Referral Manager/lvn

**ABOUT THE ROLE**

**WHAT YOU WILL DO**
- Have complete follow-through with each referral from beginning to end. End includes the Clear and Legible Report (CLR) being uploaded within the current medical database and the referral closed with the t-con sent to the patient’s PCM.
- Assist patients via phone, in person with their referrals and ensure patients have a thorough understanding of the referral process to ensure expectation management of all patients.
- Maintain a professional relationship and consistent communication with the provider staff and with colleagues in the TRICARE Operations and Patient Administration (TOPA) work environment to ensure processes are managed and streamlined for optimal referral management.
- Maintain current access to all databases required for daily operations and be proactive to ensure there is no lapse in database access.
- Coordinate referral management functions and ensures team members receive information in a timely and efficient manner to facilitate continuity of patient care.
- Coordinate specialty care referrals. Specialty Care routine referrals must be processed within the Access to Care Standard of 28 days; urgent/ASAP referrals must be processed immediately, but not longer than 24 hours within a business day. All patients shall be assured of their privacy and personal dignity.
- Review specialty care referrals for appropriateness, covered benefit, and administrative and medical completeness.
- Make specialty care appointments and provides pre-appointment instructions to patient.
- Provide health benefits advice to patients.
- Maintain and tracks referral records.
- Participate with team members in providing, assessing and improving a wide variety of customer services/relations.
- Assist in the management of all forms of communication between beneficiaries, team members, internal staff and providers, network/outside providers and ancillary health care workers.
- Prepare and submit administrative reports and uploads a patient Clear and Legible Report into the patients’ medical record with a t-con sent to the patient’s provider.

**WHAT YOU WILL BRING**
- 3-5 years' experience working within the Air Force Medical Service or DoD is preferred.
- Skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous.
- Possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/caregivers, medical and non-medical staff in a professional and courteous way.
- Fluency in English required.
- Knowledgeable in medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]); accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC).
- Experience using Armed Forces Health Longitudinal Technology (AHLTA) and Composite Healthcare Computer System (CHCS) is desired.

**YOUR EDUCATION AND CERTIFICATIONS**
- Associate Degree in Licensed Vocational Nurse, Business Administration, Management or Health Care Organizations from an accredited college or university.
- As a minimum, an active and unrestricted LVN license to practice nursing as a LVN in a US jurisdiction.

**BENEFITS**

We offer great opportunities for personal and professional development in an international company, with a focus on supporting our customers to excel in their strategic goals. The role comes with a competitive salary package, 24 days paid time off, Federal holidays, and professional development. You will be a part of a dedicated group of colleagues who value teamwork and collaboration whose focus is to empower our customers.

**Salary**: €25,000.00 - €30,000.00 per year

Ability to commute/relocate:

- Aviano, Friuli-Venezia Giulia: Reliably commute or planning to relocate before starting work (required)

**Language**:

- English (required)

Work Location: In person