Talent.com
LPN REFERRAL MANAGEMENT CENTER

LPN REFERRAL MANAGEMENT CENTER

General Infomatics, Inc.Derby, KS, US
2 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

At General Infomatics, Inc we pride ourselves on providing program support, healthcare services, strategic technology solutions, and knowledge management to US government agencies worldwide, under standards of integrity, trust, and a commitment to excellence.

We are looking for a LICENSED PRACTICAL NURSE FOR REFERRAL MANAGEMENT CENTER for a full time, civil contract position at McConnell AFB, KS (Monday to Friday 7 : 30am to 4 : 30pm)

MAIN RESPONSIBILITIES :

Reviews referrals for administrative, clinical completeness and appropriateness. Validates requested medical service, and authorizes surgery / medical procedures, laboratory, radiology, pharmacy, and general hospital procedures and regulations. Collaborates with TRICARE Regional Office Clinical Liaison Nurse and MTF Liaison to address any process issues or concerns.

Schedules referral appointments in accordance with required Access to Care Standards within the direct care system or outside the MTF with network / non-network providers. Ensures appointing is done within the Access to Care standards for 90% of all referrals.

Coordinates with specialty referral clinics (internal or external) to obtain special patient instructions and / or tests required prior to appointment. Provides pre-appointment instructions to patients as well as the details regarding their referral appointment (i.e., date / time, provider, and location). Ensures patients receive necessary documentation appropriate for the referred medical care visit.

Locates referral requests and ensures appropriate documents are available prior to all specialty appointments.

Verifies eligibility of beneficiaries using Defense Eligibility Enrollment Reporting System (DEERS).

Facilitates referral activities by participation in multidisciplinary team activities. Initiates / coordinate communication between beneficiaries, team members, internal staff and providers, network / outside providers and ancillary health care workers. Provides timely, descriptive feedback regarding utilization review issues.

Interfaces with the Managed Care Support Contractor (MCSC) and multidisciplinary personnel as need to ensure appropriateness of referrals. Submits referrals to non-network providers to TRICARE Service Center (TSC) for medical necessity / appropriateness review.

Receives and makes patient telephone calls and computer / written correspondence regarding specialty clinic appointments and referrals.

Tracks referral reports after appointments are kept. Ensures that results from other MTFs and from network / non-network providers are returned to the referring provider and to the medical record within required timelines and follow up with as necessary.

QUALIFICATIONS, SKILLS AND REQUIREMENTS

  • Associate of Science in Nursing Program accredited by the Accreditation Commission for Education in Nursing (ACEN, formerly NLNAC).
  • License / certification. Current, active, full, and unrestricted License to practice Nursing in accordance with State Board requirements. Nurse applicants must be a current U.S. Licensed Practical Nurse. License cannot be under investigation nor have any adverse action pending from a Nursing State Board or national licensing / certification agency.
  • 6 years of clinical nursing experience is required. Previous experience in Utilization Management is not required. Full time employment in a nursing field within the last 36 months is mandatory.
  • Knowledge, skills and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines.
  • Possess excellent oral and written communication skills, interpersonal skills, and have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows.
  • Highly desired : reliable transportation to commute back and forth to work at base.

SALARY AND BENEFITS

  • $25.00 an hour
  • Comprehensive benefits package, including Health & Welfare Benefits, Vacation, Sick leave.
  • Come join our team!

    We encourage our Veterans and Military Spouses to apply and self-identify during the recruitment process.

    General Infomatics (GI) is a minority-owned, Service-Disabled Veteran Owned Small Business (SDVOSB), headquartered in McLean, VA. We are ISO 9001 : 2008 Quality Management System (QMS) Certified.

    Gold Hire Vets Medallion - Department of Labor

    Member of the Military Spouse Employment Partnership - Department of Defense

    Discover the Talent Program - Hire our Heroes - US Chamber of Commerce Foundation

    Certified V3 (Virginia Values Veterans) Company - Commonwealth of Virginia

    Equal opportunity / Affirmative action employer

    Must be able to pass a US government security investigation and a thorough job verification.

    Please make sure your resume is accurate and updated when you apply for this job. As part of our recruiting process, we will ask applicants to authorize a thorough job verification. Omitted jobs, falsified dates, or any type of misrepresentation will automatically disqualify the candidate.

    Job Posted by ApplicantPro

    Create a job alert for this search

    Lpn • Derby, KS, US

    Related jobs
    • Promoted
    Travel LPN / LVN - Long-Term Care - $1,086 to $1,386 per week in Leavenworth, KS

    Travel LPN / LVN - Long-Term Care - $1,086 to $1,386 per week in Leavenworth, KS

    TravelNurseSourceWichita, Kansas, US
    Full-time
    TravelNurseSource is working with Wayward Medical Staffing to find a qualified Long-Term Care LPN / LVN in Leavenworth, Kansas, 66048!. Wayward Medical : Because You’re More Than a Chart Number.At Wa...Show moreLast updated: 1 day ago
    • Promoted
    RN or LPN

    RN or LPN

    Wichita Surgical SpecialistsWichita, KS, United States
    Full-time
    RN or LPN needed full-time Monday to Friday 8am to 5pm.Will assist the surgeon in office clinics, take patient calls, electronic record charting, provide patient education, prescription refills.Exc...Show moreLast updated: 30+ days ago
    • Promoted
    Travel LPN / LVN - Home Health - $1,603 per week - Urgently Hiring

    Travel LPN / LVN - Home Health - $1,603 per week - Urgently Hiring

    Supplemental Health CareWichita, KS, United States
    Full-time +1
    Supplemental Health Care is seeking a LPN / LVN Home Health for a travel job in Wichita, Kansas.Job Description & Requirements. Supplemental Health Care is hiring LPNs with one year of recent Medica...Show moreLast updated: 2 days ago
    • Promoted
    Home Health LPN (Licensed Practical Nurse)

    Home Health LPN (Licensed Practical Nurse)

    Phoenix Home Care and HospiceWichita, KS, US
    Full-time
    Full Time : Monday - Friday, Days.Wichita, KS and surrounding areas.Phoenix Home Care & Hospice.We are committed to supporting you throughout your journey, assisting you in overcoming the daily ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel LPN / LVN - Long-Term Care - $1,086 to $1,386 per week in Eudora, KS

    Travel LPN / LVN - Long-Term Care - $1,086 to $1,386 per week in Eudora, KS

    TravelNurseSourceWichita, Kansas, US
    Full-time
    TravelNurseSource is working with Wayward Medical Staffing to find a qualified Long-Term Care LPN / LVN in Eudora, Kansas, 66025!. Wayward Medical : Because You’re More Than a Chart Number.At Wayward...Show moreLast updated: 30+ days ago
    LPN / RN (Children and Young Adults)

    LPN / RN (Children and Young Adults)

    Phoenix Home Care and HospiceValley Center, KS, US
    Full-time +1
    Quick Apply
    Now Hiring : LPN or RN – Pediatric Home Care.Apply today and join a company that keeps its word.Because here, our promises aren’t just spoken – they're signed. At Phoenix, we're not just offering a j...Show moreLast updated: 25 days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $1653.93 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $1653.93 / Week - Hiring Now

    Atlas MedStaffWinfield, KS, US
    Full-time
    Atlas MedStaff is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Winfield, KS. Shift : 3x12 hr days Start Date : 10 / 27 / 2025 Duration : 13 weeks Pay : $1653....Show moreLast updated: 8 days ago
    RN / LPN | Flexible Shifts | Weekly Pay | W2 Employment

    RN / LPN | Flexible Shifts | Weekly Pay | W2 Employment

    Cascade Health ServicesWichita, KS, us
    Full-time +1
    Quick Apply
    Full-Time Hours | Part-Time | PRN.LPN - Up to $37 / hour, RN- Up to $48.Cascade - Your W2 Staffing Partner for LPN or RN Shifts. Cascade Health Services is actively hiring.Licensed Practical Nurses (L...Show moreLast updated: 30+ days ago
    • Promoted
    LPN- New Provider

    LPN- New Provider

    Health Ministries ClinicNewton, KS, US
    Full-time
    Health Ministries Clinic (HMC).Licensed Practical Nurse (LPN).The ideal candidate will be organized, adaptable, and committed to providing high-quality care as part of a collaborative healthcare te...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Travel Home Health LPN

    Travel Home Health LPN

    Fusion Medical StaffingWichita, KS, United States
    Full-time
    Fusion Medical Staffing is seeking a skilled Home Health LPN for a 13 week travel assignment in Wichita, KS As a member of our team, you'll have the opportunity to make a positive impact on the liv...Show moreLast updated: 7 hours ago
    • Promoted
    LPN Home Care

    LPN Home Care

    NMC HealthNewton, KS, US
    Full-time
    Are you a dedicated LPN looking for a meaningful job in healthcare? Do you thrive in a collaborative, team-oriented environment working with healthcare employees? If so, NMC Health invites you to j...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $1755 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $1755 / Week - Hiring Now

    Premier Medical Staffing Services, LLCWinfield, KS, US
    Full-time
    Premier Medical Staffing Services, LLC is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Winfield, KS. Shift : 3x12 hr days Start Date : 10 / 27 / 2025 Durati...Show moreLast updated: 8 days ago
    • Promoted
    Home Health Weekend LPN

    Home Health Weekend LPN

    Phoenix Home Care and HospiceWichita, KS, US
    Full-time
    Seeking an experienced Licensed Practical Nurses to join our Home Health team in the Wichita, KS and surrounding areas.As a Phoenix Home Health LPN, you will be the responsible for making skilled n...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $1841.18 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $1841.18 / Week - Hiring Now

    Medical SolutionsWinfield, KS, US
    Full-time
    Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Winfield, KS. Shift : 3x12 hr days Start Date : 10 / 27 / 2025 Duration : 13 weeks Pay : $18...Show moreLast updated: 8 days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $1980.62 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $1980.62 / Week - Hiring Now

    Pulse Healthcare ServicesWinfield, KS, US
    Full-time
    Pulse Healthcare Services is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Winfield, KS. Shift : 3x12 hr days Start Date : 10 / 27 / 2025 Duration : 13 weeks ...Show moreLast updated: 2 days ago
    • Promoted
    Travel LPN / LVN - Long-Term Care - $1,055 to $1,355 per week in La Crosse, KS

    Travel LPN / LVN - Long-Term Care - $1,055 to $1,355 per week in La Crosse, KS

    TravelNurseSourceWichita, Kansas, US
    Full-time
    TravelNurseSource is working with Wayward Medical Staffing to find a qualified Long-Term Care LPN / LVN in La Crosse, Kansas, 67548!. Core Mandatory Part II (Nursing).About Wayward Medical Staffing....Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Travel LPN / LVN - Home Health - $1,607 per week - Urgently Hiring

    Travel LPN / LVN - Home Health - $1,607 per week - Urgently Hiring

    Healthcare SupportWichita, KS, United States
    Permanent
    Healthcare Support is seeking a LPN / LVN Home Health for a travel job in Wichita, Kansas.Job Description & Requirements. Healthcare Support Job ID #474632.Pay package is based on 8 hour shifts and ...Show moreLast updated: 12 hours ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $1662 / Week

    Travel Nurse - RN - ER - Emergency Room - $1662 / Week

    Fusion Medical StaffingWinfield, KS, US
    Full-time
    Fusion Medical Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Winfield, KS. Shift : Inquire Start Date : 10 / 27 / 2025 Duration : 13 weeks Pay : $1...Show moreLast updated: 8 days ago