RN Case Manager

Salem, OR

• Coordinate with Soldiers to assess and arrange for the treatment of Soldiers with conditions that have or will result in them being Medically/Dentally non-deployable. Such services include outreach, assisting with appointment scheduling, and going to SRPs, (both for mobilization/deployment and routine readiness).
• Assist Soldier’s in the Medical Screening program. Assists with appointments and ensures documentation is retrieved from appointments and placed in appropriate electronic record, as well as the Soldier’s hard copy medical record.
• Tracks and assists in the guidance of a Soldier’s care from the receipt of the condition to when the Soldier is deployable or the documentation is sent to the Health Services Specialist (HSS) for a Fitness for Duty evaluation where appropriate or to a MEB, PEB or Personnel Board. Will then assist the Soldier to facilitate the expeditious processing through the appropriate medical board.
• Performs initial interviews with Soldiers regarding a deployment limiting condition within 48 hours of notification of a Soldier with a deployment limiting condition. Ensures the Soldier understands his/her responsibilities and obtains a release of information form. Provide information to Soldiers about their privacy rights and how their information can be used (have Soldiers sign consents). The Contractor shall also be responsible for protecting the confidential nature of Soldiers’ files and medical issues.
• During follow-up interviews the Contractor Case Manager shall coordinate treatment plans and all referrals when the care is being resourced by the government (i.e. Dental Treatment using Reserve Health Readiness Program (RHRP) or local contracts).
• Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66.
• Coordinate care received by TRICARE and by the Military Medical Support Office (MSTATEO) to obtain prior authorization for treatment during the Early TRICARE period, up to 90 days prior to Mobilization (the Contractor Nurse Case Managers do not establish eligibility, this is a personnel function).
• Provide the State Medical Detachment Patient Administration (PAD) Officer or delegate with all relevant medical/dental documentation.
• Document results of Bi-weekly case reviews in the referrals tab of the MND Module. These reviews will be used in the monthly meeting with the DSS.
• Inform ORARNG provider(s) responsible to evaluate follow up of the Soldiers’ status and furnish them with the mandatory information/documentation.
• Coordinate Soldiers’ health care including consults for those initially using Military Treatment Facilities (MTF), VA, TRICARE network provider, and non-network providers.
• Establish a list of available local resources within the state to ensure Soldiers have alternative options available to receive medical or dental care if not eligible for military health benefits.
• Educate Soldiers on resources available to improve medical and dental readiness (TRICARE Dental Program (TDP), local community resources, ARNG sponsored programs, e.g., Decade of Health, Hooah4Health.com, State Medical and Dental programs, etc.).
• Assist in preparing Line of Duty (LOD) paperwork for units for which they are responsible.
• Provide the aforementioned Contractor Case Manager personnel to the ORARNG as required. Contractor Case Managers shall support the DSS.
• Provide a weekly MND Case Report to the DSS. The report shall include number of new referrals initiated, active cases and number of closed cases.
• Review for accuracy MEDPROS data before SRPs to identify non-deployable Soldiers.
• Enter Individual Vouchers for identified Soldiers into the Automated Voucher System (AVS) in furtherance of a Soldier’s care plan.
• Prepare and submit, once approved by the DSS, the weekly Situational Report (SITREP) report for assigned office.
• Assist in resolving scheduling conflicts for Soldiers needing Medical or Dental care.
• Handle all contacts and work closely with other offices on related medical issues.

MINIMUM REQUIRMENTS: List the minimal knowledge, skills, and training (clerical, managerial, etc.) needed to perform this job.

Active, unrestricted registered nurse license from the Oregon State Board of Nursing

Able to meet all licensure requirements in AR 40-68

Active (unexpired) BLS certification by the American Heart Association

Must have at least 12 months experience in the medical or health care field within the past 36 months.

Must be proficient in Microsoft Word, Excel, PowerPoint and Outlook, and is familiar with and become proficient with the use of the following MODS modules: MND, HRR, DENCLASS, MEDPROS, SPL, LOD, MEDCHART and WTR.