Licensed Practical Nurse; LPN - Keesler AFB,MS Job Biloxi area,Mississippi USA,Healthcare

Position: Licensed Practical Nurse (LPN) - Keesler AFB, MS 39534

Licensed Practical Nurse (LPN) – Keesler AFB, MS

Reef Systems has an immediate need for a Licensed Practical Nurse (LPN) to support the Air Force Medical Service (AFMS) mission at the Referral Management Center (RMC) located at Keesler AFB, MS. This is a full-time, on-site position.

DESCRIPTION OF SERVICES
:
Background
:

The Air Force Medical Service (AFMS) operates and manages a worldwide healthcare system to deliver medical service for more than 2.63 million eligible beneficiaries. Beneficiaries include active duty, family members and retirees, during both peacetime and wartime. The AFMS responds to a full spectrum of anticipated health requirements and provides an integrated healthcare system from forward deployed locations through definitive care with an emphasis on prevention of illness and injury.

Scope
:

The Contractor shall support the AFMS’ mission of staffing and managing RMCs at the MTFs, serving as the one-stop shop for all referrals from the initiation of a referral to receipt of a clear, legible, Health Insurance Portability and Accountability Act (HIPAA) compliant report is returned to the MTF.

SUMMARY OF REQUIREMENTS
Referral Management Center (RMC) Operations:

Operate the RMC at the MTFs listed within Appendix

A. Support RMC operations and provide referral management services to patients during normal MTF business hours.

Process and review referrals in Government information systems including, but not limited to: MHS GENESIS, the Composite Health Care Suite (CHCS), and Referral Management System (RMS).

Accurately refer patients to subsequent care using the most current MTF Capabilities Report.

Initiate, follow, manage, and close all referrals within timeliness standards identified in the TRICARE Operations Manual.

Provide patient education regarding specialty care referrals and procedures.

Provide MTF clinical personnel education concerning the referral process.

Identify and notify the Government MTF case manager of any patient that may benefit from care management.

Referral Review/Appointing Function
:

Review initial specialty care and deferred-to network primary care referrals for administrative completeness.

Verify patients are registered in CHCS and update pertinent information.

Determine patient eligibility for services and schedule specialty referral appointments.

Assist with ROFR determinations for specialty care.

Document patient appointments in the approved AFMS systems.

Process ROFRs within the time limits outlined in the TRICARE Operations Manual.

Accept/decline urgent and routine priority ROFRs within specified time frames.

Referral Tracking Function
:

Track and obtain initial specialty care referrals.

Retrieve CLRs no later than 180 calendar days after the order entry date.

Import/scan CLRs into the correct patients’ medical record.

Follow up with MTF specialty care providers who did not complete CLR referral results.

Health Benefits Function
:

Advise all patients of their referral eligibility and health treatment options.

Coordinate with MTF Chief of Medical Staff for referrals not covered under TRICARE.

Minimum Education and Experience Requirements
:

Shall read, understand, speak, and write English fluently.

Shall have knowledge, skills, and computer literacy to interpret medical care criteria.

Shall have a minimum of two (2) years broad-based clinical nursing experience.

License must be valid and unrestricted.

Operational computer skills with general working knowledge of Microsoft applications.

Health Requirements
:

All RMC personnel shall follow the methods for controlling and preventing disease as described in relevant guidelines. Proof of immunization and TB testing is required.

Basic Life Support Certification
:

Contractor personnel must maintain current BLS certification.

Absences and Leave
:

Contractor personnel shall advise about absences due to illness or incapacitation.

Training
:

The Government will provide initial training on Government provided forms and equipment.

Place of Performance
:

Work will be accomplished on-site at Keesler AFB, MS.

Available Hours of Operation
:

The Contractor shall provide Referral Management Services during normal MTF operating hours.

Scheduled Holidays
:

New Year’s Day;
Dr. Martin Luther King, Jr. Birthday;
President’s Day;
Memorial Day;
Independence Day;
Labor Day;
Veteran’s Day;
Thanksgiving Day;
Christmas Day.

Planned Closures
:

Days designated as minimal manning/liberal leave day(s) may result in planned facility closure.

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Licensed Practical Nurse; LPN - Keesler AFB, MS