Case Manager [Remote]

Public Trust: None

Requisition Type: Regular

Your Impact

Own your opportunity to be on the frontlines of health innovation. Deliver for America’s health agency missions and enhance lives for hundreds of millions every day.

Job Description

GDIT is Your Place

Make it your own by discovering new ways to apply the latest technology and processes. Own your opportunity at GDIT and be a meaningful part of improving how agencies operate. Our work depends on an experienced OPTN Case Manager joining our team to support the Health Resources and Services Administration (HRSA).

Program Overview

The Health Resources and Services Administration (HRSA) aims to improve health outcomes by enhancing access to quality services, developing a skilled health workforce, and implementing innovative programs that benefit geographically isolated, economically or medically vulnerable populations. HRSA focuses on increasing health equity and strengthening local health systems through initiatives such as community health centers, the Organ Procurement and Transplantation Network (OPTN), the Ryan White HIV/AIDS Program, and support for maternal and child health.

Position Summary

At GDIT, we foster a people-centric environment. The OPTN Case Manager serves as the primary coordinator for monitoring, compliance, patient safety, and performance improvement activities involving OPTN member institutions, including transplant hospitals, Organ Procurement Organizations (OPOs), and histocompatibility laboratories.

This role is responsible for managing the complete case management lifecycle, including intake, triage, investigation, tracking, analysis, review, resolution, and follow-up. The Case Manager collaborates with HRSA, OPTN committees, member organizations, and contractors to investigate potential policy violations, evaluate patient safety concerns, assess member compliance, and support corrective actions and process improvements.

The ideal candidate combines clinical expertise, case management experience, project coordination skills, strong analytical abilities, attention to detail, and the ability to effectively manage complex case reviews involving multiple stakeholders.

Key Responsibilities

Case Management & Clinical Review

• Manage the secure intake and documentation of patient safety and compliance cases from all reporting sources.
• Assess newly submitted cases for severity, urgency, complexity, and potential patient impact.
• Develop case review plans, including timelines, data requirements, and stakeholder involvement.
• Conduct comprehensive and well-documented case reviews to ensure fair and consistent evaluation of compliance and patient safety concerns.
• Coordinate information gathering, documentation reviews, interviews, and other activities required to evaluate assigned cases.
• Escalate cases as appropriate and coordinate external reviews with organizations such as the Centers for Medicare & Medicaid Services (CMS).
• Monitor and track implementation of corrective actions, including Corrective Action Plans (CAPs).

Case Coordination & Stakeholder Management

• Coordinate case-related activities among HRSA, OPTN committees, member organizations, contractors, and other stakeholders.
• Facilitate communication among stakeholders throughout the case lifecycle.
• Ensure stakeholders receive timely updates regarding case status, documentation requirements, and follow-up activities.
• Document stakeholder roles, responsibilities, and coordination requirements associated with assigned cases.
• Support implementation of case review plans and resolution activities.
• Participate in cross-functional meetings and stakeholder engagements related to case review and compliance activities.

Compliance, Quality, and Process Improvement

• Analyze case information to identify trends, patterns of non-compliance, operational risks, and patient safety concerns.
• Develop recommendations for process improvements, policy enhancements, educational initiatives, and corrective actions.
• Provide insights and recommendations to HRSA and other stakeholders regarding compliance risks and mitigation strategies.
• Support continuous quality improvement initiatives related to case management workflows and oversight processes.
• Review historical case data and operational findings to identify opportunities for process improvement.
• Recommend strategies to strengthen oversight, accountability, and compliance among OPTN member organizations.

Project Coordination & Administration

• Manage multiple concurrent cases and priorities while ensuring timely progression and resolution.
• Track case milestones, deliverables, deadlines, and follow-up activities.
• Coordinate activities with internal teams, contractors, and external stakeholders as necessary to support case review and resolution.
• Maintain accurate documentation of case activities, findings, and outcomes.

Documentation, Reporting & Record Management

• Ensure appropriate handling, redaction, storage, and transfer of sensitive information and records.
• Maintain accurate and complete case documentation in accordance with established procedures.
• Develop and maintain case tracking tools and systems to monitor case status, metrics, milestones, and outcomes.
• Prepare recurring and ad hoc reports for HRSA, OPTN committees, and other stakeholders.
• Draft comprehensive case reports summarizing findings, decisions, recommendations, and follow-up actions.

Technical & Data Management

• Utilize case management and tracking systems to maintain accurate records and reporting.
• Analyze case and operational data to support decision-making and trend identification.
• Ensure stakeholders have timely access to information needed to support case review and resolution activities.
• Support enhancements to case tracking, reporting, and workflow management tools.

Required Qualifications

Clinical & Case Management Experience

• Clinical degree required, such as:
  • Bachelor of Science in Nursing (BSN)
  • Registered Nurse (RN)
  • Medical Doctor (MD)
  • Doctor of Osteopathic Medicine (DO)
  • Physician Assistant (PA)
  • Other relevant clinical degree and licensure
• Minimum of six (6) years of experience in case management, clinical review, quality improvement, auditing, investigations, compliance, transplantation, or related healthcare operations.
• Demonstrated experience managing complex healthcare cases involving multiple stakeholders.
• Experience reviewing and interpreting clinical information and assessing potential patient safety concerns.

Project Coordination & Organizational Skills

• Strong project coordination and organizational skills.
• Demonstrated ability to manage multiple priorities and deadlines in a fast-paced environment.
• Exceptional attention to detail and commitment to documentation accuracy.
• Ability to independently organize, prioritize, and manage assigned work.

Communication & Interpersonal Skills

• Excellent written and verbal communication skills.
• Ability to communicate effectively with clinicians, healthcare administrators, federal staff, contractors, and other stakeholders.
• Strong collaboration, facilitation, and stakeholder management skills.
• Ability to present findings, recommendations, and case outcomes in a clear and professional manner.

Technical Skills

• Strong computer skills and demonstrated proficiency with:
  • Microsoft Word
  • Microsoft Excel
  • Microsoft PowerPoint
  • Microsoft Outlook
  • Microsoft Teams
• Experience using case management, compliance tracking, reporting, or workflow management systems.
• Ability to analyze and interpret data to support operational and compliance activities.

Professional Requirements

• Demonstrated ability to handle sensitive and confidential information with discretion and professionalism.
• Ability to travel throughout the United States up to 15% of the time.
• Must be able to obtain and maintain a Public Trust clearance.

Preferred Qualifications

• Experience in transplantation, organ donation, organ procurement, or related healthcare fields.
• Experience working with transplant centers, Organ Procurement Organizations (OPOs), histocompatibility laboratories, or similar organizations.
• Project Management Professional (PMP) certification or other project management certification.
• Experience supporting federal healthcare programs, quality oversight programs, accreditation activities, or regulatory review processes.
• Familiarity with OPTN operations, member compliance activities, patient safety reviews, or performance monitoring processes.

GDIT IS YOUR PLACE
At GDIT, the mission is our purpose, and our people are at the center of everything we do.
● Growth: AI-powered career tool that identifies career steps and learning opportunities
● Support: An internal mobility team focused on helping you achieve your career goals
● Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
● Flexibility: Full-flex work week to own your priorities at work and at home
● Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY
Explore a career in program management at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your passion for the mission and delivering results.

#GDITFedHealthJobs #GDITHealth

Work Requirements

Years of Experience

6 + years of related experience

* may vary based on technical training, certification(s), or degree

Certification

Travel Required

Less than 10%