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Manager, Clinic Operations - MercyCare Center Point & Float Pool
Mercy Physician Services, Inc.
United States
Maintains a quality improvement program in coordination with Director and other practice sites.
Added 1 min ago
Director of Rooms
Default (All-EOS Job Aggregator)
Kennebunkport, ME
Partner with the General Manager to establish rooms-department budgets, operating goals, departmental action plans, and continuous-improvement priorities.
Added 1 min ago
SE
Project Director
Shine Early Learning Inc
Remote, United States
- $100,000 to $105,000 USD / year
…childhood education? Shine Early Learning. is looking for a dynamic Project Director to drive our mission to eliminate the gaps between young children’s potential and their success in…
Added 2 mins ago
Hyperscale Project Manager
E2 Optics
Salt Lake City - Eagle Mountain, UT
Detailed project schedules and look-ahead plans
Added 3 mins ago
PB
Director of Finance Palm Beach County Public Defender's Office
Palm Beach County Public Defender / 15th Circuit
West Palm Beach, FL
- $90,000 to $100,000 USD / year
Overseeing all financial, project/program, and grants accounting
Added 3 mins ago
Program Manager, Health Plan Payment Integrity (MI)
Molina Talent Acquisition
Detroit, MI
Microsoft Office suite (including advanced Excel), and applicable software program(s) proficiency.
Added 3 mins ago
Assoc RGM Manager
Reckitt
Nutley, NJ
Present insights, business cases, and project outcomes to cross-functional teams and leadership.
Added 4 mins ago
Merchandising & Brand Manager
Dufry Careers
Newark, NJ
Referral program – refer a friend and earn a bonus
Added 5 mins ago
Senior IT Operations Manager
Thales Defense & Security, Inc.
CLARKSBURG, MD
Generous 401(k) program- up to 7% company contribution and 100% immediate vesting
Added 5 mins ago
HC
Manager - Programs and Compliance
Harris County Department of Education
Houston, TX
- $73,610 to $90,319 USD / year
…(CASE) for Kids Cycle 13 21st Century Community Learning Center program implementation and team. Ensure the Division’s research and evaluation efforts related to the grant. Ensure data…
Added 5 mins ago
Enterprise Compliance Manager
CUC Corporate Brand
Yulee, FL · Dover, DE
The Enterprise Compliance, Ethics & Risk Manager is responsible for developing, coordinating, and monitoring enterprise-wide compliance programs that support the company’s regulated natural…
Added 6 mins ago
Quality Control Manager | Federal Construction
GPAC
Lexington, KY
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 6 mins ago
Quality Control Manager | Federal Construction
GPAC
Irvine, CA
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 7 mins ago
Staff Internal Auditor
our team
Charlotte
Reports into the Senior Manager, Internal Audit. Responsible for assisting with planning, performing, and reporting high-quality business unit and corporate audits across the organization.…
Added 9 mins ago
SO
Charter School Program Grant Manager (Education Associate) - 60023747
State of South Carolina
West Columbia, SC
- $58,854 to $105,978 USD / year
…a results-driven professional to manage the Charter School Program (CSP) Planning and Implementation Grant and related initiatives. Reporting to the Charter School Program Team Lead, the…
Added 11 mins ago
R
Production Manager
Renuity
Nashville, TN
- $70,000 to $90,000 USD / year
- Maintain quality control program from product ordering, receiving, delivery, and installation
Added 12 mins ago
Referral Clerk
Katmai
Fort Carson, CO
· Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide direction in care management.
Added 12 mins ago
E
Oracle System Engineer
ESM
Arlington, VA
- $106,000 to $128,000 USD / year
…hiring an Oracle System Engineer to support an enterprise-level program within a federal…
Added 12 mins ago
Maintenance Planner/Scheduler
Smithfield Packaged Meats Corp
Sioux City, IA
As the owner and manager of the Computerized Maintenance Management System (CMMS) at the plant level, you will be the go-to expert ensuring that all systems run smoothly and efficiently. In…
Added 12 mins ago
Senior, Business Analyst - Tax Transformation
Deloitte US
Atlanta, GA · Baltimore, MD · Boston, MA · Chicago, IL · Costa Mesa, CA · Dallas, TX · Houston, TX · Lake Mary, FL · Los Angeles, CA · McLean, VA · Miami, FL · NY · Portland, OR · Rosslyn, VA · San Diego, CA · San Francisco, CA · San Jose, CA · Seattle, WA · Tampa, FL · Washington, DC
Perform business analysis tasks and/or coordinate tasks across the Service Delivery Transformation program.
Added 13 mins ago
Sales Manager - New Business Development
SFC Payroll Inc
Remote, United States
We're looking for a driven and motivated Sales Manager to play a key role in expanding our market presence, developing new business opportunities, and driving revenue growth. In this…
Added 15 mins ago
BV
Artwork Review Editor
Bureau Veritas
Mason, OH
- $21 to $22 USD / hour
Participate in project alignment meetings to learn about upcoming changes and provide feedback early to the artwork team, where applicable
Added 16 mins ago
Operational Excellence Manager
Newell Brands
Maryville
Lead productivity governance and program management with monthly, quarterly, and annual reports.
Added 16 mins ago
AD
Product Manager, Branding/Fleet
Avery Dennison
Mentor, OH
- $135,000 to $175,000 USD / year
Paid Time Off: We offer a generous vacation program that varies based upon your experience and position within Avery Dennison.
Added 16 mins ago
Vice President, Client Integration (Program/Project Manager)
G MASS
Miami, FL · Malvern, PA
The client requires a strong, seasoned project manager from the fund administration or alternatives servicing space, who has been there and done it on client onboarding and transformation.…

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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