RN Referral Manager

Competitive pay, hybrid schedule, and the opportunity to lead a high-impact Referral Management team!

This Jobot Job is hosted by: Jennifer Whitworth
Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume.
Salary: $100,000 - $130,000 per year

A bit about us:

A well-established healthcare organization serving Southern California through an integrated model focused on quality, compliance, care coordination, and managed care excellence. The team is committed to delivering high-quality patient outcomes while maintaining regulatory standards and operational efficiency.

Job Title: RN Referral Manager
Compensation: $48.82 - $59.60/hour ($101,546 - $123,968 annually)
Location: Palm Springs, CA
Schedule: Hybrid (3 days onsite / 2 days remote)

Why join us?

• Competitive compensation package
• Hybrid work schedule
• Leadership opportunity overseeing a growing referral team
• Stable and established healthcare organization
• High visibility role within Quality & Compliance
• Opportunity to make a meaningful impact on referral operations and regulatory compliance
• Long-term growth potential with succession planning initiatives underway

Job Details

We are seeking an experienced RN Referral Manager to lead Referral Management operations within a quality and compliance-focused healthcare environment. This individual will oversee referral processes, ensure regulatory compliance, support operational excellence, and provide leadership to a multidisciplinary team. The ideal candidate brings a strong foundation in Utilization Management, Utilization Review, Quality, Compliance, or Referral Management, along with proven leadership experience.

Responsibilities:

• Lead and support the Referral Management team, including approximately 10 direct reports and 11 indirect reports.
• Ensure referral reviews are completed accurately, timely, and in compliance with regulatory requirements.
• Oversee referral quality, operational workflows, and compliance initiatives.
• Provide leadership, coaching, and performance management to team members.
• Partner with internal departments to improve referral processes and outcomes.
• Monitor departmental performance metrics and identify opportunities for improvement.
• Collaborate with management on quality assurance and compliance efforts.
• Coordinate activities with internal and offshore support resources as needed.

Qualifications:

• Active California RN license required.
• Bachelor's degree in Nursing (BSN) required.
• Minimum 3 years of Utilization Management, Utilization Review, Quality, Compliance, or Referral Management experience.
• Minimum 2 years of supervisory or management experience.
• Strong knowledge of healthcare regulations, referral processes, and quality standards.
• Experience within a managed care organization, hospital, medical group, or similar healthcare setting.
• Proven ability to lead teams and drive operational improvements.
• Excellent communication, organizational, and problem-solving skills.
• Proficiency with Microsoft Office and healthcare management systems.

Interested in learning more?

Apply today or confidentially send your resume to Jennifer Whitworth at https://jobot.com/apply/rn-referral-manager/1073940045?utm_source=Monster for consideration.

Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.

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