Licensed Vocational Nurse (LVN/LPN) - Referral Management
Epic Government
- Tacoma, WA
- $23.50-26.00 per hour
- Permanent
- Full-time
- Any U.S. state license
- Monday-Friday days only
- Civilian position supporting military healthcare
- $23.50 - 26.00 per hour
- Health and Welfare Fringe Benefits: $4.57 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
- 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.
- 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