Patient Services Coordinator - Enhanced Care Management - CHC Perris

Patient Services Coordinator - Enhanced Care Management - CHC Perris

Salary

$51,780.92 - $77,063.21 Annually

Location

Perris

Job Type

Regular

Job Number

26-73998-05

Department

RUHS-Community Health Clinics

Division

RUHS CHC Perris Valley

Opening Date

06/09/2026

Closing Date

6/16/2026 11:59 PM Pacific

• Description
• Benefits
• Questions

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.

ABOUT THE POSITION

The County of Riversides Riverside University Health System (RUHS) - Community Health Centers is seeking a detail-oriented and experienced Patient Services Coordinator to join their Enhanced Care Management Team located in Perris, Ca.

Under minimal supervision, performs a variety of administrative and clerical duties in support of the Riverside University Health System (RUHS) CHC Perris - Enhanced Care Managed Program, secures authorization for services, completes patient assessments for eligibility criteria and performs other related duties as required.

The Patient Services Coordinator will be primarily responsible for coordinating referrals generated with contracted Managed Care Plans, both public and private. In addition, this class coordinates with physicians and mid-level providers regarding patient care or IPAs for all patients scheduled for appointments at RUHS, and obtains all authorizations necessary for patient care.

The most competitive candidates will have experience coordinating patient care, verifying insurance eligibility, and obtaining authorizations. Strong communication and customer service skills are essential, along with the ability to work effectively as part of a collaborative team. Candidates with a clinical background and bilingual in Spanish is preferred.

Requires a valid California driver's license for participation in mandated trainings and off-site meetings.

Work Schedule:

9/80, with every other Friday off

Hours: 8:00am to 5:30pm

Meet the Team!

Riverside University Health System provides a wide range of primary and specialty care services across 13 Community Health Centers (CHCs) throughout Riverside County. As federally qualified health centers, the CHCs operate on a sliding fee scale to ensure that some of the county's most vulnerable populations receive the care they need.

Whether it's preventive care, chronic disease management, Express Care, Mobile Health, or integrated specialty and behavioral health services, our teams are made up of dedicated healthcare professionals who are passionate about making a difference.

If you're committed to delivering compassionate care and eager to join a team that truly values community, connection, and making a meaningful difference, RUHS is the place for you!

Learn more about our Community Health Centers by visiting www.ruhealth.org.

EXAMPLES OF ESSENTIAL DUTIES

• Assist physicians and other healthcare providers by providing care coordination to ensure patients receive optimal care; interact with Primary Care Providers, Specialty Providers, and other healthcare staff to coordinate care for patients.
• Liaison between healthcare staff and patients regarding maintenance of care and treatment; work closely with Providers to ensure continuity of care and treatment; facilitate communication among patients, physicians, nurses, and other healthcare staff regarding their care, including making appointments, treatment authorizations and resource needs.
• May assist with patient referrals to appropriate community resources; may provide patient education.
• Daily management of referrals which includes, input of data into manage care system, verify member eligibility, provider participation, and tracking of pending referrals.
• Authorize Treatment Authorization Requests (TAR) for the County of Riverside Medically Indigent Services Program (MISP); coordinate Durable Medical Equipment (DME) for all Managed Care Health Plans, public and private, coordinating quotes and equipment availability.
• Assist with transfer of patients to and from RUHS Medical Center and Care Clinics and other outlying hospitals for specialized care; verify patient eligibility with associated health plans.
• Coordinate with contracted IPAs and return copies of all appropriate clinic, surgery, and emergency room progress notes; process and authorize all requests for pharmacy that are not covered in the Drug Formulary.
• Request and review all emergency room notes for managed care patients that are seen through the Emergency Department; ensure return of all notes (i.e., outpatient, surgical, and emergency) to appropriate PCP or IPA.
• Coordinate patient transfers to other facilities for higher-level of care; coordinate with Medical Social Workers to facilitate care for patients; assist patients in qualifying for Medi-Cal or other programs.
• Process Third Party claims by determining and supplying information to and from attorney respective of patients eligibility at the time of an accident.

MINIMUM QUALIFICATIONS

Education: Graduation from high school or possession of a Certificate of Proficiency issued by the California State Board of Education, or attainment of a satisfactory score on a G.E.D. test.

Experience: Three years of increasingly responsible, broad and varied clerical experience, at least one year of which included working in a managed care, healthcare, or behavioral health setting. For the RUHS care management program, experience as a Licensed Vocational Nurse or experience equivalent to the County of Riverside Behavioral Health Specialist I class is preferred.

Knowledge of: Rules and regulations pertaining to the confidentiality of medical information from federal, state and county agencies; medical terminology and basic laws of healthcare facilities and hospitals; federal, state and county regulations related to healthcare compliance.

Ability to: Interpret medical information, diagnosis and apply medical guidelines; communicate effectively orally and in writing; maintain effective working relationships with a wide variety of individuals; work independently, as well as in a team environment; operate a variety of telephone technology systems; understand the capabilities and applications of information processing equipment, considering the requirements of the program; utilize motivational interviewing skills; work efficiently in a fast paced environment; provide excellent customer service.

Other Requirements:

Skills: Computer literate; ability to type 40 wpm.

License: Possession of a valid California Drivers License is required.

SUPPLEMENTAL INFORMATION

Application Status

How to confirm your application was received or check on the status of your application, log-in to www.GovernmentJobs.com, click on your name in the upper right corner, and click on "Applications & Status."

Sign Up for Job Alerts

Go to www.RC-HR.com, click on "Careers," click on "County Job Openings," and click on "Subscribe to Job Alerts" icon.

For Questions Regarding this Recruitment,

Please contact Lisette Jimenez at 951-955-5561 or lijimenez@rivco.org. Please allow 1-2 business days for a response to general inquiries.

____

APPLICATION INFORMATION

Veterans Preference

The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouses) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouses death certificate, a letter of spouses disability and/or letter of service-related death (if available) from the U.S. Veterans Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here: https://rivcocob.org/board-policies

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Proof of Education

If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).

Work Authorization Requirement

Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer

The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period

As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information

Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process, examinations, Veterans preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com.

If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.

BENEFIT PROGRAM: UPE..

MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans.

Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here.

MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees Retirement System (CalPERS).

• Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
• Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
• Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.

A new member is defined as any of the following:

• A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.
• A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS.
• A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.

CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to retirement@rivco.org or by calling the Benefits Information Line at (951) 955-4981,

Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees Retirement Law. The Retirement Law is complex and subject to change. If theres any conflict between this summary and the law, the law will prevail over this summary.

DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual):

0 < 3 year = 80 Hours (10 Days)

4 < 9 years = 120 Hours (15 Days)

10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.

HOLIDAYS: Normally 12 paid holidays per year

BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance)

BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.

DISABILITY:

Employees contribute to State Disability Insurance (SDI), which provides wage replacement benefits for those unable to work due to non-work-related illness, injury, or pregnancy. SDI also includes Paid Family Leave benefits. The wage replacement rate, as defined by current law, is between 60-70% of wages earned during the SDI eligibility period. Benefits can be coordinated with other available leave balances to provide up to 100% of regular pay.

POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable Memorandum of Understanding.

OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.

01

Are you a current regular, temporary, or per diem employee with Riverside University Health System (RUHS)?

• Yes
• No

02

Do you possess a high school diploma, G.E.D. equivalency or high school proficiency certificate?

• Yes
• No

03

Can you type 40 net words per minute?

• Yes
• No

04

Do you possess a valid California Drivers License?

• Yes
• No

05

How many years of professional increasingly responsible, broad and varied clerical experience do you have?

• No experience
• Less than 12 months of professional experience
• 1 year of professional experience
• 2 years of professional experience
• 3 years of professional experience
• 4 years of professional experience
• 5 years of professional experience
• 6 years or more of professional experience

06

How many years of professional clerical experience do you have working in a managed care, healthcare, or behavioral health setting?

• No experience
• Less than 1 year of professional clerical experience
• 1 year of professional clerical experience
• 2 years of professional clerical experience
• 3 years of professional clerical experience
• 4 years of professional clerical experience
• 5 years of professional clerical experience
• 6 years or more of professional clerical experience

07

Do you have experience as a Licensed Vocational Nurse (LVN) or experience equivalent to the County of Riverside Behavioral Health Specialist I class working in a care management program?

• Yes
• No

08

How many years of experience do you have submitting and obtaining authorization services which includes clinic visits, specialty visits, outpatient surgeries, and eConsults?

• No experience
• Less than 12 months
• 1 to 2 years
• 2 to 3 years
• 3 to 4 years
• 4 to 5 years
• 5 years or more

09

How many years of experience do you have using EPIC Electronic Medical Records software?

• No experience
• 1 year or more, but less than 2
• 2 years or more, but less than 3
• 3 years or more, but less than 4
• 4 years or more, but less than 5
• 5 years or more, but less than 6
• More than 6 years

10

Do you fluently read, speak, and write in Spanish?

• Yes
• No

Required Question

Employer County of Riverside

Address County Admin. Center P.O. Box 1569

4080 Lemon St., 7th floor

Riverside, California, 92502-1569

Phone Contact Recruiter for Job Information

Website http://www.rc-hr.com