Referral Focal Point- Bekaa - Activity Rate 100%

Function responsibilities include:

• Ensuring that all referrals are approved according to the patient referral criteria established by the mission. Evaluate each referral proposal and validate according to agreed upon criteria.
• Ensuring the management of patients referred .
• Together and in coordination with the project team and the logistics department, organizing the movement of patients, guards and accompanying medical staff (when necessary).
• Referring/accompanying the patient to the most appropriate hospital, according to the patient's pathology and the competencies/specialties of each of the selected structures and according to the mission's referral policy, to ensure the best possible care.
• Ensuring regular monitoring of the patient's progress, with regular visits to the health facilities, participation in ward rounds of our patients, and discussions if necessary with the staff, making sure that the treatment is given and the diagnostic tests are performed within the established criteria;
• Ensuring that MSF patients do receive timely their treatment (are not being kept unnecessarily )not hang around in the chosen hospitals for no logical reason in order to avoid additional costs for MSF
• Informing the medical coordination in case of difficulties in management.
• Taking care of administrative issues related to referrals (completion of patient files, counter-referrals, per diem, invoice control, appointments, etc.).
• Ensuring the regular update of the referral table of each project and send them on a weekly basis for a good follow-up of the evolution of referred patients.
• Ensuring that the counter-referral file is sent to the projects once the patient is discharged from the health facility.
• MSF focal point in the hospitals where the patients are referred, were the interlocutor with the nursing staff (nurses, doctors, surgeons) and administrative staff of the health structures involved.
• If necessary, supporting the department in other areas related to patient management (sending samples, tracking specific drugs with the Ministry of Health and others).
• According to the national staff health policy, following up on patients (MSF staff) referred to the selected hospitals. Evaluate/validate/schedule (in communication with medical coordination) needed services outside the framework agreement.

Specific activities:

• Coordination of referrals from Arsal, Hermel and Qaa PHCs between MSF, ambulance services and referral hospitals
• Follow-up of referred patients.  Schedule visits with technical referents as needed
• Ensure the respect of service agreements (especially regarding care prices) by referral hospitals
• Case discussion with technical referents and PMR if needed
• Good collaboration with NextCare, UNHRC, LRC and IMA to ensure availability of places in referral hospital and transport of patients
• Booking appointments for specialized consultations
• Booking appointments for lab tests and other exams 
• Collection and treatment of invoices from hospital or specialists
• Data collection and analysis of referrals
• Contribution to medical SITREPs : bi-monthly, semi-annual and annual
• Collaboration with social workers for patient follow-up at the community level. 

Support to PMR

• Staff health : booking appointments with specialists for expats ; translate medical reports in Arabic (respect confidentiality) upon request ; check invoices for reimbursements of dental and ophthalmic care and fill reimbursement forms for finance prior PMR validation
• Participation to medical briefings (referral part).

Requirements

Education            •Recognized nursing degree, diploma, or bachelor’s degree in Science of Nursing

•Ministry of Public Health practice license as Nurse in Lebanon

•Certificate of registration at the order of nurse in Lebanon

•Course in tropical medicine desirable

Experience            •Essential: 2 years’ experience as a registered Nurse

•Desirable: 2 years’ previous experience with MSF or (I)NGO and collaboration with Ministry of Health institutions desirable

•Desirable: Previous experience as referral focal point

Languages           -Essential: English and Arabic

Knowledge         -Essential computer literacy (word, excel and internet)

Competencies    

• Results and Quality Orientation        L2
• Teamwork and Cooperation             L2
• Behavioural Flexibility                       L2
• Commitment to MSF Principles        L2
• Stress Management                          L3