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

Licensed Practical Nurse (LPN/LVN) - Referral Management Center job in Montgomery, Alabama.

• Any U.S. state license
• Monday-Friday days only
• Civilian position on Maxwell Air Force Base

Benefits:

• Health and Welfare Benefits
• 401(k) available
• Paid Time Off
• Paid Holidays
• Paid Sick Time
• LTD, STD, and medical, dental, life, and vision options available

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

• Graduate from a NLNAC or CCNE accredited program
• LPN License: any U.S. state honored. active, unrestricted.
• 2 years of healthcare administrative experience in either an inpatient or outpatient care setting within the last 3 years, highly preferred
• TRICARE - working knowledge
• Knowledge and skills to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines.
• Working knowledge of APGs, DRGs, ICD-9, and CPT-4 coding.
• Excellent oral and written communication skills and interpersonal skills
• Working knowledge of computers (Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows)
• HIPAA knowledge
• Ability to obtain facility security

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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