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Administrative Care Coordinator
Providence, RI (ID#14833)

When your mission depends on quality health care, rely on a team who can deliver results. From cutting-edge analysis to optimized health programs, Cherokee Nation Healthcare Services (CNHS) can manage any size federal project. Federal clients who partner with CNHS improve their access to care, medical readiness and program efficiency. Wherever the mission takes you, CNHS delivers world-class solutions, on time and on budget.
For more company information, visit our site at http://cherokee-cnhs.com/Pages/Home.aspx
 

SUMMARY
This is a temporary Full-time position to backfill for an employee who is on extended military orders for the period  16 May 2019 – 30 September 2019.

The purpose of this requirement is to provide Medical and Dental Administrative Care Coordination Services in support of case management. This requirement is designed to be flexible, responsive and meets the ever-evolving needs of the government. DoDI 6025.19 establishes aggressive quarterly and annual metric goals for the separate IMR elements and for the overall IMR category of Fully Medically Ready (FMR) soldiers. The ultimate goal of the RI Army National Guard's Office of the State Surgeon is to provide a healthy, resilient, ready and deployable force for federal, state and community missions. The contractor plays a large part in meeting this goal by taking a proactive approach to the case management efforts of the Soldier, their medical file, Soldier appointments follow up, and producing real-time reports based on complete and accurate data. As a team, the Contractor and the Government both work towards meeting the minimum goal for overall medical readiness of more than 90% of Service members Fully Medically Ready (FMR) with the ideal goal being 100%. The Rhode Island Army National Guard (RIARNG) Surgeon’s Office requires a highly responsive process whereby the government can quickly obtain needed support and services. This PWS reflects existing National Guard Bureau policies and regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Includes the following:

  • Performs other job related duties as required.
  • Responsible for tracking medical status of ALL assigned Soldiers.
  • Responsible for medical charting in eCase.
  • Request profile exams/evaluations and audiology exams at physical exam center.
  • Coordinate Soldier treatment plans with appropriate medical facilities.
  • Maintain automated referrals indicated in MEDCHART.
  • Submit case processing, medical documentation, and profile concerns to military/contacted provider.
  • Attend PHA events as determined by the needs of the state and the individual units.
  • Ensure those Soldiers referred by a provider are followed by the case management team.
  • Manage Soldier’s care from the identification of the condition to when the Soldier is either:
    • Considered medically ready.
    • Administratively separated from the military.
  • Follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include the AR 40-501 and other applicable guidance as well as all RIARNG policies and procedures.
  • Ensure all medical documentation received from the Soldier and/or their medical team is received and placed in appropriated electronic record, as well as the Soldier’s hard copy record.
  • Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66.
  • Provide Records Custodian or delegate with all relevant medical/dental documentation.
  • Obtain release of information from Soldier.
  • Educate Soldiers on resources available to improve medical and dental readiness.
  • Maintain Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.
  • Review and track health assessment (PHA, SRP) lab results contact SM and educate on lifestyle modifications.
  • Upload medical documents of case managed Soldiers into Health Readiness Record (HRR).
  • Stamp all medical documents for verification after uploading.
  • Index uploaded medical documents.
  • MODS entry of immunizations, designation of pregnancy, eye exams, medical warning tags.
  • Provide all medical documents received for case management to Records Custodian to be filed 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 no later than 7 calendar days at the end of the month.
  • Contractor will ensure all administrative charting in eCase is completed.
  • Track 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).
  • Communicate with delegated government personnel to track compliance versus noncompliance.
  • Run MEDPROS report Post PHA/SRP event.
  • Monitor MEDPROS 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.
  • Ensure Soldiers with T3, T4, P3 or P4 profiles are case managed in the eCase module.
  • Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO. The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor performance.

 

SUPERVISORY/MANAGEMENT AUTHORITY

This is a Full-Time position that works under the supervision of the Program Manager and the Site Lead Case Manager.

EDUCATION and/or EXPERIENCE

  • AA or AS degree preferred
  • At least 2 years’ experience in Medical Office Administrative Duties or medical background.
  • High proficiency with learning and using computer programs

KNOWLEDGE, SKILLS AND ABILITIES

Contractor employee should possess the following knowledge/skills:

  • Strong organizational skills
  • The ability to use Power Point, Excel, Word, Access, Outlook
  •  Operate a personal computer to input, store, retrieve and manipulate data for various reports as required. Experience with computerized client management systems is required.
  • Use various software programs to maintain database files and prepare reports, including but not limited to the following ARNG web-based electronic data systems via MODS: Medically Non-Deployable (MND)/e-Profile, Medical Data Protection System (MEDPROS), MEDPROS Web Data Entry (MWDE), Soldier Patient Locator (SPL), Warrior Transition Report (WTR), DENCLASS, AVS, HRR, ePHA/MHA, eCase and other modules as applicable or as they become available.
  • Experience with the military, such as prior military service or military family member or military family volunteer, is highly desirable.
  • Demonstrates competency in assessing, planning, implementing, and evaluating care provided including patient/family education.
  • Demonstrates leadership qualities including professional verbal and written communication skills, flexibility to prioritize complex situations, and decision-making skills.
  • CAC Requirements:  The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential.  In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity.  CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).
  •  HSPD-12 Background Investigation Requirements: Common Access Cards (CACs) are required to be obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM-08-003 Attachment 3, paragraph 3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation.

With $400 million in annual revenue, 20% growth per year, approximately 950+ active contracts serving 60+ government agencies in 25 countries, 47 states, 2 territories and 2000+ employees, Cherokee Nation Businesses’ (CNB) group of Federal Contracting Section 8(a) companies is well positioned to deliver expertise needed to solve complex technical issues. Federal Solutions provides an array of services for 12 of the 15 cabinet-level departments and agencies – from applications and data services to cybersecurity and national defense.

Why consider Cherokee Nation and our Federal Solutions business? Here are some great resources highlighting what we do and compelling reasons for joining our team!

http://cherokeenationbusinesses.com/Pages/home.aspx

http://cherokeenationbusinesses.com/careers/Pages/home.aspx

http://cherokeenationbusinesses.com/federalSolutions/Pages/overview.aspx

Applicants selected will be subject to a U.S. Government security investigation and must meet eligibility requirements for access to classified information.

We are an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran status, gender identity and sexual orientation. If you’d like more information about your EEO rights as an applicant under the law, please copy and paste the links to the following two sites: EEO Statement | EEO Poster

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may email “CNB.Compliance@cn-bus.com” for assistance. This email address is for accommodation requests only and cannot be used to inquire about the application process or status.

For Pay Transparency Non Discrimination provision, please copy and paste the following link: Pay Transparency Nondiscrimination Provision

We maintain an Affirmative Action Plan for the purpose of proactively seeking employment and advancement for qualified protected veterans and individuals with disabilities. Upon request, we will schedule time to make our Affirmative Action Plan accessible. If you are interested, please submit a written request with the email subject line: 2018 Request to View Affirmative Action Plan to the Compliance Administrator at “CNB.Compliance@cn-bus.com” This email box is not for resumes or follow up on job applications.