Registered Nurse III – Case Manager

Nitelines Usa•Augusta, ME

21h

About The Position

NEEDED: Registered Nurse III – Case Manager LOCATION(S): 194 Winthrop Street, Camp Keyes, Augusta, Maine 04333 11 Ordnance Rd., Brunswick, Maine 04011 Regional Training Institute: 289 Hildreth St., Bangor, Maine 04401 QUALIFICATIONS: Must be a Registered Nurse III (RN III). A Certified Case Manager (CCM) certification is preferred for this role. Required to have a minimum of two years of experience in case management Must have three years of clinical experience. JOB DUTIES: Non-Clinical Medical Case Manager: Review privacy rights with each Service Member (SM) and explain how their information can be shared. The SM must sign DD Form 2870, Release of Information (ROI), during initial contact to facilitate the retrieval of medical records from civilian sources. For documentation obtained from the VA electronic system, the VA-specific Release of Information form must be completed instead of DD Form 2870 to access Veterans Administration (VA) medical records. All Case Managers are required to have access to MHS GENESIS to retrieve active-duty medical notes for medical case management purposes. Access to MHS GENESIS will be coordinated through the Contracting Officer’s Representative (COR). Conduct a thorough review of all electronic Department of Defense (DoD) systems, including MEDPROS, eCASE, medical readiness portals, and behavioral health portals, prior to Medical Readiness Events (MRE) to facilitate the early identification of non-deployable Soldiers. Conduct a review of all open cases every 21 calendar days to ensure that each Service Member (SM) with an open case is being properly tracked, managed, and receives communicated. Conduct interviews with Soldiers either via telephone or in person and record the communication in the eCase module. This must be completed within three (3) business days following the interaction with the Soldier. All documentation and charting must be labeled as “MEDPROS Posted” after the Case Manager has uploaded the information into the appropriate DoD electronic system. Record, track, and document Service Member interviews and interactions in the Medical Data for Care History and Readiness Tracking (MEDCHART) applications. All documentation must be completed within 15 calendar days of the interaction with the Service Member. Additionally, follow-up input into the Medical Operational Data Systems (MODS) from Periodic Health Assessment (PHA) and Soldier Readiness Processing (SRP) events must be completed within 30 calendar days of the event. Adhere to all regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, including AR 40-501, Army Directive 2018-22, DODI 1332.45, HQDA EXORD 054-17, and CENTCOM MOD 16. The Case Manager must ensure compliance with all Health Information Portability and Accountability Act (HIPAA) standards and complete a HIPAA certification course annually. Certificates for each team member must be submitted within 15 calendar days of contract award and annually thereafter. Attend and provide the required services at all Medical Readiness Events (MRE) and Soldier Readiness Processing (SRP) events. Scan and index all medical documents received during the performance of assigned tasks. Documents must be labeled as “MEDPROS Posted,” as outlined in Section 5.1.4, and subsequently returned to the MEDCOM medical records custodian. Generate and provide any new system-generated reports as new DoD systems or software with reporting capabilities become available. Monitor and track the medical status of all assigned Soldiers. Coordinate and schedule profile examinations, evaluations, and audiology exams at the designated periodic health examination facility. Coordinate Soldier treatment plans with the appropriate medical facilities. Review the automatically generated referral list from MEDCHART DoD systems daily following each Medical Readiness Event (MRE). The Case Manager must address these referrals by scheduling follow-up appointments with an Army medical provider to discuss the referral and determine any necessary further actions. Communicate with Soldiers to gather information for their case management files and ensure that referrals made by providers are properly followed up on. Oversee the Soldier’s care from the initial identification of the condition through to the point where the Soldier is either deemed medically ready and returned to duty or administratively separated from the military. Inform and educate Soldiers about the resources available to enhance their medical and dental readiness. Review and monitor health assessment lab results, contact Service Members (SM), and provide education on lifestyle modifications to improve their health and readiness. Update the Medical Operational Data Systems (MODS) as required with information on immunizations, pregnancy status, eye examinations, and medical warning tags. Monitor medical appointments by coordinating with the Service Member's unit to confirm attendance and ensure the submission of follow-up documentation. Generate and deliver the MEDPROS MRC3/MRC4 report to the DSS no later than five (5) days following the event. Regularly monitor MEDPROS to verify that all scheduled services are completed, updated, and that the current medical status of Service Members is accurately reflected. Provide liaison services and coordinate with the DSS on the most difficult case files. Ensure that Soldiers with P3 or P4 profiles are promptly brought to the attention of the State Surgeon Office or their representative, typically the DSS, to ensure Integrated Disability Evaluation System (IDES) referrals are tracked. A profile with one or more numerical designators of “3” indicates the presence of medical conditions or physical defects requiring significant limitations and referral to the IDES system. These cases involve additional case management duties beyond the standard case management processes. Ensure the timely and accurate mailing of all medical records to and from mobilization sites, completing the process no later than 30 calendar days prior to the Soldier’s report date. Possess comprehensive knowledge of and provide assistance with all aspects of Case Management operations and procedures. Prepare medical documentation for Line of Duty (LOD) investigations for assigned units in coordination with Health Service Support (HSS). Input individual vouchers or events for Service Member (SM) Individual Medical Readiness (IMR) requirements into the QTC Reserved Health Readiness Program when a Soldier misses a Medical Readiness Event (MRE) or Soldier Readiness Processing (SRP). Coordinate with Health Service Support (HSS) to guide Soldiers through the medical board process. Complete DD Form 771 and input the information into the Spectacle Request Transmission System (SRTS) to order glasses for deploying units.

Requirements

Must be a Registered Nurse III (RN III).
Required to have a minimum of two years of experience in case management
Must have three years of clinical experience.

Nice To Haves

A Certified Case Manager (CCM) certification is preferred for this role.

Responsibilities

Review privacy rights with each Service Member (SM) and explain how their information can be shared.
Conduct a thorough review of all electronic Department of Defense (DoD) systems, including MEDPROS, eCASE, medical readiness portals, and behavioral health portals, prior to Medical Readiness Events (MRE) to facilitate the early identification of non-deployable Soldiers.
Conduct a review of all open cases every 21 calendar days to ensure that each Service Member (SM) with an open case is being properly tracked, managed, and receives communicated.
Conduct interviews with Soldiers either via telephone or in person and record the communication in the eCase module.
Record, track, and document Service Member interviews and interactions in the Medical Data for Care History and Readiness Tracking (MEDCHART) applications.
Adhere to all regulations and policies applicable to Individual Medical Readiness (IMR) and deployment
Attend and provide the required services at all Medical Readiness Events (MRE) and Soldier Readiness Processing (SRP) events.
Scan and index all medical documents received during the performance of assigned tasks.
Generate and provide any new system-generated reports as new DoD systems or software with reporting capabilities become available.
Monitor and track the medical status of all assigned Soldiers.
Coordinate and schedule profile examinations, evaluations, and audiology exams at the designated periodic health examination facility.
Coordinate Soldier treatment plans with the appropriate medical facilities.
Review the automatically generated referral list from MEDCHART DoD systems daily following each Medical Readiness Event (MRE).
Communicate with Soldiers to gather information for their case management files and ensure that referrals made by providers are properly followed up on.
Oversee the Soldier’s care from the initial identification of the condition through to the point where the Soldier is either deemed medically ready and returned to duty or administratively separated from the military.
Inform and educate Soldiers about the resources available to enhance their medical and dental readiness.
Review and monitor health assessment lab results, contact Service Members (SM), and provide education on lifestyle modifications to improve their health and readiness.
Update the Medical Operational Data Systems (MODS) as required with information on immunizations, pregnancy status, eye examinations, and medical warning tags.
Monitor medical appointments by coordinating with the Service Member's unit to confirm attendance and ensure the submission of follow-up documentation.
Generate and deliver the MEDPROS MRC3/MRC4 report to the DSS no later than five (5) days following the event.
Regularly monitor MEDPROS to verify that all scheduled services are completed, updated, and that the current medical status of Service Members is accurately reflected.
Provide liaison services and coordinate with the DSS on the most difficult case files.
Ensure that Soldiers with P3 or P4 profiles are promptly brought to the attention of the State Surgeon Office or their representative, typically the DSS, to ensure Integrated Disability Evaluation System (IDES) referrals are tracked.
Ensure the timely and accurate mailing of all medical records to and from mobilization sites, completing the process no later than 30 calendar days prior to the Soldier’s report date.
Possess comprehensive knowledge of and provide assistance with all aspects of Case Management operations and procedures.
Prepare medical documentation for Line of Duty (LOD) investigations for assigned units in coordination with Health Service Support (HSS).
Input individual vouchers or events for Service Member (SM) Individual Medical Readiness (IMR) requirements into the QTC Reserved Health Readiness Program when a Soldier misses a Medical Readiness Event (MRE) or Soldier Readiness Processing (SRP).
Coordinate with Health Service Support (HSS) to guide Soldiers through the medical board process.
Complete DD Form 771 and input the information into the Spectacle Request Transmission System (SRTS) to order glasses for deploying units.