What are the responsibilities and job description for the Case Manager/Care Coordinator position at Tridant Solutions Inc.?
Case Manager/Care Coordinator
*** Employment with Tridant Solutions Inc. is contingent upon contract award, the candidate’s ability to successfully pass a criminal background & controlled substance (i.e., drug screening) screening, and provide valid document(s) that serve as confirmation of your right to work in the United States. ***
Mission, Purpose, Vision, Culture- Tridant Solutions Inc.
Tridant Solutions Inc. is a professional management & services firm founded in 2005 by our CEO, Annette Palazuelos to serve the Department of Defense (DOD), and Federal agencies, and do so with a sense of urgency.
Our organization has a robust portfolio of over 70 completed and underway programs with implemented proactive and responsive approaches focusing on concise program management, and contract execution. With the tenacity and dedication to service provided by our professional staff and expert guidance issued by our CEO, Tridant Solutions Inc. has earned and been awarded multiple opportunities to provide support services to NAVSEA, NAVAIR, the US Air Force, the Department of Homeland Security Health Corps, and the Army National Guard earning our organization numerous awards, 100% exceptional ratings, 2020 INC 5000 awards, and, continued growth since the opening of our doors. We succeed time and time again as a team with a foundation of collaboration!
If work ethic, delivering results, and challenge are meaningful to you, this is your firm and we invite you to apply! Please review our website www.tridantsolutions.com to learn about current job opportunities available in your area, and the clients we service.
JOB DESCRIPTION
In general, the Case Manager/Care Coordinator candidate will be responsible for ensuring all Army National Guard soldiers are medically (medical/dental/behavioral health )ready to execute his/her state and federal mission, and guide patients / teams with compassion while demonstrating a complete understanding of healthcare procedures and practices.
These responsibilities include but are not limited to identifying Soldiers who do not meet medical deployment standards (medical/dental/behavioral health) and tracking their deplorability determinations (and or medical separation process), and ensure accurate medical records documentation is maintained throughout the process. The Case Manager/Care Coordinator selected for this position will assist the Case Management staff to ensure medical records are obtained and correctly, up-loaded.
Job Description Disclaimer: The statements concerning the job description are intended to describe the general duties, nature, and expectations for the level of work to be performed by any employee(s) assigned and or hired under this specific job title. These statements are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of persons so classified.
POSITION TYPE & RATE INFORMATION
This position is: Full-Time
Hourly (Non-Exempt)
Pay Range $21.00- $25.00 PER HOUR USD (DOE.)
ASSOCIATED JOB DUTIES (Including but not limited to)
- Abide by the Privacy Act, HIPAA regulations, and guidelines.
- Conduct intake services at PHA and Medical Readiness; identify members that are determined medically non-deployable; create, track, and update medically non- deployable referrals in e-case.
- Manage Soldier’s medical and dental care from the identification point of injury and/or condition to when the Soldier is returned to duty or administratively separated from the military IAW Chapter 3 of AR 40-501.
- Initiate case management and maintain clinical notes referencing ARNG Provider’s medical assessments.
- Liaison between MRNCOs and Commanders in completion of required checklist for; Chapter 3, MEB, PEB, LOD, INCAP and review for submission to HSS; ensure all medical documentation is uploaded into the Soldier’s individual medical record in HRR; ensure that MEDPROS accurately reflects the Soldier’s current medical status and evaluation records; notify unit RNCOs of all required documentation, appointments scheduled, determinations made, or non-compliance of Soldier’s being processed as medically non-deployable.
- Performs initial and follow-up SM review to ensure quality of patient care and ensure the SM understand their responsibilities IAW AR 40-501 Chapter 9 and 10.
- Coordinate continuity of care plans and all referrals when the care is being resourced by the government.
- Ensure completion of required checklist (Chapter 3, MEB, PEB, LOD, and INCAP) and ensure proper handling of all medical records and validate in HRR.
- Document all case management activities in the appropriate Army National Guard electronic data system in current use (eCase).
- Telephone Soldiers and medical/dental offices to obtain information and coordinate medical appointments for Soldiers seeking treatment under DHA-GL approved care.
- Obtain the proper release of information forms from Soldiers and medical/dental offices, and collect medical documents when the Soldier cannot.
- Place and maintain medical documentation in the appropriate electronic record HRR as well as the hard copy MRR that includes filing, scanning and maintaining all medical documents as directed by the Army Regulation 40-66 Medical Record Administration.
- Use Electronic Medical Management Processing System (eMMPS) to perform and upload documentations for Soldiers requiring INCAP submission.
- Perform Data base system functions as required in electronic data systems used by the Army NationalGuard to include but not limited to: MEDCHART, AVS, e-Case, HRR, e-Profile, LOD, eMMPS. DENCLASS,WTU, Soldier Locator, and TMDS.
- Coordinate with health services administrative team to obtain pre authorization(s) for treatment with entry of request into MEDCHART.
- Coordinates with SM to ensure all medical readiness issues are properly addressed to minimize the amount of time in non-deployable status.
- Ensure all medical documentation necessary is obtained in order to facilitate approval of any medical treatment or completion of any required examination by a credentialed provider (Chapter 3, MEB, PEB, LOD, INCAP) through coordination with the Soldier, unit, civilian medical providers, or Military Treatment Facilities (MTF).
- Prepare reports and answer ad hoc queries using data from the ARNG Patient Tracking Report on GKO and SPL modules in MODS.
- Perform non-clinical support to SRP and medical readiness events.
- Attend and perform administrative support at medical readiness events and CH3 Evaluations.
- Provide weekly updates and reports of all case management activities to the case manager.
- Coordinate care received by TRICARE and by the Defense Health Agency-Great Lakes (DHA-GL) formerly known as Military Medical Support Office (MMSO) to obtain pre authorization(s) for treatment (coordinated through the Health Systems Specialist).
- Coordinate service member care including consults for those initially using Military Treatment Facilities (MTF), VA, TRICARE network provider, and/or non-network providers.
- Establish a list of available local resources within the state to coordinate care and ensure service membershave alternative options available to receive medical care if not eligible for military health benefits.
- Document medical care plans Bi-monthly (at a minimum) case review in eCase.
- Follow up with SM to ensure all medical readiness issues are properly addressed to minimize the amount of time in non-deployable status.
- Comply with and maintain access all regulations and guidance that are applicable to medical operations and programs of the Army National Guard.
- Ensure accuracy and efficiency of case management process.
- Additional Care Coordinator administrative duties as assigned.
QUALIFICATION REQUIREMENTS
- Working knowledge of problem-solving and decision-making skills.
- Basic CPR Upon Hire Required
- Utilize strong organizational skills necessary to systematize a care plan for several patients at once, while coordinating with diverse healthcare workers who hold varied schedules.
- Highly developed verbal and written communication skills will expedite and facilitate patient understanding of health needs while maintaining a high level of respect and confidentiality for the patients.
- Medical records experience (Medical Records Tech, Medical Records Admin, etc)
- EMR experience
- Preferred: Candidates with experience servicing soldiers/military; E-Case, MEDPROS. Must pass NAC.
EDUCATION REQUIREMENTS
- REQUIRED: High School Diploma.
- PREFFERED: AA degree with medical/medical records experience.
REPORTING INFORMATION
- Work Schedule
- Hours- 7:30 AM- 4:30 PM EST (TBD)
- Days- Monday - Friday *This position requires working some weekends, and or after hours as needed.
- Work Location(s) Cheyenne, WY
- Travel is Required as needed. The candidate will be required to travel to various armories and installations potentially out of state, and throughout Wyoming
- The candidate will be entitled to expenses reimbursed* (*=restrictions on reimbursement items may apply) by the Joint Travel Regulations/ JTR and reimbursed per the current GSA rate at the time of travel.
BENEFITS
Our company offers a wide range of benefits tailored to enhance the work-life- and health balance of our professional staff. Full-time employees in our organization are eligible to participate in the benefits program listed below. Part-time and or Independant Contractor (aka 1099) employees are not eligible to participate in our vacation leave, sick leave, or medical benefits program listed below.
- Vacation Leave and Sick Leave (accrued hours up to 2 weeks annually & available for use as soon as the hours are accrued).
- Sick Leave (accrued hours up to 56 hrs annually & available for use as soon as the hours are accrued).
- Medical
- Dental
- Vision
- Retirement Planning (401K) 3% Employer Matching
- New employees can opt-in to participate in the company retirement (aka 401K) benefit program after 90 days of successful employment.
- Life, AD&D (100% Employer Paid)
- E.A.P.- Employee Assistance Program (100% Employer Paid) assists you with work-life balance and other services that provide professional guidance for overcoming personal or workplace challenges. All employees will receive access to our EAP program
- Identity Theft Protection (100% Employer Paid)
- Short Term Disability
- Pet Assure- (Pet discount program & Traditional Pet insurance)
EEO Statement
Tridant Solutions is an equal opportunity employer for all employees and applicants; we prohibit discrimination and harassment of any type based on race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
We celebrate diversity and are committed to creating an inclusive environment where differences are valued and respected for the benefit of our team, our services, and our diverse communities. Part of our mission is to be an equal opportunity workplace and an affirmative-action employer. Women, minor
Salary : $21 - $25
