About This Position
Experience: Manager
Salary: $100,000 - $130,000 per year
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?
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
#healthcare #team-leadership #process-improvement #utilization-management #performance-management #regulatory-compliance #quality-management #people-management #case-management #managed-care #utilization-review #healthcare-compliance #prior-authorization #clinical-review #referral-management #tier2
Salary: $100,000 - $130,000 per year
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?
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
#healthcare #team-leadership #process-improvement #utilization-management #performance-management #regulatory-compliance #quality-management #people-management #case-management #managed-care #utilization-review #healthcare-compliance #prior-authorization #clinical-review #referral-management #tier2
