A Clinical Case Manager coordinates medical care and provides advocacy to help people get the best and most affordable care. Helps patients navigate insurance and hospital bureaucracies and access information. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment and travel to different doctors' offices, hospitals or a patient's home.
Summary SUMMARY The Medical Case Manager provides non-personal, administrative, and aeromedical case management support services for the Aerospace and Operational Medicine Division within the Office of the Command Surgeon at Headquarters Air Force Reserve Command (HQ AFRC) . This role is a key component of medical readiness, providing timely and accurate processing for nearly 70,000 reservists across the globe to maintain a "Ready Now!" force. The Medical Case Manager is responsible for executing high-volume medical case processing, program administration, and unit-level customer support while meeting established performance thresholds.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Aeromedical Case Processing:
Accomplish administrative case evaluations by receiving, tracking, and reviewing pertinent medical data (medical history, doctor's findings) to ensure documentation is available for government medical providers to substantiate waivers.
System Management:
Update and maintain various electronic systems of record, including the Aeromedical Waiver Management Information System (AIMWTS), Electronic Case Tracking (ECT), Physical Exam Processing Program (PEPP), and MEDXS.
Coordination and Communication:
Coordinate with MAJCOMs, HQ USAF, and Medical Treatment Facilities (MTF) to address reserve-unique medical issues. Track cases through the entire review process, keeping Reserve Medical Units (RMUs) and the Chief of Medical Standards informed of case status.
Program Administration:
Prepare a variety of recurring and nonrecurring reports, correspondence, and documents related to case processing metrics and data quality.
Customer Support:
Provide day-to-day advice and assistance to medical personnel in 69 separate units and three numbered Air Forces. This includes responding to phone calls within two duty days and managing incoming/outgoing correspondence.
Disposition and Mail-out:
Collect and compile data for final case disposition and handle mail-out actions to members.
SKILLS AND QUALIFICATIONS
Medical Literacy:
Basic knowledge of anatomy, physiology, disorders of human body systems, and emergency medical care procedures.
Technical Proficiency:
High proficiency with Portable Document Format (PDF) software and the Microsoft Office Suite (Word, Excel, Outlook, PowerPoint). Must possess proficient typing skills utilizing QWERTY and 9-key pads.
Administrative Skills:
Excellent oral and written communication skills in English, strong time-management, and prioritization skills.
Customer Service:
Exceptional customer service skills are required to interface effectively with management, providers, and service members.
EDUCATION & EXPERIENCE
Associate degree or Bachelor's degree in health information management, health sciences, medical administration, healthcare administration, nursing, or a related field.
Domain Experience:
Must possess demonstrated experience processing and managing physical exams and medical standards, acquired through military medical environments (e.g., USAF PES) or equivalent civilian aeromedical, occupational health, or disability evaluation system environments.
Regulatory Knowledge:
High level of knowledge regarding medical standards for retention, flying classes, Line of Duty (LOD) determinations, and special operational duty for the USAF.
Highly Desired:
In-depth knowledge of LOD determinations and Medical Evaluation Boards (MEB) processes.
Medical Coding:
Knowledge of International Classification of Diseases (ICD-10) coding and medical terminology.
SUPERVISORY RESPONSIBILITY
No supervisory Responsibilities.
WORK ENVIRONMENT
The work is performed in unclassified work areas within Government facilities.
PHYSICAL DEMANDS
The role primarily involves office-based activities, including answering telephones, greeting visitors, and utilizing automated programs and software (databases, spreadsheets, graphics) for administrative support. ROLE and
LOCATION SPECIFIC FUNCTIONS
The primary place of performance is Robins Air Force Base (RAFB), GA. The Medical Case Manager must observe all facility parking, safety, and traffic regulations. Identification badges and name plaques must be displayed while working in Government workspaces.
POSITION TYPE/EXPECTED HOURS OF WORK
This is a full-time position with normal operational hours from 0800 to 1600 (EST), Monday through Friday. Personnel must be available during core hours of 0900 to 1500 (EST). While overtime is not authorized, flex-time is permitted to meet requirements. The position observes all federal holidays and Air Force Family/Down Days.
TRAVEL REQUIREMENTS
Travel is not required as part of this contract.
CLEARANCE/LICENSE REQUIREMENTS
Security Clearance:
All personnel must possess or obtain an active favorable Tier 1 (T1) - National Agency Check with Inquiries (NACI).
Training Requirements:
Completion of DoD Information Assurance Cyber Awareness Challenge, HIPAA, and Privacy Act Training is mandatory.
Non-Disclosure:
All personnel must sign a Non-Disclosure Agreement (NDA) prior to beginning contract performance due to access to sensitive medical data and Controlled Unclassified Information (CUI).
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice
OUR VALUES
Native American Owned & Proud | Accountable | Team Focused | Innovative | Visionary | Excellence AAP/EEO Statement Ho-Chunk, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. However, preference may be extended to persons of Indian descent in accordance with applicable laws.
Note:
This position is being posted in anticipation of award of a federal contract. Employment is contingent upon Flatwater Group being awarded the contract and meeting all requirements set forth by the contracting agency. Candidates are encouraged to apply and may be contacted for further evaluation as part of the proposal process.
