The Health Referral Nurse (HRN) is responsible for using nursing assessment and triage guidelines to assist callers and schedule appointments for patients assigned to the CRO. The HRN supports the system through responses to telephone inquiries involving the provision of appropriate health information and referrals to identified physicians, health system services and community resources. The HRN provides quality based individualized information that is patient-centered and effective for the patient’s needs. The HRN directly supports the physician referral process to include documentation, insurance verification, and scheduling patient visits to specialists and other ancillary services. The HRN collaborates with medical office coordinators, physicians, nursing, ancillary and other professional staff to define and achieve optimal provider referral outcomes for patients through responses to telephone inquiries and interactions. Utilizing clinical software and guideline/information databases, the HRN is responsible for assessing, triaging, and advising patients/callers who present with symptom-based problems or general health questions. This includes facilitating referrals to primary providers, specialists, healthcare facilities, and community resources as appropriate. Provides support to Health Referral Specialists (HRS's) through clinical monitoring, oversight and immediate availability for clinical issues that arise during coordination of patient medical communications.

Associates in Nursing - Required

Minimum of 3 years of recent clinical experience, 2 years of critical care experience preferred. Ability to manage situations related to family, visitors, patients of varied ages and needs, physicians and other hospital departments.

Professional License with State of Practice - Required

Follows steps to process referrals, appointments to Specialists, PT, OT, Lab, Radiology, Diabetes Mg., and other referrals as ordered by the physician/provider within the eCW database system. Documents physician practice referral interactions within the appropriate database according to the standards for the physician/provider practice and the call center. Explains clinical nursing information pertaining to the aspects of the referral and provides patient with updates regarding referrals and appointments until the process is completed.