Lead Case Manager

Valor Healthcare, Inc.•Colchester, VT

7d•Onsite

About The Position

The Vermont Army Reserve National Guard (VTARNG) Office of the Deputy State Surgeon has a requirement to provide Non Clinical Case Management Services for VTARNG service members (SM) thereby promoting fitness and personal wellness for operational readiness and deployability. Non-Clinical case Managers coordinate all aspects of the care of individual patients. They ensure proper utilization of services and resources and provide assistance within, between, and outside of VTARNG facilities.

Requirements

Active, unrestricted Registered Nurse (RN) license in the state of Vermont
Minimum 5 years of case management, care coordination, or utilization management experience
Strong organizational and documentation skills
Ability to work independently in a structured federal environment
U.S. Citizenship required
Ability to pass federal background screening

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred
Experience supporting federal or military-affiliated programs
Experience with medical readiness, occupational health, or wellness programs

Responsibilities

Oversee support to Periodic Health Assessments and Soldier Readiness Processing events by coordinating staffing, priorities, and coverage across the team.
Ensure timely establishment and maintenance of electronic case management profiles by monitoring compliance with required timelines.
Review and validate monthly case status reports prior to submission to ensure accuracy and completeness.
Enforce compliance with Individual Medical Readiness and deployment regulations and ensure proper implementation of medical release procedures.
Maintain program-wide adherence to Health Insurance Portability and Accountability Act standards and data protection requirements.
Monitor medical and administrative charting quality, ensuring completeness and timeliness across all required systems.
Oversee preparation and readiness of Medical Evaluation Board and Physical Evaluation Board documentation and ensure file completeness.
Coordinate with Government personnel to track compliance and resolve discrepancies in case management activities.
Standardize communication practices to ensure consistent and accurate information delivery to Soldiers.
Validate profile management reporting outputs and ensure submission within required timelines.
Ensure timely logging and forwarding of medical documents in accordance with required processing standards.
Lead monthly case reviews with the Deputy State Surgeon and stakeholders, ensuring accurate case presentation and follow-up actions.
Coordinates non-clinical case management by supporting readiness events, maintaining case records, managing documentation systems, preparing board packages, communicating with Soldiers and stakeholders, and tracking medical readiness.