About the Role
A multi-site home care agency in New Jersey is seeking a Referral Development Manager with strong, hands-on experience inside one of New Jersey’s major Managed Care Organizations (MCOs) such as Aetna, Amerigroup, Horizon NJ Health, UnitedHealthcare Community Plan, or WellCare.
This is not a clinical caseload role. Instead, the focus is on leveraging established professional relationships within the MCO system to generate referrals for Medicaid and waiver clients who need follow-up home care services.
The ideal candidate is well connected to case managers, transition-of-care specialists, and discharge planners, and can use those relationships to develop referral streams for the agency’s home care programs.
Key Responsibilities
Build and maintain referral pipelines from MCOs, hospitals, rehab centers, and provider networks.
Leverage existing professional contacts within NJ MCOs (case managers, transition coordinators, discharge planners) to generate qualified client referrals.
Serve as the key liaison between the home care agency and MCO care teams to ensure a smooth referral and onboarding process.
Partner with hospital discharge planners, rehab facilities, and community organizations to identify eligible Medicaid and waiver clients.
Track referral activity, outcomes, and growth metrics; report performance to leadership.
Represent the home care agency in meetings and networking opportunities to expand referral channels.
Qualifications
Minimum 3–5 years of experience working within or directly alongside NJ MCOs in a case management, care coordination, or provider relations role.
Strong, active referral relationships with discharge planners, transition-of-care specialists, and case managers across NJ.
In-depth knowledge of NJ Medicaid programs, waiver services, and MLTSS.
Proven ability to drive business development or referral growth in healthcare settings.
Excellent communication, networking, and relationship-management skills.
Bachelor’s degree in healthcare, social work, business, or related field preferred; equivalent experience considered.
Compensation & Work Arrangement
Base salary: $80,000–$100,000
Quarterly incentive/bonus structure with OTE up to $150,000
Primarily remote, with occasional in-office presence and statewide travel as needed