Non-Clinical Care Coordinator

Overview

The Work:

The Non-Clinical Care Coordinator provides Case Management Services to support our client’s health and human service needs. The Non-Clinical Care Coordinator shall be familiar with the regulations and policies that apply to Individual Medical Readiness (IMR) and deployment. The position is to assist the client with adhering to three primary goals for Case Management (CM): Improving the care, management and transition of recovering service members; Broaden the application of CM to include those with complex and at-risk needs before complex care; Evaluate the impact of CM on the quality of military health care.

This position performs all duties and responsibilities in accordance with the Mission, Vision, and Core Values of Cayuse.

Responsibilities

Key Responsibilities:

• Manage the care and associated documentation of each assigned Soldier in accordance with the individualized treatment plan.
• Tracking medical status of ALL assigned patients.
• Medical charting in eCase (MEDCHART).
• Request profile exams/evaluations and audiology exams at physical exam center NLT than 7 business days of interaction with service member.
• Coordinate treatment plans with appropriate medical facilities NLT 10 business days following medical appointment.
• Maintain 95% of all automated referrals indicated in MEDCHART.
• Submit case processing, medical documentation, and profile concerns to military/contacted provider.
• Attend Medical Readiness events (also known as PHAs) events as determined by the needs of the state and the individual units. At minimum one event will be attended each year.
• Ensure patients referred by a provider are followed by the case management team within 7 calendar days of referral.
• Manage patient care from the identification of the condition to when the patient is either considered medically ready.
• Follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include the AR 40-501 and other applicable guidance.
• Ensuring all, with <5% margin or effort, medical documentation received from the patient and/or their medical team is received and placed in appropriated electronic record, as well as the Soldier’s hard copy record.
• Maintain patient’s medical records in accordance with the client’s regulations.
• Provide records custodian or delegate with all relevant medical/dental documentation.
• Obtain release of information documents from the patient within 15 calendar days of interaction with patient.
• Educate on all resources available to improve medical and dental readiness.
• Maintain Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.
• Review and track all, with a <5% margin of error, (PHA, SRP) lab results contact SM and educate on lifestyle modifications.
• Upload, stamp and index all, with a <5% margin of error, medical documents of case managed Soldiers into Health Readiness Record (HRR).
• MODS entry of immunizations, designation of pregnancy, eye exams, medical warning tags of all soldiers, with a <5% margin of error.
• File all medical documents received for case management to Records Custodian using a document evidencing transfer of custody from the Contractor to the government. Copy of each supporting transfer document shall be provided to the COR at the end of each month, submitted no later than 7 calendar days through the beginning of the next month.
• Track all medical appointments by communication with unit to ensure Soldier attendance and submission of follow-up documentation.
• Log in eCase any contact with SM (email, voice call, or personal interview). Ensure all administrative charting in eCase is completed with a <5% margin of error.
• Communicate with delegated government personnel to track compliance versus noncompliance at minimum once a quarter with an expected 100% compliance rate.
• Run and monitor MEDPROS all, with a <5% margin of error, reports Post PHA/SRP events to ensure all scheduled services are completed/updated and current medical status is reflected.
• Report Medical Readiness to the Commander or his/her designated Representative within 30 days of determination.
• Ensure all, with a <5% margin of error, Soldiers with T3, T4, P3 or P4 profiles are case managed in the eCase module.
• Must be able to recognize and respond appropriately to urgent/emergent situations per protocols.
• Maintain work area, exam rooms and supplies.
• Maintain professional appearance and personal conduct at all times.
• Attends meetings as requested.
• Follow all the client’s policies and procedures.
• Adhere to employer work practices as descri