Referral LPN

Seneca Nation Health System • Irving, NY

3d

About The Position

The Referral LPN ensures that Purchased Referred Care referrals and payment authorizations are processed according to Seneca Nation Health System (SNHS) policies and procedures. The role interprets relevant information to identify patients’ individual needs and provides professional nursing care under supervision, according to established standards and practices.

The position coordinates referrals to outside medical providers, including collecting appointment information, assisting with appointments when needed, verifying patient eligibility and coverage, completing referral documentation, obtaining insurance authorizations, maintaining referral logs and vendor information, and communicating referral procedures and testing instructions to patients. The Referral LPN also coordinates records and supplies needed for outside care, acts as a liaison between patients and medical staff, and documents referral outcomes and patient contacts.

The role follows patient privacy, safety, infection control, quality assurance, and departmental policies. Care is provided using a trauma-informed approach that emphasizes safety, transparency, collaboration, patient empowerment, and cultural sensitivity. The employee attends required meetings, trainings, and in-services and may perform other duties as needed.

Requirements

• Current New York State Licensed Practical Nurse licensure.
• At least 2 years of clinical experience.
• Current CPR/BLS certification.
• Excellent communication, interpersonal, and patient service skills.
• Good analytical and problem-solving skills.
• Excellent computer skills.

Nice To Haves

• Experience in a large hospital, academic medical center, outpatient healthcare setting, or Indian Health Service (IHS)/tribal health.

Responsibilities

• Process Purchased Referred Care referrals and payment authorizations according to SNHS policies and procedures.
• Collect referral appointment information for care recommended by staff providers and assist patients with making appointments when needed.
• Complete referral documentation, including verifying patient eligibility, address, third-party coverage, and cost of services.
• Ensure hard-copy referrals are complete, ready for patient pickup, and sent to the appropriate office.
• Inform and educate patients about referral procedures and obtain required signatures.
• Maintain referral logs, the referral tracker system, and an updated log of approved vendors and their contact information.
• Obtain authorization from insurance carriers through online portals, phone, or fax.
• Collaborate professionally with outside agencies and coordinate health records needed by specialists before appointments.
• Order medical supplies and durable medical equipment not available on site.
• Inform patients of special instructions for testing before appointments.
• Maintain departmental policies and procedures, quality assurance, safety, environmental, and infection control standards.
• Cooperate with other personnel to meet department objectives and maintain good employee relations and interdepartmental coordination.
• Respect patients’ comfort and privacy and provide appropriate assistance.
• Document patient contacts and ensure the accuracy of patient health records in accordance with privacy requirements.
• Participate in medical chart audits as directed by the supervisor.
• Act as a liaison between patients and medical staff while completing referrals.
• Document no-show appointments for outside referrals in the designated area of the patient’s chart and notify the referring provider.
• Provide age-appropriate care and apply knowledge of growth and development across the lifespan when applicable.
• Maintain confidentiality of records in accordance with the Privacy Act of 1974 and HIPAA.
• Uphold and promote the Seneca Nation Health System mission and represent SNHS positively.
• Provide care through a trauma-informed approach that incorporates safety, trust, transparency, collaboration, patient empowerment, and cultural sensitivity.
• Attend mandatory staff meetings, trainings, and in-services.
• Follow department, SNHS, and Seneca Nation policies.
• Perform other duties as needed.

Benefits

• Monday–Friday schedule with no weekends or holidays.
• Full health, dental, and vision coverage for the individual, with a family option available.
• Short-term and long-term disability options.
• Annual vacation and PTO accrued weekly.
• 16 paid holidays per calendar year.
• 401(k) with 5% matching.
• Parental, medical, education, and bereavement leaves.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed