• Non-Clinical Medical Case Manager

    Job Locations US-MA
    Posted Date 2 years ago(6/20/2017 3:14 PM)
    ID
    2017-1035
    # of Openings
    1
    Category
    Nurse
  • Overview

    Windwalker Group horiz RGB

    Windwalker Group is seeking a non-clinical medical case manager, a licensed clinician, to provide individual medical and dental readiness support to the Massachusetts Army National Guard. 

     

    Responsibilities

    • Responsible for tracking medical status of ALL assigned Soldiers.
    • Responsible for medical charting in eCase.
    • Request profile exams/evaluations and audiology exams at physical exam center.
    • Coordinate Soldier treatment plans with appropriate medical facilities.
    • Maintain automated referrals indicated in MEDCHART.
    • Submit case processing, medical documentation, and profile concerns to military/contacted provider.
    • Attend PHA events as determined by the needs of the state and the individual units.
    • Ensure those Soldiers referred by a provider are followed by the case management team.
    • Manage Soldier's care from the identification of the condition to when the Soldier is either: considered medically ready or administratively separated from the military.
    • Follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include the AR 40-501 and other applicable guidance.
    • Ensure all medical documentation received from the Soldier and/or their medical team is received and placed in appropriated electronic record, as well as the Soldier's hard copy record.
    • Maintain Soldier medical records in accordance with Army Regulation (AR)40-66.
    • Provide Records Custodian or delegate with all relevant medical/dental documentation.
    • Obtain release of information from Soldier Educate Soldiers on resources available to improve medical and dental readiness.
    • Maintain Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.
    • Review and track health assessment (PHA, SRP) lab results contact SM and educate on lifestyle modifications.
    • Upload medical documents of case managed Soldiers into Health Readiness Record (HRR).
    • Stamp all medical documents for verification after uploading.
    • Index uploaded medical documents.
    • MODS entry of immunizations, designation of pregnancy, eye exams, medical warning tags.
    • Provide all medical documents received for case management to Records Custodian to be filed using a document evidencing transfer of custody from the contractor to the government. Copy of each supporting transfer document shall be provided to the COR at the end of each month no later than 7 calendar days at the end of the month.
    • Ensure all administrative charting in eCase is completed.
    • Track medical appointments by communication with unit to ensure Soldier attendance and submission of follow up documentation.
    • Log in eCase any contact with SM (email, voice call, or personal interview).
    • Communicate with delegated government personnel to track compliance versus noncompliance.
    • Run MEDPROS report Post PHA/SRP event.
    • Monitor MEDPROS to ensure all scheduled services are completed/updated and current medical status is reflected.
    • Report Medical Readiness to the Commander or his/her designated representative.
    • Ensure Soldiers with T3, T4, P3 or P4 profiles are case managed in the eCase module.

    Qualifications

    • Education/Experience: AA degree in nursing from accredited college or university. Candidate should have at least one year of case management experience or at least five years of health care experience.
    • Credentialing: Must possess a valid, active, unrestricted license in Vocational/Practitioner Nurse (LVN/LPN) (as determined by state law requirements), Registered Nurse (RN) or Social Worker.
    • Security: Must be able to pass a national security background check for access into military electronic systems.
    • Must maintain active and valid HIPAA certification
    • Must be able to operate a personal computer to input, store, and retrieve data for various reports as required.
    • Must be able to use various software programs to maintain database files and prepare reports, including Microsoft Word, Excel, PowerPoint and Outlook.
    • Physical demands for office positions:
      These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions. Workplace is a general office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

    • Required essential functions include repetitive hand movements, reading, eye-hand coordination, hearing, talking, and sitting for long periods.

    • This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary.

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