Medical Case Manager

Entourage Consulting; United States; On-site; USD 75,000 - 95,000; Full time

Job summary

Entourage Consulting seeks a Medical Case Manager/Aeromedical Administrative Specialist to support the Aerospace and Operational Medicine Division at HQ AFRC, based at Robins Air Force Base, GA. You will process cases for flying and non-flying personnel, coordinating with MAJCOMs and medical facilities to ensure timely adjudication.

You will input data into AIMWTS, ECT, PEPP, MEDXS and other systems, generate reports, and educate reserve units on aeromedical workflows while maintaining data

Qualifications

• Experience processing and managing physical exams and medical standards.
• Proficient with Air Force/DoD medical systems (AIMWTS, PEPP, PHA, JLV, MICT).
• Knowledge of retention, flying classes, LOD determinations, and AMWG/MSD.
• Strong written and oral communication; able to translate complex instructions.
• Proficient with PDF and Microsoft Office; strong typing skills.

Responsibilities

• Process medical cases for waiver adjudication and maintain proper documentation.
• Update AIMWTS, ECT, PEPP, MEDXS and other records; track case status.
• Coordinate with MAJCOMs, HQ USAF, and medical facilities on reserve medical issues.
• Load cases into electronic systems and perform technician-level inputs.
• Prepare recurring and ad hoc reports; support program administration.

Skills

Medical case management

Data entry accuracy

Project management

Communication skills

Tools

AIMWTS

PEPP

ECT

MEDXS

JLV

MICT

Job description

Medical Case Manager
Place of Performance: Robins Air Force Base, GA

General Description:

Medical Case Manager/Aeromedical Administrative Specialist must provide case management support and assistance necessary to aid in mission accomplishment for the Aerospace and Operational Medicine Division at HQ AFRC. Under the direction of the Division Chief, Medical Case Manager/Aeromedical Administrative Specialist processes medical cases on flying and non-flying personnel not meeting the appropriate standards, supporting over 70,000 reserve personnel.

Specific Tasks:

• Medical Case Processing: Must accomplish administrative case evaluation by receiving, tracking, and reviewing pertinent medical data/information (e.g., medical history, doctor’s findings) to ensure proper documentation is available for government medical providers to substantiate granting a waiver. All information must be input into respective electronic systems depending on case type.
• Update Aeromedical Waiver Management Information System (AIMWTS), Electronic Case Tracking (ECT), Physical Exam Processing Program (PEPP), MEDXS and other systems of record with current case status as needed especially when case status changes.
• Provide written instructions to reserve medical units on the management of questionable or incompletely documented cases for additional information/requirements.
• References and applies knowledge of general medical guidelines covering physical standards and forming the basis for adjudicating medical cases and obtains medical opinions/recommendations from professional medical personnel.
• Coordinates with MAJCOMs, HQ USAF and medical treatment facilities (MTF) addressing reserve unique medical issues.
• Confirming all required data included in case files for HQ AFRC provider adjudication, confirming provider statements match case type and higher level.
• Loading cases into appropriate electronic system of record.
• Completing technician level inputs for front and back-end management.
• Ensure cases are handled in a timely fashion per applicable policy, and for special or high interest cases, per directive.
• Ensure accuracy of data entry and case processing.
• Track cases through the entire review process keeping RMUs and Chief, Medical Standards, informed of the status of each case.
• Coordinate and assist with schedule evaluations using all available resources.
• Review all cases submitted from reserve medical units (RMUs), the Aeromedical Consult Service (ACS) and Recruiting Services (RS), and ensure pertinent data is included with case results.
• Reviews, schedules, and certifies accession, retention, and flying waivers utilizing ECT, AMWITS and PEPP.
• Collection and compilation of data for final case disposition and mail-out to member.
• Program Administration & Reporting: Provide program administration related to aeromedical case processing, including reports related to case processing metrics, data quality, unit case load, and other recurring reports as required.
• Creates educational tools and educates on all aspects of AOME mission.
• Conducts ongoing command evaluation of physical examination statistics to ensure timely resolution and disposition of cases.
• Shall be responsible for performing analyses related to special requests or high-interest cases as identified.
• Prepare a wide variety of recurring and some nonrecurring correspondence, reports, and other documents and reviews and finalizes correspondence/documents prepared by others in handwritten or electronic drafts.
• Perform clerical and administrative services, including the use of automated programs and software to produce required databases, spreadsheets, and graphics.
• Comply with all policies of the Aerospace and Operational Medicine Division and ensure appropriate timely and complete case management workflow.
• Attend meetings for discussion of cases and are required to provide administrative computer support for this function on an as needed basis.
• Complete required monthly, annual, and ad hoc reports.
• Communicate all necessary information for appropriate case adjudication and workflow to the case management providers.
• Coordinate activities with ACS, RS and other referring facilities.
• Administrative due outs performed and completed as by directive.
• Assist with planning, preparation, and execution of four training sources conducted by the SGP division.
• Unit & Member Customer Support: Provide customer support related to aeromedical case processing and workflow to individual members and system users at reserve units, wings, NAFs, or commands.
• Provides day-to-day advice and assistance to medical personnel in 69 separate units and three numbered Air Forces.
• Receive telephone calls, return messages within 2 duty days of receipt.
• Communicate effectively with coworkers, leaders, commanders, first sergeants, MAJCOMs, and AFMEDCOM, and resolve conflicts at different levels.
• Review and process incoming and outgoing correspondence, materials, publications, regulations, and directives. Screen incoming mail/calls/emails to identify items that require escalation to designated Government personnel, referral to appropriate staff, rerouting to other organizations, or that can be handled directly.

Qualifications:

• Must possess demonstrated experience processing and managing physical exams and medical standards.
• Must demonstrate a high level of proficiency with Air Force and DoD medical systems, including the Aeromedical Information Management Waiver Tracking System (AIMWTS), Physical Examination Processing Program (PEPP), Periodic Health Assessment (PHA) programs, Joint Legacy Viewer (JLV), and Management Internal Control Toolset (MICT).
• Must demonstrate a high level of knowledge regarding medical standards for retention, flying classes, Line of Duty (LOD) determinations, and special operational duty for the USAF. Must be proficient in utilizing the Aeromedical Waiver Guide (AMWG) and the Medical Standards Directory (MSD).
• Must possess basic knowledge of anatomy, physiology, disorders of human body systems, and emergency medical care procedures. Must possess knowledge of medical terminology and International Classification of Diseases (ICD-10) coding and possess the ability to use medical terminology accurately when documenting cases.
• Must possess excellent oral and written communication skills and project management experience. Must possess the ability to translate and communicate complex medical/administrative instructions to service members at the member’s comprehension level.
• Must be highly proficient with Portable Document Format (PDF) software and the Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint). Must possess proficient typing skills utilizing QWERTY and 9-key pads.