Licensed Vocational Nurse (LVN/LPN) - Referral Management - Epic Government

Licensed Practical Nurse (LPN/LVN) - Referral Management job in Tacoma, Washington.

• Any U.S. state license
• Monday-Friday days only
• Civilian position supporting military healthcare

Benefits/Compensation:

• $29.00 - 34.00 per hour
• Health and Welfare Fringe Benefits: $4.93 per hour
• Paid Time Off - 10 8-hour days
• Paid Holidays - 11 days
• Paid Sick Time - 2.154 hours for every 80 hours worked accrual rate
• Company-funded match and safe harbor 401(k)
• Medical, Dental and vision plans available
• Life insurance and accidental death plans available
• Short-term and long-term disability plans available
• TRICARE Supplemental available
• Supplemental Benefit plans available
• Employee Assistance Program
• Pet Insurance Plans available
• Will Preparation Services available

Licensed Practical Nurse (LPN/LVN) - Referral Management Job Overview:

• Civilian and military healthcare providers work together to provide a full range of services to the military community.
• The Referral Management Center (RMC) serves as the primary point of contact for patients' referrals
• The LPN duties include:
  • Referral Management Operations
  • Referral Review/Appointing Function
  • Referral Tracking Function
  • Health Benefits Function
  • Customer Service Function
  • LPN Specific Duties
• Review initial specialty care and deferred to network primary care referrals for administrative completeness
• Coordinate with specialty referral clinics.
• Submit referrals to the appropriate reviewer when required for medical necessity and appropriateness review.
• Track initial specialty care and deferred to Network primary care referrals to include obtaining reports from MTF, ODCS, network, and non-network providers.
• Provides patient education regarding specialty care referral, procedures, labs, etc to prepare the patient for their specialty care appointment/procedure.
• Facilitates professional and patient care activities.
• Conducts first level reviews for all referrals to specialty care.
• Identifies cases that may benefit from alternative levels of care and involves the case manager as needed to provide direction in care management/coordination.
• Provides nursing consultation and patient education on specialty care and patient's diagnosis.

Licensed Practical Nurse (LPN/LVN) - Referral Management Job Qualifications:

• Full-time employment in nursing for the last 12 months
• Knowledge, skills and computer literacy to interpret and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines.
• Operational computer skills with general working knowledge of word processing, and Microsoft applications (including Windows, Word, Excel, and Outlook)
• General medical ethics, telephone etiquette, written/verbal/electronic communication, and customer service skills
• Previous experience in Utilization Management preferred
• Ability to obtain facility security

www.epicgovernment.com

EPIC GOVERNMENT employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families. Since 2004, Epic Government has built mutually beneficial, sustainable partnerships with healthcare professionals and our clients nationwide.

Epic Government is an award winning organization built with committed professionals with a unified vision of helping others. We are honored to be named one of the Baltimore Sun's Top Workplaces!

Epic Government dba FSR is an Equal Opportunity Employer: disability/veteran/military spouse

This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.

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