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Case Manager
Career Insights for Clinical Case Manager
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Based on Missouri data
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What they do
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.
$67,107 / year median in Missouri
+6% projected growth
Job Description
Purpose:
T47 International is seeking one (1) candidate to serve the Missouri Army National Guard (MOARNG) as a Non-clinical Case Manager. Non-Clinical Medical Case Management targets Missouri Army National Guard Service Members with complex, multi-system healthcare needs who require key case management or care coordination services. Originally, Medical Case Management almost exclusively targeted in-patients with catastrophic illnesses or injuries. However, while Medical Case Management continues to focus on catastrophic illness or injury, Medical Case Management practices are also intensely directed at addressing chronic conditions that are more prevalent in the general patient population as well as the medical readiness and deploy ability requirements. Medical case managers are expected to engage leadership and the State Surgeon's Office by providing ongoing and consistent patient recommendations and medical administrative services. The Medical Management Team (MMT) requires the expertise to facilitate, through review of documentation, military regulations, and other authorized data the rendering of non-clinical administrative services. The medical documentation of individual Soldiers, obtained by Medical Management, will be utilized in the production of Narrative Summaries (NARSUMs), profiling, referrals, reports, investigations, medical board packets, waiver requests, and medical readiness standards. The ultimate goal is to produce real-time reports based on complete, accurate data. The minimum goal for overall medical readiness is more than 90% of Service members Fully Medically Ready (FMR) and 95% deployable. The team will consist of Case Managers and Care Coordinators. Case Managers must have bachelor's degrees to draft narrative summaries, review medical information, advise personnel on duty restrictions, recommend profiling restrictions, provide waiver recommendations, and advise the Deputy State Surgeon (DSS) on deploy ability. Care Coordinators assist Case Managers. collect medical documentation, input administrative notes into various systems, and assist with military evaluation scheduling and other administrative duties required in the case management process. The Medical Management Team will assist on scheduled Medical Readiness events as needed on weekends if necessary.Case Manager Responsibilities and Duties:
- Assessing, planning, implementing, coordinating, reporting, monitoring, and evaluating the options and services required to meet the ARNG Soldier's health and human service's needs.
- Facilitate the ongoing planning, implementation, and evaluation of Soldiers' clinical cases in the Medical Management Process. Communicate with delegated government personnel to track compliance versus noncompliance.
- Review individual Soldier medical information to ascertain