Cherokee Federal
Cherokee Federal, a division of Cherokee Nation Businesses, is a trusted team of government contracting professionals who can rapidly build innovative solutions. We work around the globe to help solve issues in national security and intelligence, information technology, health solutions, DoD logistics and humanitarian relief. Our businesses serve the Cherokee Nation tribe, where 100% of our profits support building a brighter future for tribal citizens.
Accurately advises patients of their referral eligibility, beneficiary status, and health treatment options as outlined by their TRICARE enrollment and/or DEERS status. Coordinates with the military treatment facility, (MTF), Staff for all active, reserve, and guard referrals not covered under the TRICARE benefit for approval. Directs patient to the patient travel coordinator and provides information on travel-related benefits. Assists MTF, as necessary, on advising patients regarding Line-of-Duty, Personal Reliability Program (PRP), and Medical Evaluation Board issues as outlined in AFI 41-210, Tricare Operations and Patient Administration Functions, and AFI 36-3212, Physical Evaluation for Retention, Retirement, Separation (in conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file before authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members, internal staff and providers, network/outside providers, and ancillary health care workers regarding specialty clinic appointments and referrals.
Professional license for LPN required. Knowledge of MHS Genesis is preferred. Knowledge of military patient referrals is preferred. Must pass the pre-employment qualifications of Cherokee Federal.
Shall read, understand, speak, and write English fluently. Shall have knowledge, skills, and computer literacy to interpret and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum of two (2) years broad-based clinical nursing experience in either an inpatient or outpatient care setting within the last three (3) years. The license must be valid and unrestricted. Contract personnel shall be in good standing, and under no clinical restrictions, with the licensure boards in all jurisdictions in which a license is held or has been held within the last ten (10) years. Operational computer skills with general working knowledge of word processing, and Microsoft applications (including Windows, Word, Excel, and Outlook). General medical ethics, telephone etiquette, written/verbal/electronic communication, and customer service skills. Performs other job-related duties as assigned.
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