Nurse Case Manager, Sr.

5 days ago

Hillcrest Heights, United States Medical Group Alaska Full time

Leidos-QTC Health Services* has a Medical Case Manager opening for an experienced Case Manager to join our team supporting the Occupational Health services for an Intelligence Community customer located in Chantilly, Virginia. *this role will be be employed under "Jamshid Tamiry, M.D., P.C., dba QTC Medical Group of Alaska, a Leidos QTC Health Services affiliated medical professional corporation"

Candidates must possess or be able to obtain Top Secret/SCA clearance with polygraph.

Applicants must possess or be able to obtain Top Secret government clearance with polygraph prior to start.

Case Manger Duties and Responsibilities

  • Provide Case Management services for injured, ill or recovering clients.
  • Provide clinical assessment, planning, implementation, coordination, monitoring and evaluation of the options and services required to meet the needs of clients and their family members.
  • Accurately collect and record utilization metrics and provide monthly reporting
  • Assess requirements for durable medical equipment, physical therapy, occupational and rehabilitative services for clients
  • Utilize electronic medical records and telemedicine technologies on behalf of clients and their family members
  • Be a skilled communicator and able to assist the client in understanding the administrative requirements needed for reimbursements
  • To communicate effectively in written and spoken word with the team and community providers
  • Formulate timely case reports, to include presentation of factual information and analysis of such

  • Perform ad hoc duties as per the Program Manager or site supervisor’s discretion, including but not limited to research, policy and procedure development, briefing leadership on case statuses.

Competencies:

  • Ability to establish working relationships and effective communication with professional personnel of various backgrounds
  • Ability to problem solve complex medical issues
  • Ability to communicate clearly, both verbally and in writing
  • Previous experience in writing factual, clear, and concise reports, to include situational analysis
  • Ability to maintain daily scheduled activities and effective time management skills
  • Excellent organizational and accuracy skills
  • Previous involvement in coordination of medical services
  • Ability to conduct thorough medical records review
  • Ability to assess medical status and formulate recommendations
  • Decisive and efficient decision-making skills
  • Ability to work independently and with a team

Required Education and Experience: (includes certificate & licenses)

  • Education: Bachelors degree in Nursing or Medically Related Field
  • Licenses (must have one): Registered Nurse, or Nurse Practitioner, or Physician Assistant
  • Experience:
    • Must have five (5) or more years previous Case Manager experience preferably in military treatment facilities, home health care, and/or mental health facilities
    • Experience with care delivery, psychosocial support and reimbursement systems.
    • An understanding of rehabilitative strategies.
    • Previous experience in writing factual, clear, and concise reports, to include situational analysis
    • Ability to maintain daily scheduled activities and effective time management skills
  • Security Clearance: Applicants must possess or be able to obtain Top Secret-ISSA government clearance with polygraph prior to start

Preferred Qualifications

  • Posses current board-certification as a Certified Case Manager (CCM) from the Commission for Case Management Certification.
  • Previous experience working with government as contractor or staff member

Pay and Benefits:

  • Pay Range: $54-59/hr.
  • Bonus up to 8% and annual merit increases up to 5%*
  • Full Benefits including Medical, Dental, Vision, 401K, PTO and more

*Leidos-QTC Health Service pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law

This role may fall under the Service Contract Act (SCA), a federal law which provides for a U.S. Department of Labor-prescribed minimum prevailing rate of pay and certain benefit levels. Where appropriate, Company-provided benefit plans such as comprehensive leave, holiday, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations.

We are a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, gender identity, people with disabilities protected under law, and protected veteran status.

ExperienceRequired
  • 5 year(s): Case Management Experience
Licenses & CertificationsRequired
  • Physician Assistant
  • Registered Nurse

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