
Senior Medical Case Manager
2 days ago
We are seeking a skilled professional to fill the role of Medical File Reviewer/PHRN. As a key member of our team, you will be responsible for preparing case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.
- Reviews and bookmarks medical records and creates a synopsis to answer medical opinion questions based on the veteran's medical history.
- Remotely assists the medical provider during a scheduled appointment of a veteran by accessing, navigating, and preparing different apps in the medical provider's computer in the exam room prior to the scheduled appointment.
- Remotely interviewing the veteran via the approved video or telephone conference platform.
- Transcribing the medical history based on the veteran's answers to the questions in the DBQ.
- Remotely assisting the medical provider by documenting all the physical examination findings in the appropriate section of the DBQs.
- Completing all sections of the DBQ spreadsheets after each appointment.
- Meeting with medical providers to discuss each assigned case to determine the final diagnosis per DBQ and for approval of medical opinions.
- Transferring data from the DBQ spreadsheet to the client portal.
- Submitting DBQs in the client portal.
- Answering queries/addendum reports from the client's QAs.
- Coordinating with medical providers and other team members regarding the scheduled appointments per day.
Requirements
- Bachelor of Science in Nursing (BSN), active PHRN license.
- Excellent communication skills to assist veterans, medical providers, and colleagues effectively.
- Ability to work independently with minimal supervision.
- Flexibility in work schedule changes as needed.
- Accountability for all assigned cases.
- Proficiency with MS Office applications (Word, Excel, PowerPoint).
- Assist the Lead and/or Trainer in process improvement.
- Assist in creating process-related templates, if needed.
- Perform other job-related duties as assigned by supervisor or manager.
Work Environment
- Fiber connection with at least 20 Mbps download and upload speeds.
- Backup internet with minimum 15 Mbps download and upload speeds.
- Intel i5–i7, 8 GB RAM; 4th generation or newer main desktop/laptop.
- Intel i3–i5, 8 GB RAM; 4th generation or newer backup desktop/laptop.
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