Licensed Practical Nurse (LPN) - Referral Management

About the role

As a Licensed Practical Nurse (LPN), you'll support specialty referral management for military healthcare beneficiaries. This referral-focused position puts your nursing knowledge, clinical judgment, and healthcare coordination skills to work supporting patients throughout the specialty referral process.

You'll review clinical information, process specialty care referrals, resolve discrepancies, and communicate with patients regarding their referral status. Working within a centralized healthcare services environment, you'll use MHS GENESIS and other military healthcare systems to coordinate referral services and support timely access to care.

Schedule: Monday-Friday, 8:00 a.m.-5:00 p.m. Pacific Time, excluding federal holidays. Overtime may be required.

Key Responsibilities

• Process, review, and disposition specialty care referrals in accordance with established procedures and healthcare guidelines.
• Research clinical histories, chart notes, claims, and supporting documentation to evaluate and resolve referral requests.
• Identify and correct referral processing errors, request additional clinical documentation, and close expired referrals as directed.
• Use MHS GENESIS secure messaging and other healthcare systems to document, track, and manage referral activity.
• Respond to patient inquiries regarding referral status, conduct outbound calls, and resolve referral-related concerns.
• Maintain accurate records, protect patient information, and follow applicable healthcare privacy and quality standards.

Requirements

• Graduate of an accredited nursing program approved by the appropriate state agency.
• Current, valid, unrestricted nursing license, with good standing and no clinical restrictions in any jurisdiction where licensed within the past 10 years.
• Full-time employment in nursing for the last 12 months.
• Knowledge and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines.
• Knowledge of CHCS, MHS GENESIS, TRICARE, and other military healthcare systems, along with referral management experience.
• Proficiency with Microsoft Office applications, including Word, Excel, and Outlook; strong critical thinking, attention to detail, medical ethics, communication, telephone etiquette, and customer service skills.

Additional Information

Health & Welfare: Up to $5.09 per hour, in accordance with the Service Contract Act (SCA).

All your information will be kept confidential according to EEO guidelines.

Benefits Language (FTE roles)

• Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance.
• Additional benefits include a 401k plan, paid time off, and an annual bonus.
• International SOS Government Medical Services complies with all federal, state, and local minimum wage laws.