Senior Case Manager

General Dynamics IT; Falls Church (VA); Sur place; USD 90 000 - 130 000; Plein temps

Résumé du poste

General Dynamics IT seeks a Senior Case Manager to provide advanced oversight and strategic guidance supporting the HRSA and OPTN initiatives. You will mentor case managers, ensure compliance with transplant policies, and drive national-level improvements in patient safety and data-driven case management.

The role involves oversight of case intake, triage, analysis, and documentation, collaborating with CMS and member organizations to uphold high standards for organ allocation and patient safety.

Qualifications

• 8+ years of related experience in program delivery for federal health initiatives.
• Experience guiding compliance with transplant policies and patient safety standards.
• US Citizenship status: not required for this role.

Responsabilités

• Provide advanced leadership, coaching, and performance direction for case managers and investigators.
• Lead strategic planning for case intake, triage, tracking systems, and review methodologies.
• Oversee complex case assessments, including severity, urgency, and investigative pathways.
• Drive policy, process, and quality improvement across case management workflows.
• Represent GDIT in high-level meetings and cross-functional workgroups with HRSA/OPTN.

Connaissances

Continuous Improvement

Patient Safety

Program Management

Quality Improvement

Regulatory Compliance

Description du poste

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

NACI (T1)

Job Family:

Program Delivery and Execution

Job Qualifications:

Skills:

Continuous Improvement, Patient Safety, Program Management, Quality Improvement, Regulatory Compliance Certifications:

None Experience:

8 + years of related experience US Citizenship Required:

No

Job Description:

We are GDIT. We stay at the forefront of innovation to solve complex technical challenges.

GDIT is your place. Make it your own by discovering new ways to apply evolving technology, data, and processes. Own your opportunity at GDIT and you'll be a meaningful part of improving how federal health agencies operate. Our work depends on a Senior Case Manager joining our team to provide advanced oversight, leadership, and strategic guidance supporting the Health Resources & Services Administration (HRSA) and the broader mission of the Organ Procurement & Transplantation Network (OPTN).

Overview

HRSA works to advance health equity and strengthen health systems that serve geographically isolated, economically challenged, or medically vulnerable populations. Through programs such as the OPTN, Ryan White HIV/AIDS Program, and community health initiatives, HRSA ensures access to high-quality services and fosters a skilled health workforce.

As part of GDIT's people-centric environment, the Senior Case Manager plays a critical leadership role in safeguarding patient safety, ensuring compliance with transplant policies, and strengthening national organ donation and transplantation processes. This role serves as a subject matter expert and senior advisor across the full lifecycle of case management activities-including case intake, triage, analysis, review, enforcement, and resolution.

The Senior Case Manager provides strategic oversight, mentors a team of case managers and investigators, drives continuous quality improvement, and collaborates closely with HRSA, OPTN Committees, CMS, and member organizations. This position ensures consistent, rigorous evaluation of case issues and helps shape national standards for organ allocation, member compliance, and patient safety.

Responsibilities

Leadership & Team Oversight

Provide advanced leadership, coaching, and performance direction for case managers and investigators responsible for patient safety and compliance case reviews.

Oversee the workflow, prioritization, and quality of case management activities to ensure timely, consistent adherence to program standards.

Develop and deliver training programs to strengthen team capabilities and ensure alignment with evolving OPTN policies and federal regulations.

Serve as the senior escalation point for complex, sensitive, or high-risk compliance matters.

Strategic Case Management

Lead strategic planning for case intake, triage, tracking systems, and review methodologies to enhance efficiency and transparency.

Oversee secure management, redaction, and documentation of sensitive case information, ensuring complete compliance with federal privacy and security standards.

Ensure case tracking tools and systems support real-time monitoring, stakeholder visibility, and data-driven analysis.

Develop executive-level reports summarizing case trends, compliance risks, outcomes, and systemic insights for HRSA, OPTN Committees, and senior leadership.

Advanced Case Review & Compliance Oversight

Conduct or oversee complex case assessments, including identifying severity, urgency, and required investigative pathways.

Lead the development of comprehensive case review plans addressing timelines, data needs, and involved stakeholder groups.

Coordinate external reviews and escalations, including engagement with CMS or other oversight bodies.

Ensure fair, well-documented, consistent evaluations of case issues across diverse OPTN member institutions.

Policy, Process, and Quality Improvement

Analyze case data to identify trends, systemic risks, and recurring patterns of non-compliance across transplant hospitals, OPOs, and histocompatibility labs.

Provide strategic insights and recommendations that inform policy refinements, member education initiatives, and operational improvements.

Lead continuous improvement initiatives to strengthen case intake, triage, investigation, and resolution processes.

Evaluate historical case patterns and previous operational findings to inform proactive policy or process enhancements.

Oversee the implementation of final recommendations, including monitoring corrective action plans and ensuring accurate documentation in OPTN systems.

Stakeholder Engagement & Representation

Represent GDIT and the case management function in high-level meetings, cross-functional workgroups, and task forces.

Serve as a trusted advisor to HRSA, OPTN Committees, and partner organizations on matters related to compliance, patient safety, and policy implications.

Facilitate communication and coordinatio