1 Health Consultant jobs in Egypt

Job Description

**Strategic Resources, Inc. (SRI)** is an international, ISO 9001:2015 Certified, CMMI Level 3 Rated full-service provider with more than 33 years’ experience in the Federal, military, and commercial marketplaces. SRI is seeking full-time committed and passionate Referral Coordinators to join our team to provide critical services to detainees in custody at the U.S. Immigration and Customs Enforcement (ICE) Health Services Corps (IHSC) Medical Facilities in support of the U.S. Immigration and Customs Enforcement (ICE) Health Services Corps (IHSC) Detention Center Healthcare contract opportunity.

**Overview**

The ICE IHSC exists within the organizational structure of the United States Enforcement and Removal Operations (ERO) under the supervision of the Department of Homeland Security (DHS). The United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. IHSC serves as the medical experts for ICE detainee health care. IHSC is committed to excellence in detention and correctional health care and the provision of safe and high-quality care to those in ICE custody.

**Description of Duties**:
The Referral Coordinator (RC) administratively processes IHSC medical referrals for off-site medical appointments. In addition, they schedule off-site specialty consults and follow-up appointments and request and upload medical records to the electronic Health Record (eHR). The RC is the primary point of contact (POC) and liaison between the IHSC Health Plan Management Unit (HPMU), requesting provider, and the community provider to initiate enrollment as well as assist with billing and claims resolution as applicable. The RC maintains a system of records for reference in support of the IHSC HPMU Provider Network.

**Duties and Responsibilities**:

- Prepares, updates, and maintains medical referral information for each patient ensuring accuracy of information in the patient’s medical record.
- Supports the IHSC outside provider recruitment process as liaison between providers and IHSC. Maintains a system of records for tracking purposes for reference in support of the IHSC HPMU Provider Network.
- Coordinates the purchase or rental of durable medical equipment for detainees in ICE custody.
- Contacts the off-site community medical providers to schedule appointments for specialty care based on IHSC provider referral and documents specific appointment date in the eHR.
- Tracks compliance with scheduled patient appointments, making timely reminder notices, or calls to the off-site facility (hospitals, long-term care facilities, etc.) and IHSC staff prior to each appointment where applicable.
- Coordinates transportation with custody transport staff for the scheduled off-site medical appointments and creates the sealed medical packet that is sent with the patient, via custody transportation staff, that contains pertinent medical documentation for the appointment.
- Files/scans laboratory, radiology, and other reports in appropriate sections of the electronic medical record when patient returns from off-site visit.
- Routes clinical reports to appropriate clinic staff within prescribed timeline.
- Corresponds with off-site medical facilities and HPMU Provider network providers to request pertinent medical information to place in the medical record using appropriate and authorized ICE and IHSC forms. Tracks requests and performs follow-up ensuring receipt of information requested.
- Handles all correspondence requiring authorizations for payment of medical services.
- Reviews all documentation for completeness and routes incomplete documents to the appropriate provider for correction prior to placing/scanning in the medical records.
- Receives and processes requests for information in accordance with the Fair Information Practice Principles and Privacy Act.
- Completes reports needed to ensure that all referrals have been completed correctly before they are transmitted to the VA system for payment and corrects any errors found.
- Assists to reconcile and resolve denied outside provider claims.
- Performs record keeping functions in accordance with program policies and position.
- Maintains functional proficiency and ease of use utilizing electronic health records and referrals.
- Completes and passes all Referrals Coordinator competencies, initially and annually.
- Completes all initial, annual, and ad hoc training as required/assigned.
- Serves as a team member for analyzing established protocol practices and identifying areas for improvement.
- Maintains patient confidentiality, and confidentiality of medical records, in compliance with the Privacy Act and HIPAA regulations in all work activities.
- Adheres to and maintains awareness of: IHSC Policies, Procedures, Directives, Operational Memoranda, and accreditation standards as prescribed by ICE/IHSC.
- Adheres t