Licensed Practical Nurse (LPN/LVN)
About The Position
This is a civilian position supporting military healthcare, specifically a Licensed Practical Nurse (LPN/LVN) - Referral Management role in San Antonio, Texas. The position requires maintaining a current nursing license and continuing education credits. Responsibilities include processing patient specialty care referrals, disposing of referrals, providing MHS Genesis secure messaging, researching claims and clinical history, correcting referral processing errors, answering patient inquiries, closing expired referrals, requesting chart notes, utilizing provided resources to resolve referrals and calls, conducting outbound calls, and handling incoming calls to provide resolutions. The role also involves critical thinking and attention to detail, with additional duties as required.
Requirements
- Graduate from an accredited community college, junior college, college, university or vocational nursing program approved by the appropriate State agency and accredited.
- License must be valid and unrestricted. Contract personnel shall be in good standing, and under no clinical restrictions, with the licensure boards in all jurisdictions in which a license is held or has been held within the last ten (10) years.
- Shall have knowledge, skills and computer literacy to interpret and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines.
- Full-time employment in nursing for the last 12 months is required.
- General working knowledge of word processing, and Microsoft applications (including Windows, Word, Excel, Outlook).
- General medical ethics, telephone etiquette, written/verbal/electronic communication, and customer service skills.
- Composite Health Care Systems (CHCS), Military Health System (MHS) Genesis, Tricare, and other military health care system knowledge.
- Referral management experience.
- Critical thinking skills and attention to detail.
Responsibilities
- Maintains current nursing license and documentation of continuing education credits.
- Process patient specialty care referrals, in accordance with current business practices
- Disposition referrals in accordance with current business practices
- Provide MHS Genesis secure messaging services as required
- Research, to include but not limited to claims, clinical history, and chart notes
- Correct referral processing errors as needed
- Answer patient inquiries regarding referral statuses
- Close expired referrals as directed
- Request chart notes as needed
- Utilize resources provided in order to resolve referrals and calls
- Conduct outbound calls as required
- Handle each call received, providing a resolution for the customer
- Critical thinking skills and attention to detail.
- Additional duties as required.
Benefits
- $27.00 - 31.00 per hour
- Health and Welfare Fringe Benefits: $5.09 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
