Lead Case Manager

Today’s Solutions LLC is recruiting a Site Lead Non-Clinical Case Manager to supervise a staff of non-clinical case managers while managing their caseload. The individual will perform a full range of services on-site to support army soldiers in becoming medically ready. Working with the non-clinical case managers, the site lead non-clinical case manager will provide eligible services to all beneficiaries. Additionally, the lead non-clinical case manager will monitor employees, create schedules, and perform several supervisory responsibilities. The job is located in Cheyenne, WY to serve as the primary point of contact for all contract personnel. The LCM ensures contract performance is in accordance with the PWS and manages the non-clinical case management team. The LCM shall possess the expertise to provide oversight, tracking and administrative support in non-clinical case management planning and analysis, medical records management and analysis, MRC correction and analysis, PHA event planning and analysis, medical board completion and analysis, patient risk analysis and health service support to the Wyoming Army National Guard. The LCM is expected to manage their own case load in addition to the duties noted above.

Preferred Candidates:

• Have a working knowledge of military dynamics and organizational management.
• Be proficient in using the following web-based electronic data systems to appropriately track and manage the medical readiness of the force: MHS-Genesis, MODS, MEDCHART and PRT.
• Understand The contractor will be required to work one weekend per month (Saturday and Sunday).

Responsibilities

• Data entry into MHS-Genesis, MODS, MEDCHART, PRT, DenClass and other WYARNG specific databases as required depending on the Soldier's individual medical case requirements.
• Stamp all medical/dental documents received with a date stamp and action completed after uploading to the appropriate electronic application.
• Submit case process, medical documentation and profile concerns to the LCM, COR, military personnel, or provider to ensure Soldiers conditions are properly handled.
• Attend PHA events as determined by the needs of the WYARNG and individual unit requirements.
• Ensure Soldier referred by a provider for specific medical tests or other requirements are tracked to sufficiently support provider orders.
• Contact Soldiers and appropriate medical/dental offices to obtain medical documentation and information regarding cases for treatment plan review.
• Scanning, filing, and tracking of digital and hard-copy Soldier Treatment Records (STR).
• Initiate, document and follow-up of Soldier profiling actions and treatment requirements.
• Log contact (email, telephone, or personal conversations) and updates with Soldiers, their cases, or their unit administrative support in eCase and/or other medical systems.
• Initiate, process and track all medical board cases (MED, NDR-PEB, MAR2).
• Document all cases in eCase within one business day of notification of appointment, lab result, communication or other action related to the Soldier's individual treatment plan.
• Follow all regulations and policies applicable to IMR and deployment to include AR 40-58, AR 40-66, AR 40-400, AR 40-501, AR 40-502, AR 600-8-4, AR 25-50, WYARNG specific instructions or Standard Operating Procedure
• Coordinate with Soldiers who have Line of Duty (LOD) and non-LOD injuries, illness, or disease to ensure medical profiling requirements are properly managed to minimize the amount of time the Soldier is in a non-deployable status.
• Support Soldier in becoming medically ready (MRC 1 or 2) by tracking medical or dental appointments.
• Communicate with Soldier's unit regarding Soldier medical/dental appointment to ensure attendance and submission of follow-up documentation.
• Request and track profile exams, medical evaluations, and audiology exams at PHA events and when required.
• Review and track abnormal health assessment lab results; contact the Soldier and their unit to follow-up and coordinate if further testing is required.
• Maintain Soldier medical records (electronic and physical) in accordance with AR 40-66, The Privacy Act of 1974, HIPAA, SOP, and guidelines to include record generation through final disposition.
• Ensure all Soldiers with temporary or permanent profiles are continually managed and recorded in the eCase module until Soldier is found medically fit and returned to an MRC 1 or 2 status.
• Inform providers of Soldier medical/dental status and furnish the provider with necessary information and documentation to support an appropriate military medical determination.
• Manage Soldier's care from point of notification until Soldier is returned to an MRC 1 or 2 status or administratively separated from the military.
• Meet with the Deputy State Surgeon (DSS) and/or the Health Services Supervisor (HSS) and the COR to review all current cases on a minimum of a monthly basis.
• Ensure proper maintenance of Soldier medical/dental records in accordance with HIPAA and the Privacy Act.
• Validate the accuracy of the electronic and hard-copy information of the Soldier's treatment plan and the STR.
• Obtain Soldier's signature on the release of information form when required.
• Perform MEDCHART system and application actions as required.
• Perform MODS system and application actions as required.
• Ensure each open case is reviewed and charted in eCase with a synopsis of any subjective or objective documentation or information received and the next steps in the Soldiers plan of care at each of the following occurrences:
• Upon receipt of documentation.
• When Soldier's medical status changes.
• After communication with civilian or military medical authorities.
• After contact with the Soldier.
• At least every 30 days for all open cases.
• Monitor MEDPROS to ensure the appropriate MRC status is reflected.
• Retrieve and manage Soldier records in preparation of medical board packets, pre-deployment medical readiness events and case reviews.
• Track medical and dental appointments.
• Contact unit personnel and Soldiers to remind them of an appointment and to confirm attendance.
• Review and action as necessary MEDPROS data before PHA events to identify and ensure the appropriate medical administrative actions are achieved or scheduled to return or maintain the Soldier in MRC 1 or 2 status as quickly as possible.
• Ensure proper disposition of STR based upon SM transfer, retirement, or discharge from service.
• Provide copies of supporting STR transfer documents to the COR no later than seven calendar days after the end of the month.

Perks:

• 1 hour per day to do your own physical fitness is allowed
• Access to medical, dental and disability insurance. We also have a 401K.