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Support Services Operator
ISS Conversational ATS
CHIPPEWA FLS, WI
…and disability insurance, as well as a comprehensive leave program based on employment status. The hourly pay range for this position is $20.00 - $24.00 per…
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Branch Manager - Kendall Square - Miami, FL
JPMC page
Miami, FL
As a Branch Manager in a Chase Branch, you will be at the forefront of delivering attentive and friendly service, creating a welcoming environment that puts employees and clients first. You…
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KT
Joint IAMD Instructor/Courseware Manager
KODA Technologies In
Colorado Springs, CO
- $110,000 to $135,000 USD / year
…missions, and give back to our community through the KODA Cares program. We offer competitive compensation, excellent benefits, and a commitment to professional growth. Join us and learn…
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UO
Temporary Communication Professional/Fitness Marketing Specialist
University of Colorado Denver
Aurora, CO
- $28 to $32 USD / hour
Fitness Center business operations are overseen by Fitness Center General Manager and Assistant General Manager. The Fitness Center has more than 50 employees.
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UO
Data & Innovation Program Manager
University of Colorado Denver
Aurora, CO
- $93,134 to $124,800 USD / year
The Data & Innovation Program Manager coordinates execution across two connected areas: the Pioneering Research and Innovation in Science and Medicine for Women (PRISM) program initiatives…
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Phlebotomy Training Coordinator
Emerson Hospital
Concord, MA
…leadership and training. Reporting to the Associate Client Service Manager and Phlebotomy Supervisor, the Phlebotomy Lead plays a key role in onboarding, training, and supporting phlebotomy…
Added 1 min ago
Branch Sales Manager
Crystal Clean
BIRMINGHAM, AL
The Branch Sales Manager (BSM) will be responsible for applying sales strategies in an effort to grow CC’s business at new and existing customer sites with an emphasis on the manufacturing…
Added 1 min ago
KE
Electrical Estimator - Commercial Division
Kolb Electric, Inc
Hagerstown, MD
- Up to $85,000 USD / year
Maintain exceptional, first class customer service.
Added 1 min ago
KE
Electrical Estimator - Commercial Division
Kolb Electric, Inc
Frederick, MD
- Up to $85,000 USD / year
Maintain exceptional, first class customer service.
Added 1 min ago
KE
Electrical Estimator - Commercial Division
Kolb Electric, Inc
Martinsburg, WV
- Up to $85,000 USD / year
Maintain exceptional, first class customer service.
Added 1 min ago
KE
Electrical Estimator - Commercial Division
Kolb Electric, Inc
Waynesboro, PA
- Up to $85,000 USD / year
Maintain exceptional, first class customer service.
Added 1 min ago
Front Desk Supervisor
DRIFTWOOD HOSPITALITY MANAGEMENT
Pompano Beach, FL
…approach to hospitality services - all with outstanding client service. Our team is made up of the best talent in the hospitality industry, down to every employee, position, and…
Added 1 min ago
DH
Maintenance Engineer
DRIFTWOOD HOSPITALITY MANAGEMENT
Albany, NY
- $19 to $20 USD / hour
…approach to hospitality services - all with outstanding client service. Our team is made up of the best talent in the hospitality industry, down to every employee, position, and…
Added 2 mins ago
Customer Service Representative
Circle K
Willowick, OH
Customer Satisfaction: Provides prompt excellent customer service in a courteous, friendly and attentive manner.
Added 2 mins ago
Store Assistant Manager
Circle K
Grafton, OH
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added 2 mins ago
Store Assistant Manager
Circle K
Grafton, OH
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added 2 mins ago
Store Assistant (FT)- Reynoldsburg OH
Circle K
Reynoldsburg, OH
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added 2 mins ago
Store Assistant (FT)- Wilson Rd Columbus, OH
Circle K
Columbus, OH
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added 2 mins ago
Customer Service Representative
Circle K
Carmel, IN
Customer Satisfaction: Provides prompt excellent customer service in a courteous, friendly and attentive manner.
Added 2 mins ago
Customer Service Representative
Circle K
Carmel, IN
Customer Satisfaction: Provides prompt excellent customer service in a courteous, friendly and attentive manner.
Added 2 mins ago
Food Prep
Circle K
Oakfield, ME
Complies with company guidelines for maximizing sales, profitability and customer service by ensuring all grocery deliveries are accurate, stocked, attractively displayed and priced…
Added 2 mins ago
Store Assistant Manager
Circle K
Tallahassee, FL
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added 3 mins ago
Hyperscale Project Manager
E2 Optics
Salt Lake City - Eagle Mountain, UT
Maintain accountability for safety performance, quality compliance, schedule adherence, cost control, and customer satisfaction.
Added 4 mins ago
Administrative Branch Manager
Kentucky Personnel Cabinet
Bowling Green, KY
programs within the Region Branch ensuring quality customer service and efficient operations.
Added 4 mins ago
E
Youth Career Advisor (800017)
Equus
Rock Hill, SC
- Up to $20 USD / hour
Administratively maintains accurate and complete records and correspondence as required by the Program Director and according to standards set by Customer

Katmai

Referral Clerk

Fort Carson, CO, United States

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Job details

Posting language: English
Posted: Nov 10, 2026

Original job description

SUMMARY Provide consultation and administrative support for TRICARE beneficiaries. Ensure patient flow is optimized by assisting patients (CMHS Referral Management Team including the Central Referral Center- CRC and MTF Referral Management Centers) in processing referrals to specialty care.

ESSENTIAL DUTIES & RESPONSIBILITIES

· Review collected data to identify areas requiring intensive management. Analyze data collected and prepare reports describing resource utilization patterns. Disseminate information to government members of collaborative teams and multidisciplinary hospital committees. · Coordinate specialty care referrals. Review specialty care referrals for appropriateness, completeness and route the referral to the appropriate place of care. · Serve as a functional expert in the area of health benefits and provide health benefits advice to patients. · Maintain and track referral records. · Participate with referral centers in providing, assessing, and improving a wide variety of customer service and relations. · Assist in the management of all forms of communication between beneficiaries, referral centers, internal staff and providers, network/outside providers and ancillary healthcare workers. · Apply principles of utilization review (UR) and utilization management (UM) in processing specialty referrals. · Plan and perform specialty referral reviews IAW established guidelines to provide quality cost-effective care. · Conduct first level reviews for all referrals to specialty care. · Act as a facilitator of professional and patient care activities. · Interface with the Managed Care Support Contractor (MCSC) and multidisciplinary personnel as needed to ensure appropriateness of referrals. · Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide direction in care management. · Plan and prioritize UR activities to ensure identified patient needs are addressed promptly. · Effectively utilize information systems to develop, design, analyze, update and record data. · Facilitate the development and integration of UM review policies and procedures into operations. · Perform Right of First Refusal (ROFR) coordination of specialty care referrals. · Maintain regular and punctual attendance. · Perform other duties as assigned.

SUPERVISORY RESPONSIBILITIES

None.

Requirements

MINIMUM QUALIFICATIONS

· High School Diploma or GED equivalency. · Basic Life support certification (BLS) course completed by the American Heart Association or American Red Cross. · Must have a minimum of three (3) years of clinical experience. · Must have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel and Windows. · Proficient in the current versions of office automation software relevant to the role. · Knowledge of Professional Nursing Procedures. · Working knowledge of EHR Genesis and MCSC databases. · Must be able to read, understand, speak, and write English well enough to communicate effectively. · Must obtain and maintain any necessary security access and/or background checks.

DESIRED QUALIFICATIONS & SKILLS

· Knowledge of medical terminology. · ROFR knowledge in the area of health benefits. · Knowledgeable in general medical ethics and health records administration. · Excellent communication and customer service skills.

WORK SCHEDULE

Full-time. May be required to work additional hours as needed to complete assignment or project.

TRAVEL None.

DRIVING REQUIREMENTS

None.

WORK ENVIRONMENT

Work is performed primarily in a professional office setting using standard office equipment such as computers, printers, and telecommunication devices. Employee will interact regularly with patients, healthcare providers, referral center staff, and multidisciplinary teams, requiring adaptability to a wide variety of personalities and functions.

PHYSICAL DEMANDS

Position involves sitting for extended periods, frequent use of hands and fingers for keyboard and mouse manipulation, occasional bending or stooping, and lifting up to 10 pounds. The role may require prolonged periods of phone or video communication. It is Katmai’s business philosophy and practice to provide reasonable accommodations, according to applicable state and federal laws, to all qualified individuals with physical or mental disabilities.

Benefits

Benefits:

Eligible Benefits: Medical, Dental, Vision, Life & AD&D Insurance, Long-Term & Short-Term Disability Insurance, 401(k) Savings Plan, Employee Assistance Program (EAP), Vacation & Paid Personal Time, 11 Paid Federal Holidays, and Leave of Absence.

Compliance:

To be considered for this position, all applicants must apply on the company website, https://apply.workable.com/katmai/

We are a VEVRAA Federal Contractor.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or national origin, disability status, protected veteran status, marital status, familial status or any other characteristic protected by law. Preference will be given to Ouzinkie Shareholders, Descendants of Shareholders and Spouses of Shareholders in accordance with Title 43 U.S. Code 1626(g) and Title 42 U.S. Code 2000e - 2(i).

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