Lead Non-Clinical Case Manager

Site Lead Non-Clinical Case Manager

WJM Professional Services, 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.

RESPONSIBILITIES:

· Manage a non-clinical case management team while managing your own caseload.

· Serve as the primary point of contact for all contract personnel.

· Ensure contract performance is following standards.

· Provide Medical Readiness Classification (MRC) correction and analysis.

· Engage in event planning and analysis, medical board completion and analysis, patient risk analysis, and health service support to the Wyoming Army National Guard.

· Enter data into MHS-Genesis, MODS, MEDCHART, PRT, DenClass and other WYARNG specific databases as required depending on the Soldier’s individual medical case requirements.

· Scanning, filing, and tracking of digital and hard-copy Soldier Treatment Records (STR).

· Initiate, document, and follow up on 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).

· Attend PHA events as determined by the needs of the WYARNG and individual

unit requirements.

· Ensure Soldiers 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.

· Support Soldiers in becoming medically ready (MRC 1 or 2) by tracking medical or

dental appointments.

· Communicate with Soldiers’ unit regarding Soldier medical/dental appointments 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.

· 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 Procedures (SOP) and other

regulations and policies as determined applicable by the COR.

· 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.

· 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.

· 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.

· 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 Soldier’s plan of care are 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.

Requirements

· Supervisory experience.

· Previous non-clinical case management experience.

· Must complete Antiterrorism (AT) Level 1, iWATCH, OPSEC, HIPAA, and PII training

· Knowledge of MHS-Genesis, MODS, MEDCHART, and PRT databases.

· Bachelor’s degree in a related field (preferred).

· At least three years of related experience

· Knowledge of Army National Guard medical readiness processes and regulations.

· Experience with medical records management and HIPAA compliance.

· Additional Requirements:

· Strong leadership, communication, and organizational skills.

· Ability to work one weekend per month as needed.

Hours of work:

6:00AM to 10:00PM

Monday through Thursday and required to work one weekend per month

WHO WE ARE!!

WJM Professional Services provides Medical, nursing, and ancillary professionals to the Department of Defense and other government agencies. We also provide administrative professionals, program management, and credentialing services to government contractors and Government agencies.

We are an Equal Opportunity Employer and do not discriminate based on race, ancestry, color, religion, sex, age, marital status, sexual orientation, medical condition, disability, veteran’s status, or any other basis protected by law. For more information on the position and salary please submit a resume.

Job Type: Full-time

Pay: $26.00 - $31.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: In person

Salary : $26 - $31