Major responsibilities include (not all inclusive): The Lead Non-Clinical Case Manager will serve as the senior person on a team that performs tasks below. This individual must be able to perform all tasks below and will serve as the back-up to the Program Manager. Schedules contractor support for and attend scheduled PHA and SRC/SRPs events. Provides case management services in support of surge and contingency requirements as well as its steady-state mission. Establishes and maintains an eCase profile for soldiers referred by a provider. eCase profiles are established no later one workday after provider referral. Provides a monthly report consisting of all cases and the status of each case regarding Soldiers’ care from the identification of the condition to when the Soldier is either: 1) Considered medically ready or 2) Administratively separated from the military. Report to be submitted no later than the seventh calendar day of the following month. Follows regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include AR 40-35, AR 40-66, AR 40-501, AR 40-502 and other applicable guidance. Obtain release of information from Soldier’s if they have been flagged by providers during PHA or CCIR. Maintains Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines. Provide all medical and administrative charting in eCase, Dental Classification (DENCLASS) Module, Medical Data Protection System (MEDPROS), eProfile, Medical Health Assessment/Periodic Health Assessment (MHA/PHA), Medical Electronic Data Care History and Readiness Tracking (MEDCHART), Automated Voucher System (AVS), Armed Forces Health Longitudinal Technology (AHLTA), Medical Operational Data System (MODS), and MedPros Web Data Entry (MWDE). Charting shall be completed no later than three business days after receipt of information. Prepares soldier records for and attends MEB/PEB boards. Reviews and reconciles hardcopy and electronic case information for file completeness. Provides eCase information updates to board members on assigned soldier cases. Record reconciliations and file preparation completed one workday prior to scheduled board. Communicates with delegated government personnel to track compliance versus noncompliance during monthly case reviews. Communicates, verbal and in writing, to confirm the Soldier understands their medical documentation submission responsibilities, attendance and communication requirements related to their medical case. Obtains a release of information form to request information and records from their PCP. Provide information to Soldiers about their privacy rights, how their information can be used and have Soldier(s) sign consent form(s). Updates and validates records and systems information to ensure Soldiers with MRC3 and DRC3 profiles are entered into the eCase module. Provides a monthly report that shows the number of profiles initiated, extended, and closed. Report due the seventh calendar day of the following month. Requests profile exams/evaluations and audiology exams at physical exam center. Requests made within three business days of initial examination. Coordinates Soldier treatment plans with appropriate medical facilities. Maintains automated referrals indicated in MEDCHART and provide monthly reports on cases adjudicated. Submits case processing, medical documentation, and profile concerns to military/contracted provider. Educates Soldiers on resources available to improve medical and dental readiness. Communicates with soldier’s unit of assignment to provide information on when soldier’s medical appointments are scheduled. Track medical appointment status with unit personnel to ensure Soldier attendance and submission of follow up documentation. Ensure all medical documentation received from the Soldier and/or their medical team is received, scanned, and filed and placed in appropriate electronic record, MEDCHART, in addition to the Soldier’s hard copy record. Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66 Medical Record Administration and Healthcare Documentation. Provide Records Custodian or delegate with all relevant medical/dental documentation. Upload medical documents of case managed Soldiers into Health Readiness Record (HRR). Stamp all medical documents for verification after uploading. Log all medical documents received for case management and forward documents to Records Custodian within 3 business days. No more than 10 late document submissions per month; instances of missing / late documentation corrected within one workday of discovery Lead Case Management Services Qualifications / Certifications: The Lead Non-Clinical Nurse Case Manager shall be a Registered Nurse (RN), with an active state license in good standing in the state of Vermont. Five years of relative experience preferred. At Interactive Government Holdings, Inc. (IGH), health and safety play a vital role in our success. IGH’s employees work together to comply with all applicable health & safety practices and protocols, including health orders and regulations related to COVID-19 that are mandated by local, state and federal authorities. Interactive Government Holdings, Inc. (IGH) is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. |
Click here for technical assistance.
