Job Description Completes referral forms and assists in scheduling appointments with referral physicians facilities based on patient insurance requirements, which includes pre-certification if required.In Population Health setting:Verify eligibility for program referrals, community referrals as well as internal referrals through review of cohort lists and collaboration with health plan contacts Outreach and follow cohort patients admitted to hospitals for admission to Saint Luke's At Home programs and facilitate post discharge follow-up Discuss with patient, family and extended decision makers the benefits of participation with Saint Luke's At Home programsCoordinate all patient scheduling via EPIC plat