Lead Case Manager

• Works directly with the DSS on the most difficult case files.
• Responsible for overall quality assurance and timeliness of delivery for all work performed.
• Responsible for facilitating case management initiatives and deployment operations, including coordinating with for Medical Records to ensure timely and accurate processing of medical records to and from the mobilization site.
• Knowledgeable and assists with all aspects of Case Management operations and procedures.
• Current on all guidelines and regulations impacting Case Management and or Medical Records.
• Responsible for keeping projects on track and possessing the ability to foresee the
• entire project as a whole at all times.Resolving problems; reviewing MEDCOM policy and SOP to ensure compliance with current standards. Initiate corrective actions using the Performance Improvement Plan and other applicable evaluation guidelines.
• Facilitation of projects and initiatives as they are received from the DSS/COR.
• Coordination includes assisting with and attending the Medical Readiness Events (MRE) (both for mobilization/ deployment and routine readiness).
• Assist Soldiers with their Medical Readiness in conjunction with the Deputy State Surgeon (DSS).
• Tracking appointments and ensuring documentation is retrieved from appointments and placed in appropriate electronic records, as well as the Soldier’s hard copy medical record.
• Assists Case Management staff per regulatory guidance for 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 an MEB/PEB or Personnel Board. Will then assist the Soldier in coordination with the HSS to facilitate the expeditious processing through the appropriate medical board.
• Confirm 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 personnel shall also be responsible for protecting the confidential nature of Soldiers’ files and medical issues.
• Assist the NYARNG Surgeon’s Office in maintaining Soldier medical records per Army Regulation (AR) 40-66.
• Assist the NYARNG Surgeon’s Office in providing the Medical Records section with all relevant medical/dental documentation
• Proficient in Microsoft Word, Excel, PowerPoint, and Outlook, and proficient with the use of the following; Module of Medical Operational Data System (MODS) modules: Medical Non-Deployable (MND), Health Readiness Record (HRR), DENCLASS, Medical Data Protection System (MEDPROS), Line of Duty (LOD), and State Databases.
• Assist Case Management staff in preparation of Line of Duty (LOD) paperwork for units for which they are responsible.
• Assist Case Management staff with reviewing for accuracy MEDPROS data before MWEs to assist with early identification of non-deployable Soldiers. · Assist Case Management staff with entering Individual Vouchers for identified Soldiers into the Automated Voucher System (AVS) in furtherance of a Soldier’s care plan.
• Assist Case Management staff with handling all contacts and work closely with other offices on related medical issues.
• Conduct monthly case reviews with Case Management staff and DSS.
• Conduct monthly case reviews with representatives of the NYARNG Commands and Health Services with support from the DSS.
• Responsible for creating Case Management SOPs
• Maintain current guidance and working knowledge of Army Regulations (i.e. AR 40-502, DA PAM 40-502, AR 135-178, AR 600-110, AR 600-235, AR 600-9)  
• Maintain current guidance and working knowledge of Department of Defense and Privacy guidelines, i.e., DoD6025.18 and PHI disclosures

Qualification and Experience:

• Candidate must have a bachelor’s degree in a Health related field with three years of experience as a Case Manager, to provide IMR support to the New York Army National Guard or Registered Nurse (RN), Direct Service Social Worker as Non-clinical Case Manager