ERP International is seeking full-time Licensed Practical/Vocational Nurses (LPN/LVN) in support of Referral Management Center at the Naval Medical Center Camp Lejeune, NC.
Requirements
- 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
- Schedules referral appointments in accordance with required Access to Care Standards within the direct care system or outside the MTF with network/non-network providers for 90% of all referrals
- Provides timely, descriptive feedback regarding utilization review issues
- Reviews and enters first right of refusal referrals into CHCS and database within one (1) business day of the date of the referral
- Submits referrals to non-network providers to TRICARE Service Center (TSC) for processing
- Receives and makes patient telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals
- Tracks referral reports; obtain referral results within the required timelines and follow up with as necessary. Documents that paper referral results are properly filed in patient’s health record
Benefits
- Paid Vacation
- Paid Sick Time
- 11 Paid Federal Holidays
- Medical/Dental/Vision
- STD/LTD/Life
- Health Savings Account
- Annual CME Stipend
- License/Certification Reimbursement
- Matching 401K
