Dental Case Manager

Vergence is a growing Federal Government contractor providing mission critical heath care services to government customers both in Indiana and around the United States. We are looking for a Dental Case Manager to assist with a current engagement in Central Indiana. This position is responsible for facilitating dental case management initiatives and deployment operations including coordinating with Medical Records to ensure timely and accurate processing.

In this role you will:

• Conduct intake services at PHA and Medical Readiness; identify members that are determined medically non-deployable; create, track, and update medically non-deployable referrals in e-case.
• Ensure accuracy and efficiency of dental case management process
• Manage Soldier’s medical and dental care from the identification point of injury and/or condition to when the Soldier is returned to duty or administratively separated from the military
• Initiate case management and maintain clinical notes referencing Provider’s medical assessments.
• Perform initial and follow-up SM review to ensure quality of patient care and ensure the SM understand their responsibilities
• Coordinate continuity of care plans and all referrals when the care is being resourced by the government.
• Ensure completion of required checklist and ensure proper handling of all dental/medical records and validate in HRR.
• Document all dental and case management activities in the appropriate Army National Guard electronic data system in current use.
• Telephone Soldiers and medical/dental offices to obtain information and coordinate medical appointments for Soldiers seeking treatment under DHA-GL approved care.
• Obtain the proper release of information forms from Soldiers and medical/dental offices and collect medical documents when the Soldier cannot.
• Place and maintain medical documentation in the appropriate electronic record HRR as well as the hard copy MRR that includes filing, scanning and maintaining all medical documents as directed by the Army Regulation Medical Record Administration.
• Coordinate with health services administrative team to obtain pre authorization(s) for treatment with entry of request into MEDCHART.
• Coordinate with SM to ensure all medical readiness issues are properly addressed.
• Ensure all medical documentation necessary is obtained in order to facilitate approval of any medical treatment or completion of any required examination by a credentialed provider through coordination with the Soldier, unit, civilian medical providers.
• Perform non-clinical support to SRP and medical readiness events.
• Attend and perform administrative support at medical readiness events and CH3 Evaluations.
• Provide weekly updates and reports of all case management activities to the case manager.
• Coordinate care received by TRICARE and by the Defense Health Agency-Great Lakes (DHA-GL) formerly known as Military Medical Support Office (MMSO) to obtain preauthorization(s) for treatment (coordinated through the Health Systems Specialist).
• Coordinate service member care including consults for those initially using Military Treatment Facilities (MTF), VA, TRICARE network provider, and/or non-network providers.
• Document medical care plans Bi-monthly (at a minimum) case reviews.
• Ensure proper data entry of all Service Members (SM) medical information in appropriate systems in a timely manner.
• Follow up with SM to ensure all dental medical readiness issues are properly addressed to minimize the amount of time in non-deployable status.
• Comply with and maintain access to all regulations and guidance that are applicable.

Requirements:

• Highly organized and possess strong written and oral communication skills.
• Ability to manage priorities and assist team members in a professional and courteous manner.
• Strong Administrative skills and must be a self-starter.