Non-Clinical Care Coordinator

Cayuse Holdings; United States; On-site; USD 52,000 - 76,000; Full time

Job summary

Cayuse Holdings is seeking a Non-Clinical Care Coordinator to provide case management support for health and human service needs, focusing on IMR/deployment regulations and improving care, management, and transition for service members.

The role involves managing care, tracking medical status, coordinating treatment plans, maintaining records, HIPAA compliance, and ensuring timely documentation and referrals within the healthcare readiness framework.

Responsibilities

• Manage the care and associated documentation of each assigned Soldier in accordance with the individualized treatment plan.
• Track the medical status of all assigned patients.
• Perform medical charting in eCase (MEDCHART).
• Request profile exams/evaluations and audiology exams at the physical exam center not later than 7 business days after interaction with the service member.
• Coordinate treatment plans with appropriate medical facilities not later than 10 business days following the medical appointment.
• Maintain 95% of all automated referrals indicated in MEDCHART.
• Submit case processing, medical documentation, and profile concerns to the military/contracted provider.
• Attend Medical Readiness events (PHAs) as determined by the needs of the state and the individual units; at minimum, one event will be attended each year.
• Ensure patients referred by a provider are followed by the case management team within 7 calendar days of referral.
• Manage patient care from the identification of the condition to when the patient is either considered medically ready.
• Follow the regulations and policies applicable to IMR and deployment, including AR 40-501 and other applicable guidance.
• Ensure all documentation is received and placed in the appropriate electronic record, with <5% margin of error, and the Soldier’s hard copy record.
• Maintain patients’ medical records in accordance with the client’s regulations.
• Provide the records custodian or delegate with all relevant medical/dental documentation.
• Obtain release of information documents from the patient within 15 calendar days of interaction with the patient.
• Educate on all resources available to improve medical and dental readiness.
• Maintain HIPAA standards and guidelines.
• Review and track all PHA/SRP lab results with <5% margin of error; educate on lifestyle modifications.
• Upload, stamp, and index all medical documents of case-managed Soldiers into the HRR with <5% margin of error.
• Perform MODS entry of immunizations, pregnancy designation, eye exams, and medical warning tags for all Soldiers, with <5% margin of error.
• File all medical documents for case management to the Records Custodian using transfer documents; provide copies to the COR monthly.
• Track all medical appointments by communication with the unit to ensure Soldier attendance and submission of follow-up documentation.
• Log interactions with the service member in eCase; ensure administrative charting is completed with <5% margin of error.
• Communicate with delegated Government personnel to track compliance with at least quarterly reporting and aim for 100% compliance.
• Run and monitor MEDPROS post-PHA/SRP events to ensure all services are completed and status is current.
• Report Medical Readiness to the Commander or representative within 30 days of determination.
• Ensure Soldiers with certain profiles are case-managed in the eCase module.

Job description

Job Description

Overview

The Work:

The Non-Clinical Care Coordinator provides case management services to support our client’s health and human service needs. The Non-Clinical Care Coordinator shall be familiar with the regulations and policies that apply to Individual Medical Readiness (IMR) and deployment. The position is to assist the client with adhering to three primary goals for case management (CM): improving the care, management, and transition of recovering service members; broadening the application of CM to include those with complex and at-risk needs before complex care; and evaluating the impact of CM on the quality of military health care.

This position aligns with Cayuse’s core values of Innovation, Excellence, Collaboration, Adaptability, and Integrity by fostering technical solutions that meet customer needs, promoting teamwork, and prioritizing quality in deliverables.

Responsibilities

Key Responsibilities:

• Manage the care and associated documentation of each assigned Soldier in accordance with the individualized treatment plan.
• Track the medical status of all assigned patients.
• Perform medical charting in eCase (MEDCHART).
• Request profile exams/evaluations and audiology exams at the physical exam center not later than 7 business days after interaction with the service member.
• Coordinate treatment plans with appropriate medical facilities not later than 10 business days following the medical appointment.
• Maintain 95% of all automated referrals indicated in MEDCHART.
• Submit case processing, medical documentation, and profile concerns to the military/contracted provider.
• Attend Medical Readiness events (also known as PHAs) as determined by the needs of the state and the individual units; at minimum, one event will be attended each year.
• Ensure patients referred by a provider are followed by the case management team within 7 calendar days of referral.
• Manage patient care from the identification of the condition to when the patient is either considered medically ready.
• Follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include AR 40-501 and other applicable guidance.
• Ensure all, with less than a 5% margin of error, medical documentation received from the patient and/or their medical team is received and placed in the appropriate electronic record, as well as the Soldier’s hard copy record.
• Maintain patients’ medical records in accordance with the client’s regulations.
• Provide the records custodian or delegate with all relevant medical/dental documentation.
• Obtain release of information documents from the patient within 15 calendar days of interaction with the patient.
• Educate on all resources available to improve medical and dental readiness.
• Maintain Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.
• Review and track all, with less than a 5% margin of error, PHA/SRP lab results; contact the service member and educate on lifestyle modifications.
• Upload, stamp, and index all, with less than a 5% margin of error, medical documents of case-managed Soldiers into the Health Readiness Record (HRR).
• Perform MODS entry of immunizations, designation of pregnancy, eye exams, and medical warning tags of all Soldiers, with less than a 5% margin of error.
• File all medical documents received for case management to the Records Custodian using a document evidencing transfer of custody from the Contractor to the Government; a copy of each supporting transfer document shall be provided to the COR at the end of each month, submitted no later than 7 calendar days from the beginning of the next month.
• Track all medical appointments by communication with the unit to ensure Soldier attendance and submission of follow-up documentation.
• Log in eCase any contact with the service member (email, voice call, or personal interview); ensure all administrative charting in eCase is completed with less than a 5% margin of error.
• Communicate with delegated Government personnel to track compliance versus noncompliance at minimum once a quarter, with an expected 100% compliance rate.
• Run and monitor MEDPROS, with less than a 5% margin of error, reports post-PHA/SRP events 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 within 30 days of determination.
• Ensure all, with less than a 5% margin of error, Soldiers with T3, T4, P3, or P4 profiles are case-managed in the eCase module.
• Recogni