Medical Referral Specialist
2 days ago
Zimmerman Associates, Inc. (ZAI) is a leading provider of referral management services for the Defense Health Network. We are seeking highly skilled Medical Referral Specialists to support our contract with the Integrated Referral Management and Appointing Center (IRMAC).
In this role, you will play a critical part in facilitating centralized product line and specialty referrals for Active-Duty Service Members and Tricare Prime beneficiaries enrolled to a Military Treatment Facility (MTF) in the National Capital Region.
Responsibilities
- Facilitate referral reviews, collaborating with team leads, Product Line Leaders, Appointing Center(s), and other healthcare team members as necessary.
- Review referrals for administrative, clinical completeness, and appropriateness upon receipt, dispositioning within 24 hours from date referral was written.
- Collaborate with appointing center, case managers, product line nurses, providers, clinics, manage care support contractor liaison, and other healthcare team members as needed to address process issues or concerns.
- Routinely monitor and process referral management Genesis Work Lists to ensure consults are processed within established guidelines.
- Advise patients of their referral status, providing references for benefit counseling assistance and/or patient advocacy.
- Reschedule/instruct patients of other health care options within 3 days of notification of disapproved referral or invalid referral.
Requirements
- Minimum of an Associate's degree, current, active full and unrestricted License Practical Nurse Certification/Licensure from an approved National League of Nursing program.
- 2 years of clinical nursing experience.
- Knowledge, skills, and computer literacy to interpret and apply medical care criteria, such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs) or other evidence-based guidelines identified by the Military Health System (MHS).
- Effective communication and people skills.
- Superior customer service skills.
Work Environment
This is an onsite employment opportunity, however, consideration will be provided for teleworking upon customer approval.
The candidate must be a U.S Citizenship required as well as ability to obtain a Public Trust Clearance.
We offer a competitive salary range of $65,000 - $80,000 per year, commensurate with experience.
-
Nurse Referral Specialist
6 days ago
Bethesda, Maryland, United States Zimmerman Associates Full timeAbout the RoleZimmerman Associates, Inc. is seeking a skilled Nurse Referral Specialist to join its team in providing exceptional healthcare navigation services.Job DescriptionThe ideal candidate will be responsible for coordinating referrals, ensuring timely reviews and processing, and collaborating with various stakeholders to deliver high-quality care.Key...
-
Referral Management Coordinator
7 days ago
Bethesda, Maryland, United States Ivyhill Technologies Full timeJob SummaryIvyhill Technologies seeks a highly skilled Referral Management Reviewer to join our team. In this role, you will be responsible for performing referral reviews, seeking guidance from product line nurses as needed, and collaborating with healthcare teams to ensure proper use of the Direct Care system and civilian network resources.Key...
-
Referral Management Coordinator
6 days ago
Bethesda, Maryland, United States Zimmerman Associates, Inc Full timeZimmerman Associates, Inc. is a leading provider of healthcare services, seeking highly skilled professionals to join our team as Referral Management Coordinators.Job Summary:We are looking for individuals with a strong background in utilization review and management to facilitate centralized product line and specialty referrals for Active-Duty Service...
-
Medical Oncology Specialist
6 days ago
Bethesda, Maryland, United States Next GenHealth Staffing Full timeAbout the RoleWe are seeking a highly skilled Medical Oncology Specialist to join our team at Next GenHealth Staffing.Job OverviewThis is a full-time position, requiring a minimum of 5 years experience as an APRN or PA, specifically in Oncology. The successful candidate will be responsible for providing direct diagnostic and therapeutic patient care, in...
-
Medical Hemodialysis Nurse Specialist
2 days ago
Bethesda, Maryland, United States Fresenius Medical Care Full timeJob DescriptionWe are seeking a highly skilled Medical Hemodialysis Nurse Specialist to join our team at Fresenius Medical Care. This is an exciting opportunity for a nurse to work in a dynamic and fast-paced environment, providing top-notch care to patients with kidney disease.About the JobThis role is responsible for delivering high-quality hemodialysis...
-
Bethesda, Maryland, United States Zimmerman Associates Full timeAbout the RoleWe are seeking a skilled Licensed Practical Nurse to join our team as a Referral Reviewer. In this role, you will play a vital part in ensuring seamless coordination of referrals for Active-Duty Service Members and Tricare Prime beneficiaries.As a Referral Reviewer, you will work closely with team leads, Product Line Leaders, Appointing...
-
Medical Imaging Specialist
2 days ago
Bethesda, Maryland, United States Epic Travel Staffing Full timeTravel Medical Imaging Specialist OpportunityEpic Travel Staffing is hiring a skilled Medical Imaging Specialist to work as a CT Technologist in our travel program. As a key member of our team, you will be responsible for providing high-quality imaging services to patients across the country.About the RoleThis 13-week assignment offers a competitive salary...
-
Diagnostic Imaging Specialist
5 days ago
Bethesda, Maryland, United States American Medical Staffing Full timeJob Opportunity: Diagnostic Imaging SpecialistWe are seeking a highly skilled Diagnostic Imaging Specialist to join our team in Bethesda, Maryland.About the Job:This is a travel position that requires 13 weeks of commitment, working 40 hours per week with an 8-hour night shift. As a Diagnostic Imaging Specialist, you will be responsible for operating...
-
Medication Care Specialist
2 days ago
Bethesda, Maryland, United States Sunrise Senior Living Full timeSunrise Senior Living is a leading provider of senior care, dedicated to championing quality of life for all seniors. As a Medication Care Specialist, you will play a vital role in ensuring the highest degree of quality care and services by administering medication and treatments in a safe and organized manner.Job OverviewThe Medication Care Specialist is...
-
Cancer Care Specialist
2 days ago
Bethesda, Maryland, United States American Medical Staffing Full timeAbout the RoleWe are seeking a skilled Cancer Care Specialist to join our team in Bethesda, Maryland. This is an exciting opportunity for a motivated and compassionate individual to work with our esteemed clients.As a Cancer Care Specialist, you will be responsible for delivering exceptional care to patients with oncological conditions. Your expertise will...
-
Medical Imaging Specialist
6 days ago
Bethesda, Maryland, United States Supplemental Health Care Full timeAbout the JobWe are seeking a skilled Medical Imaging Specialist to join our team for a travel assignment in Bethesda, Maryland.Key Responsibilities:Utilize computerized tomography equipment to capture high-quality diagnostic imagesMaintain and sterilize radiologic equipment to ensure patient safetyClearly explain scanning procedures to patients and evaluate...
-
Diagnostic Medical Sonography Specialist
7 days ago
Bethesda, Maryland, United States Johns Hopkins Medicine Full timeDiagnostic Medical Sonography SpecialistJohns Hopkins Medicine is seeking a skilled Diagnostic Medical Sonography Specialist to join our team. This full-time position involves performing a variety of ultrasound procedures using required ACR standards, assisting the Radiologist with invasive procedures when necessary, and demonstrating a thorough knowledge of...
-
Medical Support Specialist
3 weeks ago
Bethesda, Maryland, United States One Medical Full timeAbout One MedicalOne Medical is a pioneering healthcare organization that redefines the way people experience primary care. With a commitment to making quality care more accessible, affordable, and enjoyable, we're on a mission to transform the industry by delivering exceptional health outcomes for our patients, providers, and partners.Estimated Salary:...
-
Medical Imaging Specialist
5 days ago
Bethesda, Maryland, United States Johns Hopkins Medicine Full timeAbout the RoleWe are seeking a highly skilled Medical Imaging Specialist to join our Cardiovascular Department at Johns Hopkins Medicine.Job OverviewThe successful candidate will be responsible for performing echocardiographic testing, including 2D echocardiograms, transesophageal echocardiograms (TEEs), and stress echo tests. They will also ensure proper...
-
Mobile Mammography Specialist
2 days ago
Bethesda, Maryland, United States Aureus Medical Group - Imaging Full timeAureus Medical Group - Imaging is seeking a highly skilled Mobile Mammography Specialist to join their team for a travel assignment in the Bethesda, Maryland area. This is a fantastic opportunity to work with a reputable organization and gain valuable experience in mammography technology.Job SummaryWe are looking for a dedicated and detail-oriented Mobile...
-
Radiology Specialist
4 days ago
Bethesda, Maryland, United States Sharp Nursing Medical Staffing Full timeAbout the OpportunityWe are seeking a highly skilled Radiology Specialist to join our team on a 13-week contract basis in Bethesda, Maryland. As a key member of our radiology team, you will be responsible for operating CT scanners and performing diagnostic imaging procedures.Key Responsibilities:Operate CT scanners to produce high-quality diagnostic...
-
Medical Imaging Specialist
7 days ago
Bethesda, Maryland, United States Johns Hopkins Medicine Full timeAbout Johns Hopkins MedicineWe are a leading healthcare organization dedicated to providing exceptional patient care and advancing medical knowledge.Job Summary:The Medical Imaging Specialist will work within the Cardiovascular Department, assuming responsibility for echocardiographic testing. This includes 2D echocardiograms, transesophageal echocardiograms...
-
Pharmacovigilance Medical Specialist
3 days ago
Bethesda, Maryland, United States Beacon Hill Life Sciences - Boston Full timeJob OverviewWe are seeking a skilled Pharmacovigilance Medical Specialist to join our team at Beacon Hill Life Sciences in Bethesda, MD.Job DescriptionThis is a hybrid role that requires 3+ years of experience in the pharmaceutical or biotech industry. The ideal candidate will have knowledge of GCP and ICH guidelines, drug development/clinical trial...
-
Medical Imaging Specialist
7 days ago
Bethesda, Maryland, United States Johns Hopkins Medicine Full time**Join a World-Class Radiology Team at Johns Hopkins Medicine** We are seeking an experienced CT Technologist to join our team at Suburban Hospital in Bethesda, MD. The successful candidate will have the opportunity to work with a talented group of professionals and be part of a collaborative and supportive environment. We offer competitive compensation...
-
Medical Administrative Support Specialist
6 days ago
Bethesda, Maryland, United States SCA Health Full timeTake your career to the next level as a Medical Administrative Support Specialist with SCA Health, where you'll play a vital role in delivering exceptional patient care.About SCA HealthSCA Health is a dynamic organization that's revolutionizing specialty care. With 11,000 teammates across the country, we're committed to providing high-quality outcomes and a...