Licensed Vocational Nurse

2 weeks ago


Sumter, South Carolina, United States Epic Government Full time
{"h3": "Licensed Vocational Nurse (LVN/LPN) - Referral Management Center Job Overview:

", "p": "As a Licensed Vocational Nurse (LVN/LPN) at Epic Government\u2019s Referral Management Center, you will play a critical role in supporting the patient-centered mission by coordinating referrals for specialty care.

", "ul": [{"li": "Review initial specialty care and deferred to network primary care referrals for administrative completeness"}, {"li": "Coordinate with specialty referral clinics"}, {"li": "Submit referrals to the appropriate reviewer when required for medical necessity and appropriateness review"}, {"li": "Track initial specialty care and deferred to Network primary care referrals to include obtaining reports from MTF, ODCS, network, and non-network providers"}, {"li": "Provides patient education regarding specialty care referral, procedures, labs, etc to prepare the patient for their specialty care appointment/procedure"}, {"li": "Facilitates professional and patient care activities"}, {"li": "Conducts first level reviews for all referrals to specialty care"}, {"li": "Identifies cases that may benefit from alternative levels of care and involves the case manager as needed to provide direction in care management/coordination"}, {"li": "Provides nursing consultation and patient education on specialty care and patient\u2019s diagnosis"}], "p": "At Epic Government, we employ healthcare professionals at government medical facilities providing care to military service members, retirees, and their families.

", "ul": [{"li": "2 years of healthcare administrative experience in either an inpatient or outpatient care setting within the last 3 years, highly preferred"}, {"li": "Graduate from a NLNAC or CCNE accredited program"}, {"li": "LVN License: any U.S. state honored. active, unrestricted."}, {"li": "TRICARE - working knowledge"}, {"li": "Ability to obtain facility security"}, {"li": "Knowledge and skills to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines."}, {"li": "Working knowledge of APGs, DRGs, ICD-9, and CPT-4 coding."}, {"li": "Excellent oral and written communication skills and interpersonal skills"}, {"li": "Working knowledge of computers (Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows)"}, {"li": "HIPAA knowledge"}], "p": "Epic Government is an award-winning organization built with committed professionals with a unified vision of helping others. We are honored to be named one of the Baltimore Sun\u2019s Top Workplaces.

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

", "p": "This contractor and subcontractor shall abide by the requirements of 41 CFR \u00a7\u00a7\u00a7, \u00a7\u00a7\u00a7, and \u00a7\u00a7\u00a7. 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.

", "p": "#OFCCP"}

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