Care Management Coordinator, Care Management, Full-Time

General Dynamics Information Technology; Washington (District of Columbia); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Full-flex work weeks

Generous paid time off (vacation, sick

absent

Job summary

General Dynamics Information Technology, Inc. seeks an experienced OPTN Case Manager to support HRSA initiatives.

You will oversee the end-to-end case management lifecycle, including intake, triage, investigation, tracking, analysis, and follow-up, collaborating with HRSA and OPTN stakeholders to ensure patient safety and regulatory compliance. The role requires clinical expertise, strong analytical abilities, and proven experience in managing complex healthcare cases with multiple partners

Qualifications

• Bachelor of Science in Nursing (BSN) or Medical Doctor (MD) with clinical background.
• Minimum of six (6) years of experience in case management, clinical review, quality improvement, auditing, investigations, compliance, transplantation, or related healthcare operations.
• Experience managing complex healthcare cases involving multiple stakeholders.
• Strong project coordination and organizational skills.
• Ability to communicate effectively with clinicians, healthcare administrators, federal staff, contractors, and other stakeholders.

Responsibilities

• Manage the secure intake and documentation of patient safety and compliance cases from all reporting sources.
• Develop case review plans with timelines, data requirements, and stakeholder involvement.
• Conduct comprehensive case reviews to ensure fair evaluation of compliance and patient safety concerns.
• Escalate cases and coordinate external reviews with organizations such as CMS.
• Monitor and track implementation of corrective actions and CAPs.
• Coordinate case-related activities among HRSA, OPTN committees, member organizations, contractors, and other stakeholders.
• Draft comprehensive case reports summarizing findings, decisions, recommendations, and follow-up actions.

Skills

Case management

Project coordination

Data analysis

Communication

Stakeholder management

Attention to detail

Travel readiness

Education

BSN

MD

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Microsoft Teams

Job description

Clinical Setting, Employee Management, Patient Care, Regulatory Compliance

Certifications:Our work depends on an experienced

OPTN Case Manager

joining our team to support the Health Resources and Services Administration (HRSA).The Health Resources and Services Administration (HRSA) aims to improve health outcomes by enhancing access to quality services, developing a skilled health workforce, and implementing innovative programs that benefit geographically isolated, economically or medically vulnerable populations. HRSA focuses on increasing health equity and strengthening local health systems through initiatives such as community health centers, the Organ Procurement and Transplantation Network (OPTN), the Ryan White HIV/AIDS Program, and support for maternal and child health.At GDIT, we foster a people-centric environment. The

OPTN Case Manager

serves as the primary coordinator for monitoring, compliance, patient safety, and performance improvement activities involving OPTN member institutions, including transplant hospitals, Organ Procurement Organizations (OPOs), and histocompatibility laboratories.This role is responsible for managing the complete case management lifecycle, including intake, triage, investigation, tracking, analysis, review, resolution, and follow-up. The Case Manager collaborates with HRSA, OPTN committees, member organizations, and contractors to investigate potential policy violations, evaluate patient safety concerns, assess member compliance, and support corrective actions and process improvements.The ideal candidate combines clinical expertise, case management experience, project coordination skills, strong analytical abilities, attention to detail, and the ability to effectively manage complex case reviews involving multiple stakeholders.

Case Management & Clinical Review

• Manage the secure intake and documentation of patient safety and compliance cases from all reporting sources.
• Develop case review plans, including timelines, data requirements, and stakeholder involvement.
• Conduct comprehensive and well-documented case reviews to ensure fair and consistent evaluation of compliance and patient safety concerns.
• Escalate cases as appropriate and coordinate external reviews with organizations such as the Centers for Medicare & Medicaid Services (CMS).
• Monitor and track implementation of corrective actions, including Corrective Action Plans (CAPs).

Case Coordination & Stakeholder Management

• Coordinate case-related activities among HRSA, OPTN committees, member organizations, contractors, and other stakeholders.
• Document stakeholder roles, responsibilities, and coordination requirements associated with assigned cases.
• Support implementation of case review plans and resolution activities.

Compliance, Quality, and Process Improvement

• Analyze case information to identify trends, patterns of non-compliance, operational risks, and patient safety concerns.
• Develop recommendations for process improvements, policy enhancements, educational initiatives, and corrective actions.
• Provide insights and recommendations to HRSA and other stakeholders regarding compliance risks and mitigation strategies.
• Support continuous quality improvement initiatives related to case management workflows and oversight processes.
• Review historical case data and operational findings to identify opportunities for process improvement.

Project Coordination & Administration

• Manage multiple concurrent cases and priorities while ensuring timely progression and resolution.
• Coordinate activities with internal teams, contractors, and external stakeholders as necessary to support case review and resolution.

Documentation, Reporting & Record Management

• Draft comprehensive case reports summarizing findings, decisions, recommendations, and follow-up actions.

Technical & Data Management

• Utilize case management and tracking systems to maintain accurate records and reporting.
• Analyze case and operational data to support decision-making and trend identification.
• Support enhancements to case tracking, reporting, and workflow management tools.

Clinical & Case Management Experience

• Bachelor of Science in Nursing (BSN)Medical Doctor (MD)
• Minimum of six (6) years of experience in case management, clinical review, quality improvement, auditing, investigations, compliance, transplantation, or related healthcare operations.
• Demonstrated experience managing complex healthcare cases involving multiple stakeholders.
• Project Coordination & Organizational Skills
• Strong project coordination and organizational skills.
• Demonstrated ability to manage multiple priorities and deadlines in a fast-paced environment.
• Ability to independently organize, prioritize, and manage assigned work.
• Ability to communicate effectively with clinicians, healthcare administrators, federal staff, contractors, and other stakeholders.
• Strong collaboration, facilitation, and stakeholder management skills.
• Strong computer skills and demonstrated proficiency with:Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft OutlookMicrosoft Teams
• Experience using case management, compliance tracking, reporting, or workflow management systems.
• Ability to analyze and interpret data to support operational and compliance activities.
• Demonstrated ability to handle sensitive and confidential information with discretion and professionalism.
• Ability to travel throughout the United States up to 15% of the time.
• Experience in transplantation, organ donation, organ procurement, or related healthcare fields.
• Experience working with transplant centers, Organ Procurement Organizations (OPOs), histocompatibility laboratories, or similar organizations.
• Project Management Professional (PMP) certification or other project management certification.
• Experience supporting federal healthcare programs, quality oversight programs, accreditation activities, or regulatory review processes.
• Familiarity with OPTN operations, member compliance activities, patient safety reviews, or performance monitoring processes.

An internal mobility team focused on helping you achieve your career goals.

Flexibility: Full-flex work week to own your priorities at work and at home.

Community: Explore a career in program management at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your passion for the mission and delivering results.

#40 Travel Required:Less than 10% Telecommuting Options:Remote

Work Location:Any Location / Remote

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

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