Licensed Practical Nurse, Referral Management

🔥 13 hours ago

☕ Washington – Remote

☕ Washington – Remote

💵 $29 - $31 / hour

⏰ Full Time

🟢 Junior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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International SOS

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1985

💼 Consulting

📦 Logistics

✈️ Travel

💰 Venture Round on 2007-12

Consulting • Logistics • Travel

International SOS is a leader in health and security services, dedicated to protecting individuals and organizations from health and security threats. With over 40 years of experience, they provide comprehensive travel risk management solutions and 24/7 assistance to help businesses safeguard their employees' wellbeing globally. Serving over 9,000 organizations in 90 countries, International SOS emphasizes proactive health management and crisis response, ensuring organizations can navigate and mitigate risks effectively.

📋 Description

• Process, review, and disposition specialty care referrals according to 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 • Support military healthcare beneficiaries throughout the specialty referral process and help coordinate timely access to care

🎯 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 • 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 • Ability to work Monday–Friday, 8:00 a.m.–5:00 p.m. Pacific Time, excluding federal holidays • Overtime may be required

🏖️ Benefits

• Up to $5.09 per hour in Health & Welfare benefits, in accordance with the Service Contract Act (SCA) • Medical, dental, vision, and basic life insurance • 401k plan • Paid time off • Annual bonus

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