Registered Nurse Case Manager (RNCM)

Overview

Goldbelt Glacier is accelerating healthcare delivery and providing superior force health readiness across the military, federal, and civilian landscapes. Goldbelt Glacier is committed to providing transformative and comprehensive health operational capabilities to support customers across scientific, clinical, technological, and program management areas.

Summary:

As a part of the Goldbelt Glacier Team, you will be supporting medical services for active-duty military personnel, their dependents, eligible DoD civilian employees, and other eligible beneficiaries designated by the Government. As a HealthCare Worker (HCW), you will be assigned to either a Military Treatment Facility (MTF) or other Federal medical treatment facilities in Japan.

We welcome applications from all qualified candidates; however, individuals currently residing in Japan will receive priority consideration.

Responsibilities

Essential Job Functions:

• Provides patient-centered case management and discharge/disposition planning (e.g., patient advocacy, assessment, planning, implementation, coordination, monitoring, and evaluation) in inpatient and ambulatory care settings, with early identification and interventions focused on outcomes.

• Completes general and special needs program planning, implementation, and evaluation, and in conducting individual, family, group, and community interviews and assessments as well as individualized identification of special needs.

• Ensures initial and ongoing assessments identify patient needs, issues, resources and care plans in a timely manner including patient health education needs.

• Ensures care goals are set and agreed upon by the primary provider and patient.

• Ensures coordination of care delivery processes to enhance patient’s health and wellness, safety, productivity, and quality of life, to include alternate care settings and the home environment.

• Teleconference and Webinar: Attend routinely scheduled teleconference and webinar, i.e. CarePoint Training, AFMOA Medical Management, MiCare training, etc.

• Database access and nursing informatics: Utilize CarePoint daily to identify patients for medical management referrals, i.e. UM, DM, CM, or SNC. Document CarePoint usage and MiCare usage in AHLTA daily. Demonstrate ability to build query in Care Point and Group List in MiCare in order to manage your group of case management patients.

• Briefings: Submit all briefing documents to HCI by the specified due dates, i.e. monthly Population Health Support Function (PHSF) PowerPoint slides and monthly peer review excel documents if applicable.

• PCM Huddle: Attend weekly PCM huddle to collaborate with PCM team for patient referral to medical management services. Coordinate with PCM nurse to determine a designated weekly time for PCM huddle.

• Case management nurse coverage : There are up to three case management RNs. One case management RN to communicate with the host nation facilities (HNF) and another case management RN to communicate with CONUS facilities, and aeromedical evacuation (AE) team, and Theatre Patient Movement Requirements Center (TMPRC). Unless authorized by HCI/FREDS/COR, The HNF RN and the AE RN cannot be out of the office at the same time since they provide coverage for each other when one is out of the office.

• Space “A” patients (“Civilian” non-Tricare beneficiaries): Although patients who are seen on space available (space “A”) basis are not in the same priority category as active duty patients, they will receive the same high quality of care from medical management nurses, regardless of status. Timely of care services is determined by acuity level, not by status. Medical Management nurses will continue to provide services to Space “A” patients in order to alleviate workload on the Primary Care Manager (PCM). The intent of Medical Management is to support the PCM and the concept of Patient-Centered Medical Home (PCMH). As vital members of the medical Management team, all medical management nurses will provide the same quality of care for space “A” patients as patients in other priority categories. This is needed to facilitate a smoother workflow based on PCMH concept.

• Medical CMs provide CM services for Mental Health (MH) treatment to MTF MH Clinic patients only as outlined in AFI 44-172, Mental Health. MH CM for MH patients is provided by MH staff except in special and very limited circumstances. In cases where MH patients have medical issues that require specialty care and/or medical CM, the medical CM will co-manage the patient with the MH CM.

Qualifications

Necessary Skills and Knowledge:

• Able to read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel.
• Proficiency in Microsoft Office software applications including Word, Excel, Access, PowerPoint, and Outlook.
• One registered nurse case manager position preferable speak fluent Japanese. Japanese-Language Proficiency Test Certificate of Results and Score of at least N2 or equivalent certificate are required for non-native Japanese speakers. The Government will accept a Japanese STAMP Score with a Benchmark Level of 8 (Advance-Mid) as an equivalent to the Language Proficiency Test Certificate of Results and Score of N2. Any other possible equivalent certification of language certification, not listed above, will be submitted to and approved by the Contracting Officer. When visiting patients at the host nation facility (i.e. Japanese Hospitals), the intent is to provide healthcare services and build relationships with the host national providers. Non-healthcare services are not authorized.
• Possess the necessary knowledge, skills, aptitude, and computer literacy to evaluate, interpret, utilize and apply medical care criteria, such as InterQual, Milliman & Robertson Care Guidelines, Predictive Modeling and Integrated Medical Management Techniques in performance of the task requirements.

Minimum Qualifications:

• Graduate with a Bachelor's of Science in Nursing (BSN) from a program accredited by a national nursing agency and recognized by the United States Department of Education.
• HCW shall be in good standing and under no sanction or suspension by the Federal Government.
  
• Possess and maintain current certification in either the American Heart Association BLS for Healthcare Providers or American Heart Association Healthcare Provider Course.
  
• Each HCW providing service under this contract or resultant task orders shall undergo an orientation and shall complete mandatory Navy and DoD on-line training as required.
  
• Be able to comply with all applicable Federal, State, and local laws, Department of Defense, Department of Navy, Bureau of Medicine and Surgery, and MTF instructions and policies.
• Ability to pass all background/suitability checks.
  
• A valid driver’s license; ability to travel locally as needed.

• Nurse applicants must be a current U.S. licensed Registered Nurse. Active, current, valid and unrestricted license to practice nursing in accordance with State Board requirements. License cannot be under investigation nor have any adverse action pending from a Nursing State Board or national licensing/certification agency. Fully licensed (without restriction) as a registered nurse to practice nursing autonomously within the scope of nursing credentials/educational levels.

• RN must have at least three (3) years of licensed nursing practice. Two (2) years’ experience in Discharge Planning or Case Management is highly desired. Certification in case management from the American Case Management Association, the American Academy of Case Management or the American Nurses Credentialing Center issued within the last (2) two years may be substituted for direct case management experience.

• Equivalent combinations of education and experience may be qualifying if the education or experience is directly related to case management. Equivalency combinations must be acceptable to the MTF and approved by the Contracting Officer.

• Must be a US citizen

Preferred Qualifications:

• An active security clearance is preferred.
• A thorough understanding of the military lifestyle and experience working with military family members.
  
• Working knowledge of relevant military, state, federal, and local laws and resources.
  
• Highly developed written, oral, and presentation communication skills.

Pay and Benefits
At Goldbelt, we value and reward our team's dedication and hard work. We provide a competitive base salary commensurate with your qualifications and experience. As an employee, you'll enjoy a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) plan with company matching, tax-deferred savings options, supplementary benefits, paid time off, and professional development opportunities.

This position does not provide relocation assistance.