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MEDOPS Program Manager, Marietta, GA (ID#13216)

Established in 2009, Cherokee Nation Healthcare Services (CNHS) provides medical supplies and a wide range of services, including financial recovery, patient appointing, recruiting, credentialing and placement of clinical, administrative and housekeeping personnel for numerous federal agencies and commercial clients. Wholly owned by the Cherokee Nation, CNHS is part of the Cherokee Nation Businesses family of companies. 
For more information about Cherokee Nation Healthcare Services, please visit www.cherokee-cnhs.com

Manage non-clinical medical operations throughout all of Georgia to include the three (3) primary medical facilities: Clay National Guard Center (CNGC) in Marietta, Fort Stewart, and Macon, GA. Responsible for tracking consolidated reports for all locations and ensures that all required tasks are completed in an effective and efficient manner.

While Case Management primarily focuses on catastrophic illness or injury in the military setting, Case Management practices are also intensely directed at addressing chronic conditions that are more prevalent in the general patient population. Case managers can affect patient outcomes through proactive interventions across multiple healthcare settings. Additionally, case managers are expected to engage community resources and facilitate ongoing and consistent patient education.

The MHS has three primary goals for Case Management:

  • Improve the care, management, and transition of recovering Service members.
  • Broaden the application of CM to include those with complex and at-risk needs before the Soldier requires complex care.
  • Evaluate the impact of case management on the quality of military health care.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Includes the following:

  • Submit correspondence IAW AR 25-50 and Department of the Army Memo 25-52 when submitting care plans for Soldiers identified as having a medical condition IAW with Chapter 3 of AR 40-501
  • Provide to the COR a staffing plan for each Medical Readiness Event within 30 days of event.
  • Complete credentialing process for all GA Military Providers IAW AR 40-68 Clinical Quality Management and the Credentials Certification and Privileging Preparation (C2P2) Board to include obtaining and submitting documentations.
  • Provide updates weekly to the COR on the credentialing process and submit quarterly reports identifying the status for all Providers via email to the COR.
  • Set up and maintain communication with credentialing personnel at various MTFs and ensure the quality of credential process for Providers prior to and during Annual Training (AT).
  • Consolidates and submits weekly medical readiness data of medical and dental readiness categories and provides a status on any key working issues.
  • Facilitate monthly meetings with the COR to ensure proper management of all medical cases.
  • Track all MRC 3 to include DL Codes and a list of all MRC 4 soldiers on a case tracker report submitted weekly to the COR.
  • Contractor shall provide medical readiness event services consisting of a check in/out process and maintain a roster of all Soldiers scheduled, Medpros data entry and case management.
  • Run monthly projected (90 days out) MRC 4 rosters using the Commanders Portal medical database and work with units to get Soldiers scheduled for the events.
  • Maintain a roster of all Soldiers scheduled to an event as requested through via email and print off IMR from MEDPROS for all locations in GA.
  • MODS entry of all medical requirements and prepare pre and post event status reports to include entry and exit MRC. Contractor shall enter medical requirements in the Medical Operational Data System (MODS) within three days from the end of the event.
  • Pull reports from automated systems to show that referrals are indicated in MEDCHART, eProfile, eCase, MRR, DENCLASS, and AVS.
  • Use regulations and policies applicable to IMR and deployment when performing data analysis, to include the AR 40-501 and other applicable guidance.
  • Input and monitor Medpros entry of all medical requirements to ensure all scheduled services are completed/updated and current medical status is reflected.
  • Provide report post PHA event of any abnormal lab values obtained to the DSS.
  • Manage Medical Operations Admin Specialists for assigned team
  • Comply with and maintain access all regulations and guidance that are applicable to medical operations and programs of the GA Army National Guard.
  • Performs other job related duties as required.
  • SUPERVISORY/MANAGEMENT AUTHORITY

    This position will manage non-clinical medical operations throughout all of Georgia to include the three (3) primary medical facilities: Clay National Guard Center (CNGC) in Marietta, Fort Stewart, and Macon, GA. Responsible for tracking consolidated reports for all locations and ensures that all required tasks are completed in an effective and efficient manner.

    EDUCATION and/or EXPERIENCE

    BA or BS college degree preferred

    At least 3 years experience in Medical Office Administrative Duties

    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 by this PRS. 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.
  • WORK ENVIRONMENT
    This position works with and supervises a highly professional team of case managers and administrative specialists.  Some travel is required to attend training and/or PHA events as determined by the Site Program Manager.

     

    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:

    http://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf

    ttp://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf

    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 e-mail 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: https://www.dol.gov/ofccp/pdf/pay-transp_formattedESQA508c.pdf

    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.