Licensed Practical Nurse - Referral Management

Job Description

Job Description

PQC is seeking a dedicated and experienced Licensed Practical Nurse (LPN) to work onsite at JB Elmendorf-Richardson .

Background :

The Air Force Medical Service provides medical services for more than 2.63 million active duty Service Members, Veterans and eligible beneficiaries.

When specialty care is referred, the Referral Management Center is responsible for assisting the member, coordinating the referral with the specialty office, tracking the referral to closure, and returning all results of treatment to the patient’s medical record.

The successful candidate for this position will assist members and medical professionals throughout the referral process.

Responsibilities :

• 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.
• Schedule referral appointments in accordance with Air Force Access to Care Standards within the direct care system or with network / non-network providers.
• Coordinates with specialty referral clinics (internal or external) to obtain special patient instructions and / or tests required prior to appointment.

Provides pre-appointment instructions to patients as well as the details regarding their referral appointment (i.e., date / time, provider, and location).

Ensures patients receive necessary documentation appropriate for the referred medical care visit.

Tracks referral reports after appointments are kept. Ensures that results from network / non-network providers are returned to the referring provider and to the medical record within required timelines and follow up with as necessary.

Documents that paper referral results are properly filed in patient’s health record.

Receives and makes patient telephone calls and written correspondence regarding specialty clinic appointments and referrals.

Qualifications :

• Knowledgeable and skilled in computer and electronic medical records systems
• Excellent oral and written communication skills
• Ability to work with diverse populations and outstanding interpersonal skills
• Knowledge in Microsoft programs, including Word and Excel
• Active, unrestricted License to practice Nursing.

Education :

AS in Nursing program or equivalent Nursing Certification

Experience :

• Two (2) years of clinical nursing experience is required, within the last 36 months is mandatory.
• Knowledge in Tricare is preferred
• Experience in DoD / Military Treatment Facility preferred

Duty hours will be Monday - Friday, 7 : 30am to 4 : 30pm

Members of our team Enjoy :

• Working with a highly engaged staff
• Competitive compensation
• Comprehensive benefits
• Medical, Dental, Vision
• Life Insurance
• Short and Long Term Disability
• Paid Time Off
• Paid Holidays
• Reimbursement for certifications, licenses and immunizations

PQC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

In addition to federal law requirements, PQC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.