Lead Non-Clinical RN Case Manager

Job Description

Job Description

Position Description: Today's Solutions LLC (TSL) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) and SBA 8(a) certified company providing Healthcare IM/IT consulting and case management services to the Department of Defense and Veterans Administration. TSL currently performs Non-Clinical Case Management Services for the Connecticut Army National Guard and seeks a Lead RN Case Manager to lead our team supporting the Vermont Army National Guard (VTARNG) at Camp Johnson, Colchester, Vermont. This is a high-impact, mission-driven position that directly affects the medical readiness and deployability of Vermont's National Guard Soldiers.
What You Will Do
•\tServe as the primary point of contact between TSL and the VTARNG Deputy State Surgeon's office.
•\tLead a team of 2 RN Case Managers and 2 Medical Records Technicians in daily case management operations.
•\tEstablish and maintain eCase profiles for all referred Soldiers within 1 workday of provider referral (PWS 5.2).
•\tCoordinate Soldier treatment plans with military and civilian providers, track all medical appointments, and manage MEB/PEB board preparation (PWS 5.7, 5.12).
•\tComplete all medical charting and documentation in eCase, MEDCHART, MEDPROS, AHLTA, MWDE, HRR, and DENCLASS within 3 business days of each encounter (PWS 5.6).
•\tPrepare and deliver monthly case status reports and MRC3/DRC3 profile management reports by the 7th calendar day (internal target: 5th day) of each month (PWS 5.3, 5.10).
•\tSupport Soldier Readiness Processing (SRP), Periodic Health Assessment (PHA) events, and Fort Bliss mobilization events (Technical Exhibit 3).
•\tEnsure full HIPAA compliance, maintain zero PII/PHI breach standards, and execute the Business Associate Agreement prior to performance.
•\tServe as Contract Manager — coordinate with TSL CEO/QAO, submit required deliverables per Technical Exhibit 2, and ensure all PWS requirements are met.
Mandatory Qualifications
•\tLicensure (Required): Active, unrestricted Registered Nurse (RN) license. Vermont single-state license OR valid NLC multi-state compact license with Vermont practice privileges.
•\tClinical/CM Experience (Required): Minimum two (2) years of relevant clinical or case management nursing experience.
•\tSupervisory Experience (Required): Minimum two (2) years of supervisory or team lead experience in a clinical or case management setting — documented separately from clinical experience.
•\tSecurity (Required): U.S. Citizen — eligible for Tier 1 (NACI) background investigation to obtain a Common Access Card (CAC) and DoD IT network access.
Preferred Qualifications (These Differentiate Your Candidacy)
•\tEducation: Bachelor of Science in Nursing (BSN) or higher degree.
•\tCertification: Current Certified Case Manager (CCM) credential or equivalent.
•\tArmy System Experience: Documented, recent (within 5 years) direct experience using Army medical readiness systems — MEDCHART, MHS GENESIS, MEDPROS, AHLTA, or eCase.
•\tMilitary Background: Prior military service or civilian experience supporting a Military Health System (MHS) or National Guard medical readiness program.
Why Join TSL
•\tMission-driven work directly supporting the medical readiness and deployability of Vermont National Guard Soldiers.
•\tCompetitive compensation at or above WD 2015-4137 RN III rates plus supervisory differential.
•\tHealth and Welfare benefits provided per EO 13706 standards. Paid sick leave provided separately.
•\tTSL is led by a retired Army Patient Administration Officer (70E) who has operated on the Government side of the MEB/PEB table — you will receive expert leadership support.
•\tTSL has zero PII/PHI data breaches and zero cure notices across our entire federal contract history.
Position Responsibilities: 75.00% - •\tData entry into MHS-Genesis, MODS, MEDCHART, PRT, DenClass and other WYARNG specific databases as required depending on the Soldier's individual medical case requirements.
•\tStamp all medical/dental documents received with a date stamp and action completed after uploading to the appropriate electronic application.
•\tSubmit case process, medical documentation and profile concerns to the LCM, COR, military personnel, or provider to ensure Soldiers conditions are properly handled.
•\tAttend PHA events as determined by the needs of the WYARNG and individual unit requirements.
•\tEnsure Soldier referred by a provider for specific medical tests or other requirements are tracked to sufficiently support provider orders.
•\tContact Soldiers and appropriate medical/dental offices to obtain medical documentation and information regarding cases for treatment plan review.
•\tScanning, filing, and tracking of digital and hard-copy Soldier Treatment Records (STR).
•\tInitiate, document and follow-up of Soldier profiling actions and treatment requirements.
•\tLog contact (email, telephone, or personal conversations) and updates with Soldiers, their cases, or their unit administrative support in eCase and/or other medical systems.
•\tInitiate, process and track all medical board cases (MED, NDR-PEB, MAR2).
•\tDocument 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.
•\tFollow 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
•\tCoordinate 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.
•\tSupport Soldier in becoming medically ready (MRC 1 or 2) by tracking medical or dental appointments.
•\tCommunicate with Soldier's unit regarding Soldier medical/dental appointment to ensure attendance and submission of follow-up documentation.
•\tRequest and track profile exams, medical evaluations, and audiology exams at PHA events and when required.
•\tReview and track abnormal health assessment lab results; contact the Soldier and their unit to follow-up and coordinate if further testing is required.
•\tMaintain 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.
•\tEnsure 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.
•\tInform providers of Soldier medical/dental status and furnish the provider with necessary information and documentation to support an appropriate military medical determination.
•\tManage Soldier's care from point of notification until Soldier is returned to an MRC 1 or 2 status or administratively separated from the military.
•\tMeet 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.
•\tEnsure proper maintenance of Soldier medical/dental records in accordance with HIPAA and the Privacy Act.
•\tValidate the accuracy of the electronic and hard-copy information of the Soldier's treatment plan and the STR.
•\tObtain Soldier's signature on the release of information form when required.
•\tPerform MEDCHART system and application actions as required.
•\tPerform MODS system and application actions as required.
•\tEnsure 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:
•\tUpon receipt of documentation.
•\tWhen Soldier's medical status changes.
•\tAfter communication with civilian or military medical authorities.
•\tAfter contact with the Soldier.
•\tAt least every 30 days for all open cases.
•\tMonitor MEDPROS to ensure the appropriate MRC status is reflected.
•\tRetrieve and manage Soldier records in preparation of medical board packets, pre-deployment medical readiness events and case reviews.
•\tTrack medical and dental appointments.
•\tContact unit personnel and Soldiers to remind them of an appointment and to confirm attendance.
•\tReview 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.
•\tEnsure proper disposition of STR based upon SM transfer, retirement, or discharge from service.
•\tProvide copies of supporting STR transfer documents to the COR no later than seven calendar days after the end of the month.
Job Advertisement: Today’s Solutions LLC s 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 thenon-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. $42.00 - $42.70 Hourly