Case Manager

Vergence is growing Federal Government contractor providing mission critical heath care services to government customers both in Indiana and around the United States. We are looking for a Case Manager to assist with a current engagement in Central Indiana. This position is responsible for facilitating case management initiatives and deployment operations including coordinating with Medical Records to ensure timely and accurate processing.

• 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.
• Ensure accuracy and efficiency of case management process
• 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
• Initiate case management and maintain clinical notes referencing Provider’s medical assessments.
• Liaison between MRNCOs and Commanders in completion of required checklist for; 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
• Coordinate continuity of care plans and all referrals when the care is being resourced by the government.
• Ensure completion of required checklist 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 National Guard 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
• 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 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.
• Document medical care plans Bi-monthly (at a minimum) case review in eCase.
• Ensure proper data entry of all Service Members (SM) medical information in appropriate MODS (Medical Operational Data System) within 3 days from the end of an SRP event.
• 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

Requirements:

• Highly organized and possess strong written and oral communication skills.

• Ability to manage priorities and assist team members in a professional and courteous manner.

• Strong Administrative skills and must be a self-starter.