Lead Case Manager at Valor Health Care

Colchester, Vermont, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Aug, 26

Salary

0.0

Posted On

06 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Care Coordination, Utilization Management, Medical Readiness, HIPAA Compliance, Electronic Case Management, Medical Evaluation Board Documentation, Physical Evaluation Board Documentation, Staffing Coordination, Patient Experience, Clinical Outcomes, Regulatory Compliance

Industry

Medical Practices

Description

Description About Valor Healthcare Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots – including those who serve or have served in the military as well as those who devote their careers to government service. We aim to deliver high-quality care in a way that upholds the health of our nation’s greatest asset: its people. Valor works hard to earn the trust of those who have faith in us to care for them with respect and through methods that lead to superior clinical outcomes. Valor is different because of our people. Our leadership team is comprised of veterans, clinicians, and business leaders dedicated to providing exceptional care and world-class patient experience. Many of our colleagues have patriots in their families or are patriots themselves. Position Summary The Vermont Army Reserve National Guard (VTARNG) Office of the Deputy State Surgeon has a requirement to provide Non Clinical Case Management Services for VTARNG service members (SM) thereby promoting fitness and personal wellness for operational readiness and deployability. Non-Clinical case Managers coordinate all aspects of the care of individual patients. They ensure proper utilization of services and resources and provide assistance within, between, and outside of VTARNG facilities Schedule: The contractor shall provide services between the hours of 0730-1630 on Monday through Friday. The contractor is required to support weekend soldier readiness events. This contract honors 11 paid federal holidays. Location: Performance shall be at VTARNG State Medical Detachment, Green Mountain Armory, Camp Johnson, Colchester, VT 05446. Core Responsibilities Oversee support to Periodic Health Assessments and Soldier Readiness Processing events by coordinating staffing, priorities, and coverage across the team. Ensure timely establishment and maintenance of electronic case management profiles by monitoring compliance with required timelines. Review and validate monthly case status reports prior to submission to ensure accuracy and completeness. Enforce compliance with Individual Medical Readiness and deployment regulations and ensure proper implementation of medical release procedures. Maintain program-wide adherence to Health Insurance Portability and Accountability Act standards and data protection requirements. Monitor medical and administrative charting quality, ensuring completeness and timeliness across all required systems. Oversee preparation and readiness of Medical Evaluation Board and Physical Evaluation Board documentation and ensure file completeness. Coordinate with Government personnel to track compliance and resolve discrepancies in case management activities. Standardize communication practices to ensure consistent and accurate information delivery to Soldiers. Validate profile management reporting outputs and ensure submission within required timelines. Ensure timely logging and forwarding of medical documents in accordance with required processing standards. Lead monthly case reviews with the Deputy State Surgeon and stakeholders, ensuring accurate case presentation and follow-up actions. Coordinates non-clinical case management by supporting readiness events, maintaining case records, managing documentation systems, preparing board packages, communicating with Soldiers and stakeholders, and tracking medical readiness. Requirements Qualifications Active, unrestricted Registered Nurse (RN) license in the state of Vermont Bachelor of Science in Nursing (BSN) preferred Minimum 5 years of case management, care coordination, or utilization management experience Strong organizational and documentation skills Ability to work independently in a structured federal environment U.S. Citizenship required Ability to pass federal background screening Preferred Qualifications: Experience supporting federal or military-affiliated programs Experience with medical readiness, occupational health, or wellness programs About the Role This job is CONTINGENT upon contract award, client approval, completion of a favorable background investigation, and the ability to obtain and maintain a Public Trust / High Risk clearance. Final compensation will be based on relevant factors including work experience, skills, certifications, and internal equity. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

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Responsibilities

Oversee non-clinical case management services for VTARNG service members to promote operational readiness and deployability. Responsibilities include managing case profiles, ensuring HIPAA compliance, and leading monthly case reviews with the Deputy State Surgeon.