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• Assist and support department functions, including referral integrity management census reconciliation daily to meet operational, financial, and service requirements, including workload distribution and time keeping.


• Manages hiring and onboarding of new staff.


• Responsible for creating reports and analyzing data to support department efficiencies and quality improvement.


• Investigates and resolves referral processing issues.


• Maintains a positive working environment among employees through mentoring.


• Coordinates department process improvement operations and provides solutions with other areas of the organization.


• Resolves errors and complaints from client departments and other managers.


• Acts as a liaison between management and other departments to facilitates communication between the departments and clients.


• Performs other duties as assigned.

• Minimum three (3) years in healthcare and or process improvement.
  

• Associates degree or four (4) years of experience in a directly related field.


• High School diploma or General Education (GED) required.

• N/A
  

• Project management experience


• Lean six sigma certifications


• Proficiency with using Microsoft Suite (Excel, PowerPoint, Word, Teams, etc.)


• Knowledge of medical terminology and application of service codes and medical procedures required.


• Excellent customer service, telephone presentation and problem-solving skills.


• Ability to prioritize work in a high-volume, demanding environment.


• Must be able to work in a Labor/Management Partnership environment.
  

• Previous process improvement experience


• Previous experience working with EPIC EMR system.


• Extensive knowledge of medical terminology, medical procedures, utilization management and KFHP benefits.

PrimaryLocation : Maryland,Rockville,Rockville Regional Offices
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri with every other weekend
WorkingHoursStart : 07:00 AM
WorkingHoursEnd : 03:30 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-MAS-01|NUE|Non Union Employee
Job Level : Entry Level
Job Category : QA, UR & Case Management
Department : Mid-Atlantic States Region - Hosp Admin-Patient Care Svcs - 1808
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.