Referral LPN

Seneca Nation Health System • Town of Brant, NY

4d

About The Position

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

The LPN coordinates referrals with outside medical providers, assists patients with appointments, completes referral documentation, verifies eligibility and coverage, obtains authorizations, and maintains referral records and vendor information. The position also coordinates health records and equipment or supplies needed for outside care, communicates appointment instructions, and serves as a liaison between patients and medical staff. The employee maintains confidentiality, accurate records, and applicable safety, quality, infection-control, and organizational policies; participates in audits and required training; and provides trauma-informed, age-appropriate care. Other duties may be assigned as needed.

Requirements

• Current New York State Licensed Practical Nurse (LPN) 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 health care setting, or Indian Health Service (IHS) or tribal health.

Responsibilities

• Collect referral appointment information for care recommended by staff providers and, as needed, help patients make appointments with outside providers.
• Complete referral documentation, verify patient eligibility, address, third-party coverage, and service costs, and ensure hard-copy referrals are complete and delivered to the appropriate office or ready for patient pickup.
• Explain referral procedures to patients and obtain required signatures.
• Maintain referral logs, the referral tracker system, and updated approved-vendor 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 that are unavailable on site.
• Inform patients of special instructions for tests before appointments.
• Follow departmental policies and procedures, objectives, quality assurance, safety, environmental, and infection-control standards.
• Cooperate with other personnel to meet department objectives and support good employee relations and interdepartmental coordination.
• Respect patient comfort and privacy and provide appropriate assistance.
• Document patient contacts in accordance with the Privacy Act of 1974 and ensure confidentiality under the Privacy Act and HIPAA.
• Ensure accurate recording of patient health records and participate in medical chart audits as directed by the supervisor.
• Act as liaison between patients and medical staff during the referral process.
• Document outside referral no-show appointments in the designated chart area and notify the referring provider.
• Demonstrate age-appropriate care knowledge and skills, including understanding growth and development across the lifespan and assessing and responding to age-specific needs, where applicable.
• Provide care using trauma-informed principles, including physical and psychological safety, trust and transparency, collaborative decision-making, patient empowerment, and cultural sensitivity.
• Uphold and promote the SNHS mission and represent SNHS positively.
• Attend mandatory staff meetings, training, and in-services, and follow department, SNHS, and Seneca Nation policies.
• Perform other duties as needed.

Benefits

• Monday through 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