Redding Rancheria Tribal Health Center

Medical Assistant (RRTHC)

***This position will be open until filled***

The Redding Rancheria is seeking a Medical Assistant (RRTHC). The preferred schedule for this position is four 10 hour shifts.

The listed wage reflects the entry-level rate for this position. Compensation may be adjusted based on experience, education, and qualifications.

JOB SUMMARY:

Under the direction of the assigned Nursing Supervisor and/or Director of Nursing, works as an integral part of the healthcare team, responsible for the facilitation and delivery of high quality, direct patient care.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Certification as Medical Assistant or 2 years of related healthcare experience or education related to medical assistant.
Knowledge of medical terminology/procedures, human anatomy and medical law/ethics.
CPR certification required.
Must be able to function and perform in a fast paced environment, problem solve, be a self starter and active team player.
Must pass pre-employment drug screening.
Must be fingerprinted and pass background check.
Indian preference.

ESSENTIAL JOB DUTIES:

Works as a collaborative part of the healthcare team to assist with initial admission of patients to the Health Center. Tasks include, but not limited to, new patient intake/data entry, processing of release of information (ROI), providing support and guidance to medical reception staff and coordination with medical records, gathering health information for the medical providers.
Responsible for the intake of patients for appointments, which includes verification of check-in procedures, review of medical screenings (depression, domestic violence), timely rooming, obtaining vital signs of patients (temperature, pulse, respiration, blood pressure, pain levels, oxygen saturations) ; confirms chief complaints/reason for visit ; reviews patient medical history, allergies, medications, and confirms information in Electronic Health Record (EHR).
Anticipates medical provider’s needs, and is proficient in set-up of medical procedures, including but not limited to, performing and/or preparing ordered lab specimens, procedural tray set-up for vasectomies, circumcisions, IUD placement/removals, sutures, casts, pap and pelvic examinations.
Responsible for data entry of patient information for compliance with quality measures (Quality Improvement Process (QIP); Government Performance and Results Act (GPRA), and Partnership Measures (as applicable) for facility reimbursement.
Assists with patient flow management- acts as a liaison to inform patients of current status, wait time, relays pertinent information to providers and is responsible to facilitate follow-up scheduling of appointments and/or rescheduling as needed.
Participates in patient education, ensuring the patient is provided resources to enhance understanding of medications, treatments, disease management, expectations and when to follow-up if needed. Assist with providing explanation of treatments and procedures at the start of applicable appointments.
Proficient and responsible for the delivery of routine immunizations, including the ability to perform rights of medication administration (right drug, dose, route, reason, patient, time, documentation), the ability to identify appropriate injection sites (adult / well-child; and adhere to antiseptic technique with medication preparation and delivery.

A completed Redding Rancheria job application must be submitted in order to be considered for employment. You can fill out an application online at www.reddingrancheria-nsn.gov, please fax (530-242-4563) or email (employment@reddingrancheria-nsn.gov).

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Any offer of employment is conditioned upon the successful completion of a pre-employment drug screen and criminal background screening clearance. All employees are required to submit to a Tuberculosis test (TB) test after they are hired in addition to being tested annually.

Additional Information:

In addition, Redding Rancheria offers an excellent benefit package containing Medical, Dental, Vision, Life Insurance and Short/Long Term disability, paid holidays, vacation and sick leave as well as a generous 401(k) retirement plan.

Redding Rancheria is a federally recognized Tribe with Pit River, Wintu and Yana people where pride in Tribal culture, history and identity is evident internally and in the larger community. Redding Rancheria is a leader in the constructive development of its people, the larger Indian community and the Redding region.

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Community Health Worker

**This position is open through Thursday, April 9, 2026. ***

The Redding Rancheria is seeking a Community Health Worker. The preferred schedule for this position is Wednesday, 1:00PM to 5:00 PM, Thursday to Friday, 8:00AM to 5:00 PM.

The listed wage reflects the entry-level rate for this position. Compensation may be adjusted based on experience, education, and qualifications.

JOB SUMMARY:

The Community Health Worker will be responsible for acting as a bridge between healthcare providers and the community to facilitate access to services and improve the quality and cultural competence of service delivery. This role will focus on community outreach, preventive health education, basic diagnostic procedures, and patient monitoring.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

High school diploma or equivalent required; some college or vocational training preferred.
One year of experience working in a community-based setting preferred.
Certified as a Community Health Worker or willingness to complete certification within the first year of employment.
Strong interpersonal, communication, and organizational skills.
Basic understanding of healthcare systems and medical terminology
Ability to work independently and as part of a multidisciplinary team.
Valid driver’s license and reliable transportation
Must pass pre-employment drug screening.
Indian preference.

ESSENTIAL JOB DUTIES:

Assist in identifying and helping to address social determinants of health affecting community well-being.
Provide basic healthcare services such as blood pressure monitoring, health screenings, and vaccinations.
Collaborate with other healthcare professionals to ensure a comprehensive approach to patient care.
Offer referrals and coordinate with social services, housing services, and other community internal and external resources.
Maintain accurate and up-to-date records of patient interactions.
Organize and lead community health workshops and educational sessions.
Ensure strict confidentiality of all patient information.
Receive all program visitors and patients, offering information and/or answering questions as needed.
Assist with coordination and implementation of all Community Health events and classes.
Coordinate services with Community Health representatives, mental health and other social services agencies to render effective continuity of patient care.

All certifications, credentials/licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Psychiatry Lead Case Manager

***This position is open through Friday, February 27, 2026.***

This position is only open to internal employees and tribal members of the Redding Rancheria Tribe.

The listed wage reflects the entry-level rate for this position. Compensation may be adjusted based on experience, education, and qualifications.

The Redding Rancheria is seeking a Psychiatry Lead Case Manager. The preferred schedule for this position is Monday through Friday, 8:00 AM to 5:00 PM.

JOB SUMMARY:

The Psychiatry Lead Case Manager will be responsible for training new case managers and providing daily oversight to the Case Management Team in conjunction with the Behavioral Health Director. Oversight includes but is not limited to, guidance related to service delivery and documentation, maintaining compliance with regulatory standards, appropriately managing caseloads, and coordinating work schedules. The Psychiatry Case Manager Lead will work directly with Behavioral Health patients and staff to effectively link patients to social services and treatment options. The Case Manager Lead will help patients navigating the healthcare system by providing case management, care coordination, outreach, support and linkage to care.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Must have a Bachelor’s degree in psychology or social work.
Documented experience working in a mental health related field.
4-years case management experience.
Experience in evaluating patient eligibility and Alternate Resources status.
Must be proficient in using Microsoft Office Suite programs including Word, Excel, Publisher, and PowerPoint to make spreadsheets, graphs, manage data and create brochures, presentations and documents on computers as needed.
Must pass background assessment of moral character and legal status. Must submit to fingerprint identification with law enforcement and be able to work with children.
Must demonstrate emotional stability, independent judgement, and initiative in professional activities and relationships with clients and co-workers.
Be in possession of valid and current California Driver’s License.
Must pass pre-employment drug screening.
Indian preference applies.

ESSENTIAL JOB DUTIES:

1. Provide comprehensive, end-to-end case management across medical, behavioral health, educational, legal, and community systems to ensure clients receive coordinated, effective, and culturally responsive care.

2. Deliver ongoing client support, conducting mental-health assessments and providing crisis intervention to stabilize urgent situations and prevent escalation.

3. Maintains records of treatment funding budget for Native American patients and tribal members. Coordinates treatment planning with the Recovery Department and Tribal Court, manages funding authorizations with external treatment facilities.

4. Provides oversight and direction to Case Managers, including coordinating and assigning duties to ensure all patient care needs are met, and guides staff on how to handle high-risk or complex clinical situations.

5. Works collaboratively with the Behavioral Health Director to monitor daily performance, conduct job reviews, and ensure completion of patient care and departmental assignments.

6. Gather, verify, and reconcile clinical documentation and patient records from external facilities to support accurate provider review, continuity of care, and evidence-based treatment planning.

7. Works with Tribal Court Team to coordinate and schedule psychological evaluations with the psychologist(s) and scores assessments as needed.

8. Facilitate safe and efficient care transitions through proactive communication with clients, care designees, pharmacies, providers, and cross-functional teams.

9. Manage and coordinate referrals to internal and external services that improve patient health, recovery outcomes, and overall wellness.

10. Maintain accurate, timely, and compliant documentation within the NextGen EHR to support regulatory requirements, billing accuracy, and high-quality clinical data.

11. Oversee lab results, medication issues, and referral updates, ensuring rapid communication between providers and patients through clinical tasking workflows.

12. Conduct timely follow-up for missed appointments, medication requests, and ongoing patient concerns to reduce care gaps and improve treatment adherence.

13. Collect detailed patient histories, obtain routine vital signs, and document findings to support clinical decision-making and diagnostic accuracy.

14. Provide telephone triage, addressing patient concerns, assessing urgency, and directing individuals to the appropriate level of care.

15. Perform DEA-compliant urine drug screenings, manage chain-of-custody requirements, and prepare specimens for external laboratory processing.

16. Coordinate, prepare, and submit prior authorization requests for DME and specialty medications, ensuring that clinical documentation is accurate, complete, and aligned with payer criteria.

17. Monitor authorization status and conduct proactive follow-up to prevent treatment delays or insurance denials, communicating updates clearly to patients and providers.

18. Assist with authorization appeals, compiling clinical justification and evidence-based information to support approval of medically necessary services.

19. Maintain and verify current insurance eligibility for all scheduled patients to reduce financial barriers and ensure accurate coverage.

20. Assist in policy and procedure revisions and updates Behavioral Health job description as needed.

21. Support process-improvement initiatives, contribute to workflow optimization, and help create departmental reference materials and training resources.

22. Works closely with behavioral health director and supervisor to determine quality and effectiveness of services provided and if necessary, develops and implements new processes and procedures.

23. Manages monthly reports to track Behavioral Health department productivity across all RRTHS practices.

24. Participate actively in team meetings, special projects, audits, trainings, and support onboarding and mentorship of new team members to strengthen departmental effectiveness.

25. Uphold the highest standards of patient confidentiality, infection control, and Universal Precautions, ensuring regulatory compliance and patient safety.

26. Engage in special projects, audits, or performance improvement initiatives as requested by leadership.

All certifications, credentials/licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Include shift schedule

Medical Records Technician I

***This position is open through Friday, February 20, 2026***

The listed wage reflects the entry-level rate for this position. Compensation may be adjusted based on experience, education, and qualifications.

The Redding Rancheria is seeking a Medical Records Technician I. The preferred schedule for this position is full time.

JOB SUMMARY:

Maintain and protect patient medical records in accordance with clinic policies and guidelines for patient confidentiality.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Prefer medical records experience to include numerical chart filing, lab and x-ray disposition. Must have professional phone courtesy.
Prefer current understanding of ICD-10 Coding & interpretation. Must pass pre-employment drug screening.
Indian preference.

ESSENTIAL JOB DUTIES:

Audit patient documentation and signature of all paperwork from all departments.
Scan and file (PAQ) all laboratory, radiology, consultation, etc. and other pertinent medical records for review and signature.
Validate requests and authorizations for the release of medical information.
Request medical records/other additional information from outside healthcare facilities.
Respond to authorized requests for information by outside healthcare facilities.
Issuing medical records to persons and agencies according to laws and regulations.
Prepare charts for chart audits such as HEDIS.
JJ Transcription dictations – upload/download (Contact Providers).
Detailed record keeping on permitted disclosures.
Maintain incoming records through different interfaces and ensure they are filed into the correct chart.

All certifications, credentials/licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Pharmacy Technician

***This position is open through Friday, February 20, 2026***

The listed wage reflects the entry-level rate for this position. Compensation may be adjusted based on experience, education, and qualifications.

The Redding Rancheria is seeking a Pharmacy Technician. The preferred schedule for this position is full time.

JOB SUMMARY:

Under direction from the Pharmacist in Charge: The Pharmacy Technician will assist in checking eligibility, responsible for third party insurance and grant billing, provide customer service; answer phones; operate Point of Sale (POS) register, maintaining the pharmacy stock levels; assist pharmacist in filling prescriptions in accordance with Federal and State laws governing the pharmacy industry.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Active California State Board of Pharmacy Technician license in good standing required
Basic computer and typing skills.
Cash register and customer service experience.
Must pass pre-employment drug screening.
Indian preference

ESSENTIAL JOB DUTIES:

Manage incoming requests from patient, provider and referral team for new medications and medication refills.
Understands the insurance and healthcare benefits, submits prior authorizations to the PBM, and ensures that the required supporting documentation is submitted for review.
Investigate and verify benefits for pharmacy claims for assigned cases
Contact providers for additional information to facilitate coverage determination reviews
Notify physicians, providers and members of coverage determination request decisions
Ensure scripts are filled in a timely manner by coordinating with the requesting provider, and reaching out to other departments as needed.
Ensure the patient completed the necessary labs and diagnostic testing as required prior to dispensing certain medication (Accutane, etc)
Responsible for understanding the clinical protocols for medication refills as established by the organization
Adheres to the implemented refill center workflow.
Adapts easily to a high volume, fast pace medical group setting.
Manage escalated patient care issues in collaboration with the Admissions, Providers and Case Management teams as appropriate.
Prepare medication for mailing, delivery, operate register, handle money and prepare deposits accurately.
Assist and perform all inventory activities: drug ordering, insurance audits, recalls, returns, outdates, CII reconciliation, maintaining pharmacy stock levels.
Communicate with the Pharmacist on duty for consults on medications as well as discrepancies on drug orders.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Purchase Referred Care Specialist

***This position is open through Friday, February 13, 2026***

The Redding Rancheria is seeking a Purchase Referred Care Specialist. The preferred schedule for this position is Monday through Friday, 8:00am to 5:00pm.

The listed wage reflects the entry-level rate for this position. Compensation may be adjusted based on experience, education, and qualifications.

JOB SUMMARY:

Monitor referral and emergency room purchase orders pertaining to medical and dental services being provided under contract with providers outside the Redding Rancheria Tribal Health Center. Ensure that services provided are delivered in accordance with established policies and procedures and contract.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

College course work in Accounting or related field or 3 years equivalent work experience.
Demonstrated work experience in accounting or related area.
Requires attention to detail involved in auditing financial statements.
Must pass pre-employment drug screening.
Indian preference.

ESSENTIAL JOB DUTIES:

Audit emergency room visits for accuracy of 72-hour notice, eligibility for treatment and payments by alternate resources. An alternate resource is a payer that is fully or partially responsible for payment. Purchase Referred Care (PCR) is a payer of last resort. The Specialist must make every effort to obtain timely payment from all alternate resources before obligating funds from Purchase Referred Specialist.
Inform the Registration/Alternate Resources Department when patients are referred to the Clinic without any insurance.
Assist with payments to outside providers for services rendered for patients who have been determined to be eligible for PCR services. No payments may be made of funds obligated unless the PCR Committee has determined that the patient is eligible for services. Payments must be made on a timely basis since failure to do so jeopardizes critically important relationships with outside providers and delay in payments may result in loss of discounts to the Clinic. Payments consist of purchase orders made payable to outside providers.
Provide assistance to outside providers as needed to track purchase orders, payments and eligibility for payment to those providers.
Interact with patients and their families to ensure timely, accurate and complete receipt of bills, invoices, medical records and other documentation related to the care of patients. The Specialist must be familiar with and observe the guidelines of the Health Insurance Portability and Accountability Act (HIPAA) as they relate to Protected Health Information. The Specialist must follow the HIPAA guidelines when releasing Protected Health Information to anyone.
For audit purposes, ensure that proper records are maintained. Records include verification of status as a California Indian, medical records, invoices, statements, explanation of benefit (EOB) forms, and any other documentation necessary to a complete understanding of why payment was rendered of denied. These records will be kept as a scanned document in Doc star.
Maintain cost containment procedures as outlined in Clinic or Tribal policies or as directed by the Health Operations Director.
Obligating funds in accordance with referral purchase orders that have been approved by the PRC Committee and preparing those referral purchase orders as they are approved by the PRC Committee. The Specialist must verify that each referral purchase order contains the appropriate signatures and authorizations from the PRC Committee.
This position has no supervisory responsibilities.
Maintain a good working relationship within the Clinic and Tribal Administration offices. The Specialist will make every effort to accommodate the needs of other departments as they request assistance from PRC.
Will assist in the negotiation of favorable reimbursement rates from PRC providers and attempt to maximize discounts available to the Clinic from the PRC providers.

All certifications, credentials/licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Behavioral Health Program Supervisor

***This position is open through Friday, January 23, 2026.***

The Redding Rancheria is seeking a Behavioral Health Program Supervisor. The preferred schedule for this position is Monday through Friday, 7:00am-6:00pm.

JOB SUMMARY:

The Behavioral Health Program Supervisor is responsible for the operational, clinical, and administrative leadership of the Behavioral Health Support Team, working in collaboration with the Behavioral Health Director. This role oversees Behavioral Health administrative assistants, the Lead Psychiatry Case Manager, and Psychiatry Case Managers. This role ensures effective daily operations across all Behavioral Health service locations, supports high-quality patient care, and drives program performance, efficiency, and compliance. The Program Supervisor serves as the central liaison between staff and leadership, supporting team development, program growth, and strategic departmental goals while maintain an active clinical caseload. This position is under the supervision of the Director of Behavioral Health.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Bachelor’s degree in Psychology, Social Work, or related field.
Credential as a CCM (Certified Case Manager) or ACM (Accredited Case Manger).
Minimum of 2 years of documented experience in case management and behavioral health services; leadership or supervisory experience strongly preferred.
Experience evaluating patient eligibility and Alternate Resource status.
Proficiency in Microsoft Office Suite (Word, Excel, Publisher, PowerPoint).
Must pass background check, fingerprinting clearance, and pre-employment drug screening.
Must possess a valid California Driver’s License.
Demonstrate emotional stability, sound judgment, professional boundaries, and initiative.
Indian preference applies.

ESSENTIAL JOB DUTIES:

Program and Operational Management:

1. Provide daily oversight and leadership for the Behavioral Health Support Team, ensuring completion of patient care tasks, department responsibilities, and performance expectations in coordination with the Behavioral Health Director.

2. Manage day-to-day operations of the Behavioral Health Department to ensure efficient workflow, high-quality service delivery, and timely access to care.

3. Coordinate scheduling, workload distribution, and staffing coverage across multiple service locations.

4. Lead team meetings, trainings, huddles, and check-ins to promote communication, alignment, and problem-solving.

5. Oversee onboarding, training, mentoring, and professional development for all support staff within the Behavioral Health Department.

6. Identify opportunities for process improvement and develop or revise workflows, reference materials, and training resources.

7. Serve as the primary point of contact for staff concerns, troubleshooting needs, and provider change requests, escalating issues to leadership when appropriate.

8. Collaborate with leadership to evaluate service quality, monitor program effectiveness, and recommend or implement operational improvements.

9. Monitor departmental productivity, documentation standards, and compliance through monthly reports to ensure alignment with organizational and regulatory requirements across all Redding Rancheria Tribal Health Systems (RRTHS) practices.

10. Track key program metrics (no-show rates, caseload distribution, service utilization, etc.) and provide trend reports and recommendations to leadership.

11. Assist in Behavioral Health job description and policy and procedure development and/or revisions.

12. Lead or support special projects, audits, and performance improvement initiatives as requested by leadership.

Clinical Case Management and Direct Service:

13. Provide comprehensive case management across medical, behavioral health, educational, legal, and community systems to ensure coordinated and culturally responsive care.

14. Conduct mental-health assessments, provide crisis intervention, and support stabilization to reduce escalation and promote safety during mental health crisis.

15. Manage treatment funding budget and funding authorizations for Native American patients and tribal members, coordinating with the Recovery Department, Tribal Court, and external treatment facilities.

16. Facilitate safe care transitions through proactive communication with patients, families, pharmacies, providers, and cross-functional teams.

17. Coordinate referrals to internal and external services that support recovery, wellness, and continuity of care.

18. Maintain accurate, timely, and compliant documentation within NextGen EHR to support quality care, billing accuracy, and regulatory requirements.

19. Oversee lab results, medication issues, and referral updates, ensuring timely communication between patients and providers through clinical tasking workflows.

20. Conduct timely follow-up on missed appointments, medication requests, and ongoing patient needs to reduce care gaps and treatment adherence.

21. Collect patient histories, obtain routine vital signs, and document clinical information to support diagnostic and treatment planning.

22. Provide telephone triage, assess urgency, and direct patients to the appropriate level of care.

23. Perform urine drug screenings in compliance with DEA and chain-of-custody standards.

24. Manage prior authorizations for DME and specialty medications, ensuring accuracy, timely follow-up, and support for appeals.

25. Verify insurance eligibility for all scheduled patients to ensure accurate coverage and reduce financial barriers.

All certifications, credentials/licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Medical Records and Referrals Supervisor

***This position is open through Friday, January 23, 2026.***

The Redding Rancheria is seeking a Medical Records and Referrals Supervisor. The preferred schedule for this position is Monday through Friday, 8:00am-5:00pm.

JOB SUMMARY:

The Medical Records & Referrals Supervisor oversees the day-to-day operations of the medical records and referrals departments, ensuring accurate documentation, timely processing, and compliance with state, federal, and organizational standards. This role is responsible for supervising staff, optimizing workflow efficiency, and supporting high-quality patient care through coordinated information management and referral processes.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Experience as a team leader.
3–5 years of experience in medical records, health information management, or referral coordination
Healthcare related degree (i.e. Health Information Management, Health Informatics, Health Administration) preferred.
Must pass pre-employment drug screening.
Indian preference.

ESSENTIAL JOB DUTIES:

1. Supervisory and Leadership Duties:

a.Lead, train, and mentor medical records and referral staff, including hiring, performance evaluations, scheduling, and disciplinary actions

b. Develop and implement department policies, workflows, and best practices to improve efficiency and service quality.

c. Manage daily operations, workflow, and productivity within the department.

d. Prepare reports and present departmental performance as needed to leadership.

2. Medical Records Management:

a. Ensure timely retrieval, release, scanning, indexing, and archiving of medical information.

b. Monitor data integrity and accuracy across electronic health records (EHR) systems

c. Manage requests for records, including internal/external providers, legal requests, and patient inquiries.

d. Conduct routine audits to ensure compliance, accuracy, and proper documentation standards.

3. Referrals Coordination:

a. Supervise referral processing workflows, ensuring referrals are completed accurately and within designated timeframes.

b. Support clinical teams by ensuring referral documentation, authorizations, and follow-ups are handled efficiently.

c. Collaborate with insurance companies to verify benefits, obtain authorizations, and resolve discrepancies or denials.

d. Track referral statuses, communicate updates to providers, and troubleshoot delays or barriers in care coordination.

e. Ensure the “referral loop” is closed for continuity of care.

4. Collaborate with clinical teams, billing, and administration to streamline workflows and resolve issues.

5. Ensure strict adherence to HIPAA and organizational privacy/security standards.

6. Identify gaps in workflow and implement corrective actions or process improvements.

7. Support accreditation requirements relevant to records management and referral coordination.

8. Perform other duties as needed.

All certifications, credentials/licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Medical Data and Referrals Specialist

***This position is open through Friday, November 28, 2025.***

The Redding Rancheria is seeking a Medical Data and Referrals Specialist. The preferred schedule for this position is Monday through Friday, 8:00am-5:00pm.

JOB SUMMARY:

Coordinate referrals from Redding Rancheria Tribal Health Systems to other health care providers for patient care that is not performed at the Health Center. Referrals are made to providers such as physicians, diagnostic facilities, radiology, laboratories, and hospitals.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

High School diploma or GED required.
Experience with pre-authorization process for 3^rd Party payers.
Medical Terminology
Must pass pre-employment drug screening.
Must be fingerprinted and pass background check
Indian preference

ESSENTIAL JOB DUTIES:

Receive referrals/requests from providers through the EHR and schedule outside care as indicated.
Provide information to patients regarding referral provider name, address and phone number to allow patients to call to schedule appointment. Acquire pertinent records, labs, x-rays, diagnostic tests and health summaries related to the patient’s current condition from the medical records; forward information to the specialist or facility involved.
Enter referral data, and insurance information into EHR..
Track all referrals sent out to ensure completion of care and receipt of related documentation using SQL reports. .
Maintain all required data in the EHR to comply with clinic, state and federal mandates.
Request medical records/other additional information from outside healthcare facilities.
Respond to authorized requests for information by outside healthcare facilities
Receive outside records and scan to appropriate EHR patient file.
Scan all ‘in house’ forms and documents to the appropriate EHR patient file.
Track all stored historical paper charts and shred as per policy as they time out. Perform other related duties as needed.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

To minimize the spread of COVID-19, the Redding Rancheria will require all healthcare employees to report their vaccination status and be fully vaccinated against COVID-19. Any healthcare employees with medical conditions or sincerely held religious beliefs that prevent them from taking the vaccine may be entitled to an exemption.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Prior Authorization Specialist

***This position is open through Friday, October 17, 2025.***

The Redding Rancheria is seeking a Prior Authorization Specialist.

JOB SUMMARY:

The Prior Authorization (PA) Specialist is responsible for coordinating and securing insurance authorizations for medical services, procedures, referrals, and medications across Redding Rancheria Health System (RRTHS). This role ensures timely and accurate submission of prior authorization requests to optimize patient access, minimize delays in care, and support best patient outcomes.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Master’s degree in Business Administration (MBA), Healthcare Management (MGA), or related field is strongly preferred.
Bachelor’s degree in Healthcare Administration, Nursing, or related health field is required (must possess licensed nurse credentials).
Minimum 5 years of experience in a healthcare setting, with a focus on nursing supportive services (e.g. care coordination, case management, patient advocacy, clinical liaison).
Experience across multiple care environments (hospital, clinic, outpatient, rehabilitation, or home health) is strongly preferred.
Experience with electronic health records (EHR) and conducting chart reviews.
Knowledge of medical terminology required. Must be able to communicate with medical staff effectively.
Must be able to multi-task- handle multiple cases, directions, projects and ability to complete the follow-through.
Prior experience in prior authorization, utilization review, or revenue cycle operations is highly desirable.
Excellent interpersonal skills with exceptional professional work ethics consistent with RR guiding values.

ESSENTIAL JOB DUTIES:

1. Initiate and manage prior authorization requests for a broad range of services including diagnostic imaging, procedures, durable medical equipment (DME), and specialty medications.

2. Collaborate with providers, nurses, pharmacists, applicable departments, and insurance carriers to gather and submit appropriate clinical documentation supporting authorization requests.

3. Monitor authorization status and follow up proactively to ensure timely approvals, reducing treatment delays and denials.

4. Maintain expert-level knowledge of payer-specific guidelines and authorization workflows for commercial, Medicare, and Medicaid plans.

5. Communicate authorization outcomes to patients and providers, offering clear guidance on next steps or alternative care pathways as indicated/needed.

6. Escalate and assist with appeal process for denied requests in collaboration with clinical teams, utilizing appropriate clinical justification and evidence-based standards.

7. Use electronic health records (EHR) to document authorization activity, ensuring accuracy and regulatory compliance.

8. Act as a liaison between care teams to support patient navigation, access, and continuity of care across healthcare settings.

9. Support process improvement initiatives aimed at streamlining the prior authorization process and enhancing the patient experience.

10. Participate in team meetings, in-services, and professional development opportunities.

11. Assist in developing and updating internal workflows, reference materials, and training tools related to prior authorization.

12. Provide backup support to other care coordination functions during periods of high volume or staffing gaps.

13. Engage in special projects, audits, or performance improvement initiatives as requested by leadership.

14. Support onboarding and mentorship of new team members.

15. Works on assigned projects/tasks under the direction of the Director of Nursing.

All certifications, credentials/licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.