare team in achieving access-to-care and quality standards
- Schedule and manage referral appointments according to access-to-care standards
- Review referrals for administrative and clinical completeness and appropriateness
- Validate requested medical services and authorize procedures as necessary
- Verify patient eligibility and referral priority in line with established business rules
- Track referral reports and ensure results are communicated to referring providers and recorded in medical records
- Coordinate with specialty clinics for pre-appointment instructions and required tests
- Provide detailed pre-appointment instructions and necessary documentation to patients
- Facilitate interdisciplinary communication to resolve referral process issues
- Document referral activities and maintain referral tracking data reports
- Train providers and clinical staff on referral management protocols and systems
- Assist with utilization review and refer cases for case management as needed
- Respond to patient inquiries regarding referral status and address invalid or denied referrals promptly
- Enter data into healthcare management systems and ensure accurate record-keeping
- Provide courteous and professional customer service at all times
- Competitive compensation aligned with industry standards for Registered Nurse (RN) roles in Referral Management
- Comprehensive benefits package including health, dental, and vision coverage
- Opportunities for continuing education and professional development
- Supportive team environment that values work-life balance
- Current, active, full, and unrestricted Registered Nurse (RN) license
- License must be in good standing with no adverse actions or investigations pending
- Demonstrated knowledge of referral management processes and healthcare documentation
- Experience working in multidisciplinary healthcare teams preferred
- Strong organizational and communication skills
- Ability to manage multiple tasks and priorities efficiently
- Proficiency in using electronic medical records and healthcare management software
- Detail-oriented and highly organized, with a commitment to accuracy in patient documentation
- Excellent communicator who excels in team-based settings
- Flexible and adaptable in a dynamic healthcare environment
- Patient-focused and dedicated to ensuring optimal care outcomes
- Proactive in identifying and resolving referral management issues
- Interested in ongoing professional growth and learning opportunities
- Registered Nurse (RN) – Referral Management positions offer the chance to directly impact patient care coordination and access
- Opportunities for professional development and advancement within the healthcare organization
- Working in this role provides exposure to a variety of clinical specialties and healthcare operations
- Contribute to a culture of safety, collaboration, and continuous improvement
- Join a dedicated team committed to delivering exceptional healthcare services
If you are ready to advance your nursing career and make a meaningful difference in patient care, apply now for the Registered Nurse (RN) – Referral Management position by clicking the job application button. We look forward to welcoming you to our team!