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Tricare
Military health care program
Tricare.mil is the official website of TRICARE, a healthcare program serving over 9.6 million beneficiaries worldwide. It is managed by the Defense Health Agency and provides comprehensive healthcare coverage for military members, veterans, and their families. The website is a valuable resource for understanding TRICARE benefits, enrollment options, and access to healthcare services. Visitors can explore various health plans, find doctors and healthcare facilities, access prescription services, and learn about diverse programs and initiatives for specific populations like active duty service members, retirees, and special populations. Tricare.mil is designed to ensure easy and convenient access to essential healthcare information and services for military communities.
TRICARE will also pay for any services that it covers but Medicare does not.insuredandmore.comTRICARE will pay first for Medicare-covered services if you're on active duty. If TRICARE and Medicare cover the service, TRICARE will pay the Medicare deductible and coinsurance (if any).
Network providers are civilian providers of choice for most TRICARE beneficiaries, and as a result, will typically receive higher TRICARE patient volume than non-network providers.tricare-west.comNetwork providers serve an important role in TRICARE by complementing the services offered by military hospital and clinics.
TRICARE can be used in conjunction with other insurance you may have based on your military enrollment status.eligibility.comBenefits are available globally, and the TRICARE network of physicians and health care providers stretches worldwide to ensure you received the health services you need.
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United States
Popular Questions for Tricare
Newest job postings for Tricare
via USAJobs
posted_at: 6 days agoschedule_type: Full-timesalary: 42,563 a year
About the Position: Serve as the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) office front-line reception and administrative point-of-contact for the SAUSHEC Dean, Associate and Assistant Deans in the conduct of daily SAUSHEC business. Information about SAUSHEC and its mission can be found here: https://bamc.tricare.mil/About-Us/SAUSHE
About the Position: Serve as the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) office front-line reception and administrative point-of-contact for the SAUSHEC Dean, Associate and Assistant Deans in the conduct of daily SAUSHEC business. Information about SAUSHEC and its mission can be found here: https://bamc.tricare.mil/About-Us/SAUSHE
Show more details...
via Centene - Centene Corporation
posted_at: 3 days agoschedule_type: Full-time
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Serve as a primary on-site referral/authorization (R/A) point of contact to Military Treatment Facilities (MTF) and... Markets. Research and respond appropriately and timely
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Serve as a primary on-site referral/authorization (R/A) point of contact to Military Treatment Facilities (MTF) and... Markets. Research and respond appropriately and timely to inquiries from MTF customers. Closely monitor delivery of customer service and support and resolving local R/A problems, issues and concerns. Recommend and implement strategies for resolving issues and improving service quality and timeliness. Process certain referral requests to completion. Educates MTF staff and network providers on submission of Referrals and Authorizations. Maintains database of local network providers on their access to care, preferred providers, and discount rates to leverage when processing.
Acts as the point of contact to military personnel at designated Military Treatment Facilities for referral submissions and processing to ensure local provider is available to treat and the beneficiary.
Serves as the subject matter expert for the identification of local network access to care, preferred providers, provider capabilities, and discount rates to leverage for accurate referral submissions.
Responsible for completing a cross-functional response for resolution of questions or referral issues during the authorization process. Identify and communicate any trends related to referral problems to OIM management, which also includes partnering with the local TRICARE Liaison to address systemic or local referral issues through early identification.
Educates providers on HNFS and TRICARE policies and procedures related to referrals and web services when impacting a beneficiary’s immediate access to care. Also provide consultation to providers regarding TRICARE clear and legible report submission requirements.
Conduct regular, proactive outreach to local healthcare community to maintain record of current access to care, wait times, and provider capabilities.
Education/Experience: Associate’s degree or equivalent experience required. Bachelor’s preferred. Minimum of 2 years of experience working in association with, or for, a DoD Managed Care Support Contractor (TRICARE), Medicare/Medicaid Program, Commercial Healthcare Plan or Healthcare Provider/Group. Functional understanding of how any/all of the above healthcare programs work and their coordinator of benefits. Experience in customer relations, referral processing, and/or the TRICARE program preferred. Government Security/Clearance/Citizenship Requirements.
Licensure/Certifications: Requires security clearance, CAC/NAC
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Pay Range: $21.93 - $37.30 per hour
Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law Show more details...
Serve as a primary on-site referral/authorization (R/A) point of contact to Military Treatment Facilities (MTF) and... Markets. Research and respond appropriately and timely to inquiries from MTF customers. Closely monitor delivery of customer service and support and resolving local R/A problems, issues and concerns. Recommend and implement strategies for resolving issues and improving service quality and timeliness. Process certain referral requests to completion. Educates MTF staff and network providers on submission of Referrals and Authorizations. Maintains database of local network providers on their access to care, preferred providers, and discount rates to leverage when processing.
Acts as the point of contact to military personnel at designated Military Treatment Facilities for referral submissions and processing to ensure local provider is available to treat and the beneficiary.
Serves as the subject matter expert for the identification of local network access to care, preferred providers, provider capabilities, and discount rates to leverage for accurate referral submissions.
Responsible for completing a cross-functional response for resolution of questions or referral issues during the authorization process. Identify and communicate any trends related to referral problems to OIM management, which also includes partnering with the local TRICARE Liaison to address systemic or local referral issues through early identification.
Educates providers on HNFS and TRICARE policies and procedures related to referrals and web services when impacting a beneficiary’s immediate access to care. Also provide consultation to providers regarding TRICARE clear and legible report submission requirements.
Conduct regular, proactive outreach to local healthcare community to maintain record of current access to care, wait times, and provider capabilities.
Education/Experience: Associate’s degree or equivalent experience required. Bachelor’s preferred. Minimum of 2 years of experience working in association with, or for, a DoD Managed Care Support Contractor (TRICARE), Medicare/Medicaid Program, Commercial Healthcare Plan or Healthcare Provider/Group. Functional understanding of how any/all of the above healthcare programs work and their coordinator of benefits. Experience in customer relations, referral processing, and/or the TRICARE program preferred. Government Security/Clearance/Citizenship Requirements.
Licensure/Certifications: Requires security clearance, CAC/NAC
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Pay Range: $21.93 - $37.30 per hour
Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law Show more details...
via Civilian Medical Jobs - DHA - ICIMS
schedule_type: Full-time
Overview
This position is located at Fox Army Health Clinic, Redstone Arsenal, Hunstville, AL...
Fox Army Health Center (FAHC) provides access to quality and cost-effective primary care for patients while maintaining a state of readiness for mobilization. The mission of the health center is “Provide responsive, innovative and reliable health services, influencing health to improve readiness, save lives and advance wellness in support of the force,
Overview
This position is located at Fox Army Health Clinic, Redstone Arsenal, Hunstville, AL...
Fox Army Health Center (FAHC) provides access to quality and cost-effective primary care for patients while maintaining a state of readiness for mobilization. The mission of the health center is “Provide responsive, innovative and reliable health services, influencing health to improve readiness, save lives and advance wellness in support of the force, military Families, and all those entrusted to our care.” It is striving to become the premier model of organizational and beneficiary wellness through the Army’s medical community. FAHC’s Patient Centered Medical Home is comprised of three teams, Blue Team, Red Team and White Team. The mission of the FAHC Blue Team is to optimize the health, well-being, and medical readiness of Soldiers. They accomplish this through our dedicated approach to Warfighter Medicine, and provide physical exams, medical readiness and deployment screenings in support of the military’s wartime mission. The Red & White Team provides comprehensive medical care to the beneficiaries of FAHC, and offers a range of services including adult and family medicine as well as pediatrics and minor outpatient procedures. All TRICARE Prime patients enrolled to FAHC and assigned to this clinic will have a Primary Care Manager (PCM). TRICARE Prime patients will coordinate specialty care through their PCM, thereby ensuring continuity, timeliness and appropriateness of referrals. The Advice Nurse system is available after normal business hours. In addition to an extremely busy outpatient pharmacy service, FAHC provides laboratory and radiological service. The Behavior Health Division provides mental health treatment. The Wellness Center’s functions are to provide patient and community health education and promotions, environmental health activities, and surveillance of communicable diseases.
LINKS: https://redstone.tricare.mil/
https://home.army.mil/redstone/
https://www.huntsville.org/
Responsibilities
As a Practical Nurse you will:
Obtains information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care. Takes all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length); performs a behavioral health screening. Documents patients' chief complaints and other pertinent information in the health record. Documentation will also include medication reconciliation, screening tools, and behavioral health intake surveys. Participates in promoting patient compliance with health activities in accordance with RESPECT-Mil. Coordinates and facilitates follow-up care, communicates relevant information according to the medical plan of care and nursing assessment, and documents accordingly in the health record. Provides individualized nursing care to patients of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental and emotional needs of the patient. Assists the physician with various examinations and diagnostic procedures. Sets up and maintains a sterile field; understands the proper positioning of patients required for various procedures. Administers oxygen, IV fluid and prescribed oral, rectal, subcutaneous and intramuscular medications. Performs inhalation treatments, finger-stick glucose, urine dipsticks, visual acuity, phlebotomy, dressing changes, and surgical instrument cleaning and packaging after use. Educates patients and family members on childcare and school requirements for children on medications. Assures accurate care and handling of specimens. Performs routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Recognizes adverse signs and symptoms immediately and calls for assistance and if the situation warrants it, performs CPR immediately. Sets up, operates and monitors specialized equipment, such as cardiac monitor, defibrillator, etc. Assists with complete examinations dealing with the surety missions.Screens and reviews immunization records IAW AR 40-562 and unit Standard Operating Procedures to select required immunizations, correct dosages, and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on SF 601 and PSH 731, IAW AR 40-562 in AHLTA or manually. Administrative duties include inputting data into the computer and retrieving information such as laboratory and diagnostic procedure results. Other computer related duties include the use of the Composite Health Care System (CHCS), the completion of workload accountability documents through the Ambulatory Data System (ADS forms) on same day service and Medpros entry. Documents administration utilizing IAW Ambulatory Quality Assurance criteria. Administers oral, intra-dermal, subcutaneous, intramuscular immunizations to all age groups IAW established protocols. Maintains accountability for actions and control of vaccines. Documents interventions and patients’ response to care. Communicates relevant information to healthcare team. Recognizes signs and symptoms of untoward effects of immunization and/or allergen extracts. Maintains certification in Basic Cardiac Life Support and demonstrates ability to initiate cardiopulmonary resuscitation in the event of an anaphylactic reaction and/or cardiopulmonary arrest. Performs teaching to patients and/or family regarding self-care procedures and documents teaching. Instructs parents/guardians regarding normal verses adverse reactions to immunizations and treatment for normal reactions of discomfort. Reviews laboratory results and brings abnormal results to attention of physician. Per physician’s instruction, telephones patient regarding follow-up required and documents in records. Performs patient education for special needs such as medication administration, inhaler and spacer use, self dressing changes, ostomy care, finger-stick and glucose meter use, drawing up and injection of insulin and glucagon, and asthma home monitoring with peak flow meters and nebulizer use. Educates patients and family members on childcare and school requirements for children on medications. Completes necessary paperwork for school (sick slips, asthma care plan, etc.), for provider signature. Also teaches patients early warning signs for early detection of diseases. Performs both administrative and logistical tasks as a member of the healthcare team for the clinic by contributing to maintaining the environment and resources to deliver healthcare. Reviews expiration dates for medications, vaccines, and supplies; and initiates the reorder. Coordinates with designated clinic administrative staff for maintenance of adequate vaccines and supply levels. In the absence of the medical receptionist, assists with the responsibilities for checking patients into the system, completion of records and other clerical duties as assigned. Reviews laboratory results and brings abnormal results to the attention of the physician and per physician’s instructions, telephones patients regarding any follow-up care that is required. Duties include the use of automated systems (i.e. Armed Forces Health Longitudinal Technology Application (AHLTA), Composite Health Care System (CHCS), Medical Operational Data System (MODS) and the Medical Protection system (MEDPROS). Reviews chart for coding compliance and ensures all procedures are documented to obtain accurate capture of workload. Attends mandatory training as directed by supervisor or command. Will be trained in documenting adverse medication reactions in the VAERS or local system. Participates in and may coordinate performance improvement activities.
Qualifications
US Citizenship required
Special incentives that may be authorized include: recruitment/relocation incentive; student loan repayment; and advance in-hire
A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia.
At least one year of experience which prepared you to do the work in this job Show more details...
This position is located at Fox Army Health Clinic, Redstone Arsenal, Hunstville, AL...
Fox Army Health Center (FAHC) provides access to quality and cost-effective primary care for patients while maintaining a state of readiness for mobilization. The mission of the health center is “Provide responsive, innovative and reliable health services, influencing health to improve readiness, save lives and advance wellness in support of the force, military Families, and all those entrusted to our care.” It is striving to become the premier model of organizational and beneficiary wellness through the Army’s medical community. FAHC’s Patient Centered Medical Home is comprised of three teams, Blue Team, Red Team and White Team. The mission of the FAHC Blue Team is to optimize the health, well-being, and medical readiness of Soldiers. They accomplish this through our dedicated approach to Warfighter Medicine, and provide physical exams, medical readiness and deployment screenings in support of the military’s wartime mission. The Red & White Team provides comprehensive medical care to the beneficiaries of FAHC, and offers a range of services including adult and family medicine as well as pediatrics and minor outpatient procedures. All TRICARE Prime patients enrolled to FAHC and assigned to this clinic will have a Primary Care Manager (PCM). TRICARE Prime patients will coordinate specialty care through their PCM, thereby ensuring continuity, timeliness and appropriateness of referrals. The Advice Nurse system is available after normal business hours. In addition to an extremely busy outpatient pharmacy service, FAHC provides laboratory and radiological service. The Behavior Health Division provides mental health treatment. The Wellness Center’s functions are to provide patient and community health education and promotions, environmental health activities, and surveillance of communicable diseases.
LINKS: https://redstone.tricare.mil/
https://home.army.mil/redstone/
https://www.huntsville.org/
Responsibilities
As a Practical Nurse you will:
Obtains information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care. Takes all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length); performs a behavioral health screening. Documents patients' chief complaints and other pertinent information in the health record. Documentation will also include medication reconciliation, screening tools, and behavioral health intake surveys. Participates in promoting patient compliance with health activities in accordance with RESPECT-Mil. Coordinates and facilitates follow-up care, communicates relevant information according to the medical plan of care and nursing assessment, and documents accordingly in the health record. Provides individualized nursing care to patients of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental and emotional needs of the patient. Assists the physician with various examinations and diagnostic procedures. Sets up and maintains a sterile field; understands the proper positioning of patients required for various procedures. Administers oxygen, IV fluid and prescribed oral, rectal, subcutaneous and intramuscular medications. Performs inhalation treatments, finger-stick glucose, urine dipsticks, visual acuity, phlebotomy, dressing changes, and surgical instrument cleaning and packaging after use. Educates patients and family members on childcare and school requirements for children on medications. Assures accurate care and handling of specimens. Performs routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Recognizes adverse signs and symptoms immediately and calls for assistance and if the situation warrants it, performs CPR immediately. Sets up, operates and monitors specialized equipment, such as cardiac monitor, defibrillator, etc. Assists with complete examinations dealing with the surety missions.Screens and reviews immunization records IAW AR 40-562 and unit Standard Operating Procedures to select required immunizations, correct dosages, and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on SF 601 and PSH 731, IAW AR 40-562 in AHLTA or manually. Administrative duties include inputting data into the computer and retrieving information such as laboratory and diagnostic procedure results. Other computer related duties include the use of the Composite Health Care System (CHCS), the completion of workload accountability documents through the Ambulatory Data System (ADS forms) on same day service and Medpros entry. Documents administration utilizing IAW Ambulatory Quality Assurance criteria. Administers oral, intra-dermal, subcutaneous, intramuscular immunizations to all age groups IAW established protocols. Maintains accountability for actions and control of vaccines. Documents interventions and patients’ response to care. Communicates relevant information to healthcare team. Recognizes signs and symptoms of untoward effects of immunization and/or allergen extracts. Maintains certification in Basic Cardiac Life Support and demonstrates ability to initiate cardiopulmonary resuscitation in the event of an anaphylactic reaction and/or cardiopulmonary arrest. Performs teaching to patients and/or family regarding self-care procedures and documents teaching. Instructs parents/guardians regarding normal verses adverse reactions to immunizations and treatment for normal reactions of discomfort. Reviews laboratory results and brings abnormal results to attention of physician. Per physician’s instruction, telephones patient regarding follow-up required and documents in records. Performs patient education for special needs such as medication administration, inhaler and spacer use, self dressing changes, ostomy care, finger-stick and glucose meter use, drawing up and injection of insulin and glucagon, and asthma home monitoring with peak flow meters and nebulizer use. Educates patients and family members on childcare and school requirements for children on medications. Completes necessary paperwork for school (sick slips, asthma care plan, etc.), for provider signature. Also teaches patients early warning signs for early detection of diseases. Performs both administrative and logistical tasks as a member of the healthcare team for the clinic by contributing to maintaining the environment and resources to deliver healthcare. Reviews expiration dates for medications, vaccines, and supplies; and initiates the reorder. Coordinates with designated clinic administrative staff for maintenance of adequate vaccines and supply levels. In the absence of the medical receptionist, assists with the responsibilities for checking patients into the system, completion of records and other clerical duties as assigned. Reviews laboratory results and brings abnormal results to the attention of the physician and per physician’s instructions, telephones patients regarding any follow-up care that is required. Duties include the use of automated systems (i.e. Armed Forces Health Longitudinal Technology Application (AHLTA), Composite Health Care System (CHCS), Medical Operational Data System (MODS) and the Medical Protection system (MEDPROS). Reviews chart for coding compliance and ensures all procedures are documented to obtain accurate capture of workload. Attends mandatory training as directed by supervisor or command. Will be trained in documenting adverse medication reactions in the VAERS or local system. Participates in and may coordinate performance improvement activities.
Qualifications
US Citizenship required
Special incentives that may be authorized include: recruitment/relocation incentive; student loan repayment; and advance in-hire
A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia.
At least one year of experience which prepared you to do the work in this job Show more details...
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