Job Opportunity
This position requires an active Public Trust clearance or the ability to obtain a Public Trust clearance to be considered. As required by our governmental client, this position requires being a US Citizen. Accurately advises patients of their referral eligibility, beneficiary status, and health treatment options as outlined by their TRICARE enrollment and/or DEERS status. Coordinates with military treatment facility, (MTF), Staff for all active, reserve, and guard referrals not covered under the TRICARE benefit for approval. Directs patient to patient travel coordinator and provide information on travel related benefits. Assists MTF, as necessary, on advising patients regarding Line-of-Duty, Personal Reliability Program (PRP), and Medical Evaluation Board issues as outlined in AFI 41-210, Tricare Operations and Patient Administration Functions, and AFI , Physical Evaluation for Retention, Retirement, Separation (in conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members, internal staff and providers, network/outside providers and ancillary health care workers regarding specialty clinic appointments and referrals. Compensation & Benefits: Estimated Starting Salary Range for Licensed Practical Nurse, (LPN): $54,329.60 Pay commensurate with experience. Full time benefits include Medical, Dental, Vision, 401K, and other possible benefits as provided. Benefits are subject to change with or without notice. Licensed Practical Nurse, (LPN) Responsibilities Include: Shall read, understand, speak, and write English fluently. 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. Shall have a minimum of two (2) years broad-based clinical nursing experience in either an inpatient or outpatient care setting within the last three (3) years. 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. Operational computer skills with 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. Performs other job-related duties as assigned. Licensed Practical Nurse, (LPN) Experience, Education, Skills, Abilities Requested: Professional license for LPN required. Knowledge of MHS Genesis is preferred. Knowledge of military patient referrals is preferred.