Purchased Referred Care (PRC) Referral Specialist III

Purchased Referred Care (PRC) Referral Specialist III

This position is located at the Little Axe Clinic within the Purchased Referred Care Services Department. This position serves as the liaison between the Absentee Shawnee Tribal Heath, the patients and the third party care providers to whom/what the patients have been referred. This position is under the direct supervision of the PRC Director/Case Manager and is responsible for directly reporting to same.

Responsibilities & Duties

• Communicate and coordinate with the Director Case Manager, on various health program entities, physicians and other health care providers to aid in the community of care for tribal members.
• Communicate with the patients attending physicians when necessary.
• Participate in opportunities and activities of public relations, promotes a positive professional image in term of attitude and general conduct.
• Generate referrals, make appointments, request medical records, and generate reports.
• Specialty Clinic referrals: In-house and Out-of-clinic.
• Daily medical records review.
• Utilize medical knowledge to prioritize referrals, review for medical clarity, and provide patient education.
• Use nursing patient model to provide patient centered care for patient needs including anticipation of follow up care, review of medical charts, requesting additional referrals from providers, and updating referrals and orders.
• Process Private Insurance referrals.
• New Patient chart assignment.
• Work with EHR to establish and maintain paperless referral network.
• Perform other related duties as assigned.

Education Requirements and Qualifications

• Graduate from an accredited school of practical nursing conferring eligibility as a Licensed Practical Nurse.
• Currently Licensed Practical Nurse by the State of Oklahoma.
• Must have current basic Life Support Certificate.
• Working knowledge and understanding of standards of nursing practice, standards of nursing care, human anatomy, human pathophysiology, basic pharmacology, acute and chronic disease processes, medical terminology and signs and symptoms of complications.

Knowledge, Skills and Abilities

• Must possess excellent judgment as related to reporting patient condition of illness to physician or supervisor.
• Must be able to perform essential duties with minimal direct supervision.
• Must be able to effectively communicate verbally.
• Computer and typing skills.
• Must have a valid Oklahoma Driver's License.
• Must be able to pass a background check and drug test.

Physical Requirements and Working Conditions

• Must be able to sit, stand, stoop, bend or kneel for long periods of time.
• Sitting or standing or walking for long period of time; occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling; frequent repetitive motions; talking hearing and visual acuity.
• Frequent lifting (up to 15 lbs)
• Occasional lifting (up to 30 lbs)

The Absentee Shawnee Tribe of Oklahoma (AST) is committed to Equal Employment without regard to race, religion, color, gender, national origin, age, disability, or sexual orientation. However, in accordance with the Indian Preference Act (Title 25 U.S. Code 472 and 473) preference in filling vacancies are given to qualified Indian candidates. AST will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and its amendments.