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(Archived) Non- Clinical Case Manager

Last Updated: 10/10/14

Job Description

Loyal Source Government Services is currently hiring a Non- Clinical Case Manager in Jackson, MS. To apply, please contact Chris Moore [Register to View] or at [Register to View] Company Info: Loyal Source Government Services prides itself on providing elite medical services to the Department of Defense, Department of Veterans Affairs, and other federal agencies. Loyal Source is a prime contract holder on the Air Force medical services contract and hires all healthcare specialties nationwide, along with technical, engineering, and training services for various government installations. Loyal Source also provides excellent compensation and benefits. For more company information please visit our website at [Register to View] OUR NAME “Loyalty is willing in that it is freely given, not coerced. It is chosen after personal consideration, not something that one is born into. Loyalty is practical in that it is practiced. It is actively engaged upon, not passively expressed merely as a strong feeling about something. Loyalty is thoroughgoing in that it is not merely a casual interest but a wholehearted commitment to a cause." -Royce JOB REQUIREMENTS Non-clinical Case Management Support – Individual must have graduated from an accredited nursing school as Non-clinical Case Managers to provide pre-mobilization IMR support to include identification and tracking of Soldiers who are not Fully Medically Ready (FMR) either for dental or medical concerns. Cases will be obtained from home station (HS) or mobilization station (MOBSTA) SRP events or those Soldiers determined non-medically or non-dentally ready through other means (e.g. during their annual PHA.) Case Managers shall assist Soldiers to become FMR by assisting with and tracking medical and dental appointments and maintaining communication as required with the Soldiers they are managing. All cases, regardless of type (medical or dental) or duration, must be documented in the Medical Non-Deployable (MND) Module of the Medical Operational Data System (MODS). Nurse Case Managers shall have a monthly team meeting with the COR, Deputy State Surgeon (DSS) and Health Services Specialist (HSS) to review all cases in progress. Because this requirement involves multiple working locations, these meetings may be conducted either in person or via telephonic or video conferencing. The Case Managers shall be responsible to know the associated MSARNG web-based electronic data systems via MODS to include: MND, Dental Classification Module (DENCLASS), Health Readiness Record (HRR), Medical Data Protection System (MEDPROS), Soldier Patient Locator (SPL), Line of Duty (LOD), Automated Voucher System (AVS) and the Warrior Transition Report (WTR). The Case Managers shall be familiar with the regulations and policies that apply to Individual Medical Readiness (IMR) and deployment. The Contractor Nurse Case Managers shall perform the following tasks for the MSARNG in the execution of Non-clinical Case Management Support: Maintains appropriate licensure and credentials to include current Registered Nurse (RN) License and Basic Life Support (BLS). Coordinate with Soldiers to assess and arrange for the treatment of Soldiers with conditions that have or will result in them being Medically/Dentally non-deployable. Such services include outreach, assisting with appointment scheduling, and going to SRPs, (both for mobilization/deployment and routine readiness). Assist Soldier’s in the Medical Screening program in conjunction with the DSS. Assists with appointments and ensures documentation is retrieved from appointments and placed in appropriate electronic record, as well as the Soldier’s hard copy medical record. Tracks and assist in the guidance of a Soldier’s care from the receipt of the condition to when the Soldier is deployable or the documentation is sent to the Health Services Specialist (HSS) for a Fitness for Duty evaluation where appropriate or to a MEB, PEB or Personnel Board. Will then assist the Soldier in coordination with the HSS to facilitate the expeditious processing through the appropriate medical board. Performs initial interviews with Soldiers regarding a deployment limiting condition within 48 hours of notification of a Soldier with a deployment limiting condition. Ensures the Soldier understands his/her responsibilities and obtains a release of information form. Provide information to Soldiers about their privacy rights and how their information can be used (have Soldiers sign consents). Shall also be responsible for protecting the confidential nature of Soldiers’ files and medical issues. During follow-up interviews the Case Manager shall coordinate treatment plans and all referrals when the care is being resourced by the government (i.e. Dental Treatment using Reserve Health Readiness Program (RHRP) or local contracts with 2020/VFRE funds). Assist the MSARNG Surgeon’s Office in maintaining Soldier medical records in accordance with Army Regulation (AR) 40-66. Assist the MSARNG Surgeon’s Office in coordinating care received by TRICARE and by the Military Medical Support Office (MMSO) to obtain prior authorization for treatment during the Early TRICARE period, up to 90 days prior to Mobilization (the Nurse Case Managers do not establish eligibility, this is a personnel function). Assist the MSARNG Surgeon’s Office in providing the State Medical Detachment Patient Administration (PAD) Officer or delegate with all relevant medical/dental documentation. Operates a personal computer to input, store, retrieve and manipulate data for various reports as required by this PWS. Uses various software programs to maintain database files and prepare reports. Must be proficient in Microsoft Word, Excel, PowerPoint and Outlook, and is familiar with and become proficient with the use of the following MODS modules: MND, HRR, DENCLASS, MEDPROS, SPL, LOD and WTR. Documents results of a Bi-weekly case review in the referrals tab of the MND Module. These reviews will be used in the monthly meeting with the DSS. Nurse Case Managers shall inform MSARNG provider(s) responsible to evaluate follow up of the Soldiers’ status and furnish them with the mandatory information/documentation. Assist the MSARNG Surgeon’s Office in coordinating Soldiers’ health care including consults for those initially using Military Treatment Facilities (MTF), VA, TRICARE network provider, and non-network providers. Assist the MSARNG Surgeon’s Office in establishing a list of available local resources within the state to ensure Soldiers have alternative options available to receive medical or dental care if not eligible for military health benefits. Assist the MSARNG Surgeon’s Office in educating Soldiers on resources available to improve medical and dental readiness (TRICARE Dental Program (TDP), local community resources, ARNG sponsored programs, e.g., Decade of Health, [Register to View] State Medical and Dental programs, etc.). The Nurse Case Manager shall assist in preparing Line of Duty (LOD) paperwork for units for which they are responsible. Shall provide the aforementioned Case Manager personnel to the MSARNG as required. Nurse Case Managers shall support the DSS. The Nurse Case Manager shall provide a weekly MND Case Report to the DSS. The report shall include number of new referrals initiated, active cases and number of closed cases. The Nurse Case Manager shall review for accuracy MEDPROS data before SRPs to assist with early identification of non-deployable Soldiers. The Nurse Case Manager shall enter Individual Vouchers for identified Soldiers into the Automated Voucher System (AVS) in furtherance of a Soldier’s care plan. The Nurse Case Manager will prepare and submit, once approved by the DSS, the weekly Situational Report (SITREP) report for assigned office. The Nurse Case Manager will assist in resolving scheduling conflicts for Soldiers needing Medical or Dental care as assigned by the DSS. The Nurse Case Manager will handle all contacts and work closely with other offices on related medical issues. The DSS, through the COR and Contracting Officer, may request the Contractor assign the Nurse Case Manager other non-clinical medical/dental case management responsibilities as necessary to ensure complete and efficient management and processing of cases, so long as said responsibilities are within the scope of the statement of work and approved through bi-lateral modification. It is necessary for the Nurse Case Manger to have access to the DoD network. Experience: The Contractor Nurse Case Managers shall have at least 12 months experience in the medical or health care field within the past 36 months.

Company Details

Orlando, Florida, United States
At Loyal Source Government Services we focus on hiring quality Healthcare professionals to fill the needs of the Department of Veterans Affairs, United States, Air Force, United States Army, United States Navy, United States Coast Guard, Indian Health Care facilities and other governmental agencies.