Licensed Vocational Nurse

4 weeks ago


Tacoma, Washington, United States Epic Government Full time

Licensed Practical Nurse (LPN/LVN) - Referral Management Job Summary:

Epic Government is seeking a skilled Licensed Practical Nurse (LPN/LVN) to join our Referral Management team. As a Referral Management Specialist, you will play a critical role in ensuring the smooth referral process for patients receiving specialty care.

Key Responsibilities:

  • Coordinate with specialty referral clinics to ensure timely and accurate referrals
  • Review initial specialty care and deferred referrals for administrative completeness
  • Submit referrals to the appropriate reviewer for medical necessity and appropriateness review
  • Track referrals and obtain reports from MTF, ODCS, network, and non-network providers
  • Provide patient education and support to prepare patients for specialty care appointments and procedures

Requirements:

  • Full-time employment in nursing for the last 12 months
  • Knowledge of medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines
  • Operational computer skills with general working knowledge of word processing and Microsoft applications
  • General medical ethics, telephone etiquette, written/verbal/electronic communication, and customer service skills

About Epic Government:

Epic Government is an award-winning organization built with committed professionals who share a unified vision of helping others. We are honored to be named one of the Baltimore Sun's Top Workplaces. As an Equal Opportunity Employer, we are committed to providing a diverse and inclusive work environment.



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