Licensed Vocational Nurse

4 weeks ago


Sumter, South Carolina, United States Epic Government Full time
Job Overview

The Referral Management Center (RMC) serves as the central clearinghouse for providers and patients needing information or help with referrals.

Key Responsibilities
  • Review initial specialty care and deferred to network primary care referrals for administrative completeness
  • Coordinate with specialty referral clinics
  • Submit referrals to the appropriate reviewer when required for medical necessity and appropriateness review
  • Track initial specialty care and deferred to Network primary care referrals to include obtaining reports from MTF, ODCS, network, and non-network providers
  • Provides patient education regarding specialty care referral, procedures, labs, etc to prepare the patient for their specialty care appointment/procedure
  • Facilitates professional and patient care activities
  • Conducts first level reviews for all referrals to specialty care
  • Identifies cases that may benefit from alternative levels of care and involves the case manager as needed to provide direction in care management/coordination
  • Provides nursing consultation and patient education on specialty care and patient's diagnosis
Requirements
  • 2 years of healthcare administrative experience in either an inpatient or outpatient care setting within the last 3 years, highly preferred
  • Graduate from a NLNAC or CCNE accredited program
  • Ability to obtain facility security
About Epic Government

Epic Government employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families.

Since 2004, Epic Government has built mutually beneficial, sustainable partnerships with healthcare professionals and our clients nationwide.

Epic Government is an award winning organization built with committed professionals with a unified vision of helping others.

Federal Staffing Resources dba FSR is an Equal Opportunity Employer: disability/veteran/military spouse

This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin.

Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.



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