Medical Disability Case Manager

Fortuna BMC

1d • Hybrid

About The Position

Join a high-impact team supporting U.S. Veterans through the Medical Disability Examination (MDE) program led by Deloitte. As a Case Manager, you will play a critical role in ensuring Veterans receive timely and accurate medical examinations that directly support their Compensation & Pension (C&P) claims with the Department of Veterans Affairs.
In this role, you will actively manage cases from start to finish-tracking exam scheduling, monitoring reschedules, verifying required documentation, and ensuring each case progresses smoothly through the process. You will coordinate closely with multiple stakeholders, including internal teams, clinic staff, government partners, and Veterans themselves.
This position requires strong organization, communication, and problem-solving skills, as you will navigate complex situations, manage competing priorities, and interact with individuals from diverse backgrounds. Success in this role comes from your ability to stay detail-oriented, adapt to changing circumstances, and maintain professionalism while supporting Veterans who may require patience, empathy, and clear guidance throughout the process.
Additionally, this role offers the opportunity to take on leadership responsibilities, including supporting team workflows, mentoring peers, and helping drive operational efficiency in a fast-paced, metrics-driven environment.

Requirements

• Ability to review ESRs, medical records, and service records to assess case readiness
• Experience managing case workflows from intake through completion
• Strong coordination skills with claimants, healthcare providers, and internal teams
• Working knowledge of common case processing challenges and escalation pathways
• Excellent communication and stakeholder management skills
• Demonstrated leadership ability, including mentoring and overseeing team members
• Strong organizational skills with the ability to manage multiple concurrent priorities
• Experience with Electronic Health Records (EHR) systems and Microsoft Office Suite
• Ability to work independently while collaborating across cross-functional teams
• Comfort working in a metrics-driven environment with productivity and quality targets
• Ability to navigate complex and sensitive situations with sound judgment
• Willingness to learn and adapt to new tools, including AI and automation technologies

Responsibilities

• Review and process Examination Scheduling Requests (ESRs) received from the VA
• Analyze medical and service records to determine case readiness and required examinations
• Submit and track clarification requests with the VA when additional information is needed
• Coordinate with claimants and clinic staff to schedule examinations and diagnostic testing
• Monitor case progress through completion, ensuring accuracy, timeliness, and completeness
• Serve as a point of contact (POC) for assigned clinics, facilitating communication between stakeholders
• Identify and resolve case issues by coordinating across facilities and operational workstreams
• Maintain detailed case tracking and documentation throughout the lifecycle
• Support operational workflows, including mentoring junior team members and guiding case processing activities
• Contribute to training and onboarding of new Case Management staff
• Communicate updates, risks, and process changes to ensure team alignment
• Collaborate with leadership to improve operational performance, productivity, and quality metrics
• Handle sensitive case information with professionalism, discretion, and compliance standards

Benefits

• Paid sick leave based on state regulations after 90 days of employment
• Medical, dental, and vision coverage after a waiting period (60% paid by Fortuna)
• Free TeleMedicine and Mental Health support for all employees and their families
• Additional voluntary benefits: Group Life Insurance, Accidental Insurance, Critical Care, Short-Term Disability

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed