Licensed Practical/Vocational Nurse (LPN/LVN)
ERP International
- Camp Lejeune, NC
- Permanent
- Full-time
- Excellent Compensation & Exceptional Comprehensive Benefits!
- Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!
- Medical/Dental/Vision, STD/LTD/Life and Health Savings Account available!
- Annual CME Stipend and License/Certification Reimbursement!
- Matching 401K!
- Reviews referrals for administrative, clinical completeness and appropriateness. Validates requested medical service, and authorizes surgery/medical procedures, laboratory, radiology, pharmacy, and general hospital procedures and regulations. Collaborates with TRICARE Regional Office Clinical Liaison Nurse and MTF Liaison to address any process issues or concerns.
- Schedules referral appointments in accordance with required Access to Care Standards within the direct care system or outside the MTF with network/non-network providers for 90% of all referrals.
- Provides timely, descriptive feedback regarding utilization review issues.
- Reviews and enters first right of refusal referrals into CHCS and database within one (1) business day of the date of the referral.
- Submits referrals to non-network providers to TRICARE Service Center (TSC) for processing.
- Receives and makes patient telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals.
- Tracks referral reports; obtain referral results within the required timelines and follow up with as necessary. Documents that paper referral results are properly filed in patient’s health record.
- Degree: Certificate
- Education: Graduation from a State Board of Nursing approved LPN/LVN training program or completion of equivalent military training that permits sitting for the State licensure examination.
- Certification: Possess a current AHA or ARC BLS Healthcare Provider certification
- Experience: Current experience requirement is one year in the last two years as a practical or vocational nurse.
- Licensure: Current, full, active and unrestricted license as a practical or vocational nurse.
- Security: Must possess ability to pass a Government background check/security clearance.