Registered Nurse (RN) Lead/Liaison - Referral Management

Registered Nurse (RN) Lead/Liaison - Referral Management job in Tacoma, Washington.

• Any U.S. state license
• Civilian position supporting military healthcare

Benefits:

• Health and Welfare Benefits
• $35 - $40
• 401(k) available
• Paid Time Off
• Paid Holidays
• Paid Sick Time
• LTD, STD, and medical, dental, life, and vision options available

Registered Nurse (RN) Lead/Liaison - Referral Management Job Overview:

• Civilian and military healthcare providers work together to provide a full range of services to the military community.
• The Referral Management Center (RMC) serves as the primary point of contact for patients' referrals.
• RN Lead of IRMAC Medical Section of RN's and LPN's, and Liaison between MTF Clinics and IRMAC.
• Ensures transition of referrals and communication between MTF Clinics and IRMAC.
• Supports timely scheduling of specialty care referrals, identifies referrals to be deferred to network, ensures processing IAW DHA requirements, and tracking network referral statuses.
• Provides oversight of the RMC contract processes as directed by the Referral Processing Protocols.
• Appraises subordinate workers' performance, identifies employee development needs and provides or arranges for training to maintain and improve job performance.
• Approves master leave schedule.
• Develops and gathers patient data, analyzes medical referrals coupled with clinical procedures and military regulations by overseeing specialty care referrals for proper authorization over authorized surgery/medical procedures, laboratory, radiology, and pharmacy.
• Conducts first level reviews for all referrals to specialty care, acts as referral approval authority for designated referrals, and provides feedback regarding utilization review issues.
• 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.
• Acts as facilitator of professional and patient care activities and interfaces with the MCSC and MTF multidisciplinary personnel
• Conducts first level reviews for all referrals to specialty care.
• Provides managerial oversight of RMC activities and contract personnel.

Registered Nurse (RN) Lead/Liaison - Referral Management Job Qualifications:

• Full-time employment in nursing for the last 12 months
• MHS Genesis training and/or experience within the last 12 months
• 5 years of broad based clinical nursing experience - highly preferred
• Experience with Tricare and Military Treatment Facilities preferred
• Knowledge and skills to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines.
• Working knowledge of APGs, DRGs, ICD-9, and CPT-4 coding
• Quality Control and Risk Management experience
• Excellent oral and written communication skills and interpersonal skills
• Working knowledge of computers (Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows)
• HIPAA knowledge
• Graduate from an ACNE or CCNE accredited program
• RN License: any U.S. state honored. active, unrestricted.
Ability to obtain facility security

FSRpeople.com

FSR provides healthcare professionals to government facilities supporting active duty military service members, retirees, and their families. FSR began as a women-owned, minority-owned, small business in Maryland and has grown to an award-winning organization serving the federal government nationwide and around the globe.

We invite you to join our team!

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 60-1.4(a), 60-300.5(a) and 60-741.5(a). 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.

FSR employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families. Since 2004, FSR has built mutually beneficial, sustainable partnerships with healthcare professionals and our clients nationwide.

FSR 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's Top Workplaces!

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 60-1.4(a), 60-300.5(a) and 60-741.5(a). 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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