Case Manager

General Dynamics Information Technology • USA DC Home Office (DCHOME), DC

7d • $93,662 - $123,050 • Remote

About The Position

The OPTN Case Manager supports the Health Resources and Services Administration (HRSA) by coordinating monitoring, compliance, patient safety, and performance improvement activities involving OPTN member institutions, including transplant hospitals, Organ Procurement Organizations (OPOs), and histocompatibility laboratories. The role manages cases throughout their lifecycle—from intake and triage through investigation, analysis, resolution, and follow-up—and works with HRSA, OPTN committees, member organizations, contractors, and other stakeholders to evaluate potential policy violations, patient safety concerns, and compliance issues.

The Case Manager develops and carries out case review plans, coordinates information gathering and stakeholder communication, tracks corrective actions, and maintains accurate and secure case records. The position also analyzes case data and trends, prepares reports and recommendations, supports quality improvement and oversight processes, and manages multiple concurrent cases. This is a remote role with travel required as stated in the posting.

Requirements

• A clinical degree and relevant licensure are required; examples include BSN, RN, MD, DO, PA, or another relevant clinical degree and licensure.
• At least six 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.
• Strong project coordination and organizational skills, including the ability to manage multiple priorities and deadlines in a fast-paced environment.
• Exceptional attention to detail and commitment to accurate documentation.
• Ability to independently organize, prioritize, and manage assigned work.
• Excellent written and verbal communication skills and the ability to communicate 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 clearly and professionally.
• Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and Teams.
• Experience with case management, compliance tracking, reporting, or workflow management systems.
• Ability to analyze and interpret data for operational and compliance activities.
• Ability to handle sensitive and confidential information with discretion and professionalism.
• Ability to travel throughout the United States; the posting states up to 15% in the qualifications and less than 10% in the travel details.
• Must be able to obtain and maintain a Public Trust clearance.

Nice To Haves

• Experience in transplantation, organ donation, organ procurement, or related healthcare fields.
• Experience working with transplant centers, OPOs, histocompatibility laboratories, or similar organizations.
• PMP certification or another 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.

Responsibilities

• Manage secure intake and documentation of patient safety and compliance cases from all reporting sources.
• Assess cases for severity, urgency, complexity, and potential patient impact.
• Develop case review plans, including timelines, data requirements, and stakeholder involvement.
• Conduct documented case reviews of compliance and patient safety concerns.
• Coordinate information gathering, document reviews, interviews, and other case evaluation activities.
• Escalate cases as appropriate and coordinate external reviews, including with CMS.
• Monitor corrective-action implementation, including Corrective Action Plans (CAPs).
• Coordinate case activities and facilitate communication among HRSA, OPTN committees, member organizations, contractors, and other stakeholders.
• Provide timely case-status, documentation, and follow-up updates to stakeholders, and document stakeholder roles and responsibilities.
• Participate in cross-functional meetings and stakeholder engagements related to case review and compliance.
• Analyze cases to identify trends, non-compliance patterns, operational risks, and patient safety concerns.
• Recommend process improvements, policy enhancements, educational initiatives, corrective actions, and compliance-risk mitigation strategies.
• Support continuous quality improvement and review historical case data to identify improvement opportunities.
• Manage concurrent cases and track milestones, deliverables, deadlines, and follow-up activities.
• Maintain accurate documentation of case activities, findings, and outcomes; handle sensitive records appropriately, including redaction, storage, and transfer.
• Develop and maintain case tracking tools and systems for case status, metrics, milestones, and outcomes.
• Prepare recurring and ad hoc reports and draft comprehensive case reports with findings, decisions, recommendations, and follow-up actions.
• Use case management and tracking systems, analyze operational data, and support improvements to tracking, reporting, and workflow tools.
• Travel throughout the United States as required.

Benefits

• Comprehensive benefits and wellness packages.
• 401(k) with company match.
• Medical plan options, including some with Health Savings Accounts.
• Dental and vision plan options.
• Full-flex work weeks where possible.
• Paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement, and jury duty leave.
• Typically 15 days of paid leave per calendar year for new employees, prorated based on hire date.
• An additional 10 paid holidays per year, prorated based on hire date.
• Paid Family Leave of up to 160 hours in a rolling 12-month period for eligible employees.
• Short- and long-term disability benefits.
• Life, accidental death and dismemberment, personal accident, critical illness, and business travel and accident insurance, provided or available.
• Growth and learning opportunities through an AI-powered career tool.
• Internal mobility support.
• Competitive pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior