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

Description

Licensed Vocational Nurse (LVN/LPN) - Referral Management Center job in Columbus, Mississippi. 

• Veterans and Military Spouses Encouraged to Apply
• Civilian position on Columbus Air Force Base
• Monday-Friday days

Benefits:

• Health and Welfare Fringe Benefits
• Paid Time Off
• Paid Holidays
• 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
• Referral bonuses
• Employee Assistance Program
• Pet Insurance Plans available
• Will Preparation Services available

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

The is a civilian position at Columbus Air Force Base. 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 central clearinghouse for providers and patients needing information or help with referrals. Referral Management is a critical program supporting the patient-centered mission.

• 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 Vocational Nurse (LVN/LPN) - RMC Job Qualifications:

• 2 years of healthcare administrative experience in either an inpatient or outpatient care setting within the last 3 years, highly preferred
• Graduate from a NLNAC or CCNE accredited program
• LVN License: any U.S. state honored. active, unrestricted.
• TRICARE - working knowledge
• Ability to obtain facility security
• 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