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Reef Systems
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License Practical Nurse
Reef Systems Goodfellow AFB, TX
$43k-53k (estimate)
Full Time | IT Outsourcing & Consulting 1 Month Ago
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Reef Systems is Hiring a License Practical Nurse Near Goodfellow AFB, TX

TLicensed Practical NurseThe Referral Management Center (RMC) serves as the central clearinghouse for providers and patients needing information or help with referrals. Referral Management is a critical program supporting the patient-centered mission.Job Responsibilities:
    • Review initial specialty care and deferred to network primary care referrals for administrative completeness
    • Coordinate with specialty referral clinics.
    • Submit referrals to the appropriate reviewer when required for medical necessity and appropriateness review.
    • Track initial specialty care and deferred to Network primary care referrals to include obtaining reports from MTF, ODCS, network, and non-network providers.
    • 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.
    • Conducts first level reviews for all referrals to specialty care.
    • Identifies cases that may benefit from alternative levels of care and involves the case manager as needed to provide direction in care management/coordination.
    • Provides nursing consultation and patient education on specialty care and patient's diagnosis.
Qualifications:
    • Graduate from a NLNAC or CCNE accredited program.
    • LVN License: any U.S. state honored. active, unrestricted.
    • Two (2) years of healthcare administrative experience in either an inpatient or outpatient care setting within the last three (3) years, highly preferred.
    • TRICARE - working knowledge.
    • 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.
    • Excellent oral and written communication skills and interpersonal skills
    • Working knowledge of computers (Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows).
    • HIPAA knowledge a must.
Physical Requirements:The work is primarily sedentary; however, the physical demands include prolong walking, standing and sitting or bending. Work Location:San Angelo, TX 76908Schedule:The work schedule is Monday – Friday, 7:30 AM to 4:30 PM with an hour lunch. Point of Contact for this Opportunity:Great benefits and compensation. Let’s Talk! Tiffany Vines tvines@reef-sys.com

Job Summary

JOB TYPE

Full Time

INDUSTRY

IT Outsourcing & Consulting

SALARY

$43k-53k (estimate)

POST DATE

04/17/2024

EXPIRATION DATE

06/15/2024

WEBSITE

reef-sys.com

HEADQUARTERS

CARY, NC

SIZE

50 - 100

FOUNDED

2008

CEO

RADWAN ROUZKY

REVENUE

$5M - $10M

INDUSTRY

IT Outsourcing & Consulting

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If you are interested in becoming a License Practical Nurse, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a License Practical Nurse for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on License Practical Nurse jobs

Maintain good business and nursing standings.

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Excellent communication and interpersonal skills.

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Perfect physical condition and stamina.

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