Job 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) ser ves as the cen tral clea ringho use for prov iders a nd pa tien ts need ing info rma tion or help with r eferra ls Referral Management is a cr itical p ro gram suppor ting the pa tient -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