Lead Medical Case Manager

French Consulting•Warner Robins, GA

10d•Hybrid

About The Position

French Consulting is seeking a Lead Medical Case Manager to run day-to-day case management operations for the Aerospace and Operational Medicine Division at Headquarters Air Force Reserve Command, Robins Air Force Base. The role involves managing a caseload while directing a team responsible for the medical readiness of Air Force Reservists.

Requirements

Demonstrated case-management/adjudication experience gained in a military or civilian medical-standards environment with experience processing and managing physical exams and medical standards, gained in a military medical environment or an equivalent civilian aeromedical, occupational health, or disability evaluation system.
Working knowledge of, or demonstrated ability to rapidly acquire proficiency in, Air Force and DoD medical systems including AIMWTS, PEPP, Periodic Health Assessment programs, Joint Legacy Viewer, Management Internal Control Toolset, Salesforce, Moveit CIB, MyFSS, and BOMC KX.
Working knowledge of medical standards for retention, flying classes, Line of Duty determinations, and special operational duty, including the Aeromedical Waiver Guide and the Medical Standards Directory.
Basic knowledge of anatomy, physiology, and disorders of human body systems, plus working knowledge of medical terminology and ICD-10 coding.
Excellent customer service, oral and written communication skills, with the ability to translate complex medical and administrative instructions to a service member's level of understanding.
Proficiency with PDF software and the Microsoft Office Suite (Word, Excel, Outlook, PowerPoint), plus proficient typing skills.
Able to obtain and maintain a favorable Tier 1 background investigation (National Agency Check with Inquiries) or equivalent.
Demonstrated experience in a lead, supervisory, or team-coordination capacity within a case management, medical records, or medical administrative function.

Nice To Haves

Prior experience leading or supervising a case management, medical records, or medical administrative team.
Prior experience in a military or federal health care setting.
Active professional license or certification such as Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), or Certified Case Manager (CCM).

Responsibilities

Lead a 15-person team and serve as the single point of contact for all AFRC support.
Process aeromedical and non-flying medical cases, updating case status in the Aeromedical Information Management Waiver Tracking System (AIMWTS), Electronic Case Tracking (ECT), and Physical Exam Processing Program (PEPP) as status changes.
Review case files submitted by Reserve Medical Units, the Aeromedical Consult Service, and Recruiting Services, confirming all required data is present before adjudication.
Provide quality assurance oversight on case dispositions completed by the Medical Case Manager team.
Escalate urgent cases and coordinate schedule evaluations with the Aeromedical Consult Service, the nearest Military Treatment Facility, and outside civilian providers.
Notify the Contracting Officer's Representative in writing of any staffing vacancy and the estimated time to fill it.
Provide courtesy notice to the Contracting Officer's Representative of any absence affecting the day's workflow, within 24 hours of the scheduled start time.
Attend weekly transition meetings with the Government during onboarding and lead the team's system-access coordination and shadowing schedule.
Schedule Co-Work and PTOC part-time personnel across the Medical Case Manager and Aeromedical Administrative Specialist teams to cover normal operations and any surge in casework.