Referral Management Clerk On Site - Misawa, Japan

Arcetyp LLC is a growing small business that provides a broad range of consulting services to US Federal Government, US Military, and Commercial clients. Services include Management & IT Consulting, Program & Project Management, and Professional & Admin Services.

We can't sponsor H1B. We accept direct hire candidates only, W2 employee hires. We do not accept 1099 independent consultants. We do not accept staffing firms. We do not accept corp-to-corp (C2C) candidates.

Arcetyp LLC is looking for a Referral Management Clerk. This position is onsite and located in Misawa, Japan.

• Comply with the standards of The Joint Commission, applicable provisions of law, and the rules and regulations of any and all governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations and standards of medical practice and the MTF’s medical staff bylaws.
• Adhere to and comply with the Department of the Navy, and local instructions and notices in effect during the term of the contract.
• Participate in peer review and performance improvement activities.
• Function with an awareness and application of safety procedures.
• Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events.
• Anticipate potential problems/emergencies and make appropriate interventions.
• Notify director or other designated person regarding problems that the HCW is unable to manage. Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
• Participate in the implementation of the Family Advocacy Program as directed by them government.
• Participation shall include, but not be limited to, appropriate medical examination, documentation, and reporting.
• Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.
• Attend and/or comply with all annual training classes required by the Command, to include but not limited to online annual training provided by the MTF, disaster training, infection control, Sexual Harassment, Bloodborne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), and all other required training.
• Actively participate in the command’s Performance Improvement Program.
• Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.
• Assist in the provision of in-service training to clinic staff members as directed by the Government.
• Attend and participate in various meetings as directed by the Government.
• Operate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, and Clinical Information System (CIS), participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as prescribed by the Commander.
• Maintain documentation of all treatment provided in accordance with clinic directives and prepare such records and reports as may be required.
• Abbreviations must be only those listed in local instructions.
• The HCW shall comply with the HIPAA (Health Insurance Portability and Accountability Act) privacy and security policies of the treatment facility.
• Providers shall obtain/maintain a National Provider Identifier (NPI) in accordance with DOD and MTF policy/instruction, as applicable
• Assist with the oversight of payment issues, which include the DoD Supplemental Health Care Program.
• Acts as an advocate for matters of payment between all TRICARE Beneficiaries and Non-Beneficiaries (Non-TRICARE Insurance holders) and Japanese health care system.
• Serves as the focal point between patients admitted off base and coordinates with the Near Patient Team and MTF Case Manager for all matters relating to the patient stay.
• Receives, researches, and solves patient concerns on TRICARE issues and benefits.
• Coordinates and schedules referrals, transfers, and/or patient movements (aeromedical evacuation) that require special attention, to and from the Japanese organizations through…