Nurse Case Manager

Apogee Solutions

10d•Onsite

About The Position

Apogee Solutions, a Woman-Owned Small Business, is seeking a full-time Nurse Case Manager to support the United States Marines Corps Wounded Warrior Regiment (WWR) at Quantico, VA. Qualified candidates must be a US Citizen able to pass a background check, to include Federal Bureau of Investigation (FBI) fingerprint check and National Agency Check with Written Inquires (NACI). The Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) conflicts confirmed that the Marine Corps needed an overarching program to manage the transition of care and recovery needs of Marines who become severely ill or injured, both physically and mentally. Since the inception of the WWR and its supporting Battalions, engaged focused leadership and clinical advocacy for wounded, ill, and injured Marines has continued to prove invaluable to solving complex care needs that integrate DOD, VA, and civilian programs into comprehensive health recovery plans. The Nurse Case Manager or Clinical Care Advocate (CCA) provides clinical care advocacy to navigate complex medical care systems and ensure Marines have access to the optimal medical treatment, at the right time, in an appropriate location. Many cases referred to WWR have comorbid psychological concerns and concomitant issues of major financial difficulties, family distress, legal or misconduct charges and housing problems. Managing this complicated population requires a well-coordinated medical and administrative support system that integrates and communicates seamlessly throughout the care process for all types of serious medical illnesses, complex traumas, mental health, SMI, and TBI.

Requirements

US Citizen with the ability to pass a background check, to include Federal Bureau of Investigation (FBI) fingerprint check and National Agency Check with Written Inquires (NACI)
Possess a current active state licensure as either an Advanced Registered Nurse Practitioner or a Registered Nurse certified by the American Nurses Credentialing Center
In accordance with Executive Order 14042, full vaccination against COVID-19 is required; proof of vaccination will be required upon hire
Minimum of two years of experience, in the mental health and/or deployment health arena desired
Have a working knowledge of current mental health and complex medical evaluation and treatment recommendations and be able to advise those seeking advice in these matters
Prior experience working with service members, highly preferred
Proficient with Microsoft Office products
Experience with MCWIITs or AHLTA preferred
Must have a strong attention to detail and be highly organized

Responsibilities

Provide wounded, ill, and injured Marines, Sailors, and their families with medical and psychological health support, to include facilitating cross agency and multidisciplinary care, and connection with state-of-the-art specialized services for Marines as they move through the recovery-rehabilitation-reintegration continuum.
Evaluate for mental health and complex care related issues, assess adequacy of clinical evaluations for all medical conditions, determine appropriateness/effectiveness of treatment, and identify social and environmental factors impacting member’s condition(s) through interviews with the service member or family members, review of health record documentation, communications with service member’s chain of command, engagement with other health care providers, plus multidisciplinary and interagency coordination to ensure appropriate evaluation and treatment.
Assist and provide advocacy for appropriate health care and support of the Recovering Service Member
Promote and advocate for an efficient and effective recovery and rehabilitation plan and facilitate the smooth transition back to military duty or civilian life for assigned WII Marines and their families following each referred Marine through to the resolution of that service member's care issues, whether it is a return to active duty/ reserve status/civilian life, or medical retirement/disability.
Assist Navy medical case managers and Recovery Care Coordinators to maintain stability of care for Recovering Service Members by eliminating obstacles to care and overcoming gaps in obtaining necessary treatment and services.
Work closely with the multiple clinical and non-clinical entities, both federal and non-federal, in concert with the individual Marine and family members across the continuum of care.
Work with the Marine, family members, and health care provider(s) to maintain a patient centered care plan for the injured Marine that provides appropriate care and support.
Assess the state of mental health and related medical and non-medical care needs and ensure appropriate interventions for referred Marines.
Specifically identify whether the referred individual needs expedient evaluation or treatment for mental health problems or complex health issues and determine what support or care issues need to be addressed.
Make outreach telephone calls to engage specific Marines identified by the WWR Call Center (WWCC), WWR Operations Center (WWOC), or WWR leadership as requested.
Assist veteran Marines to engage the appropriate health care system (Veterans Health Administration, Military Healthcare System/TRICARE, civilian health care providers) or other local community services (chaplain, support group, etc.), in order to obtain needed services if the mental health issue is not service connected.
Continually update the WWR records being maintained for each Marine to identify treatment progress and status, and evaluate referrals and authorizations, to include compliance with care plan.
Facilitate referral and access to medical and mental health support resources for Marines and their family members.
Identify WII Marines with complex mental health, TBI, and substance abuse issues and assist the care team with enrollment in or referral to highly specialized treatment programs where needed.
Review referred cases pending legal or adverse administrative action for combat related mental health, TBI, or SMI issues influencing behavior. When requested by service member, engage unit leadership / legal authorities to present relevant medical and non-medical information and advocate for Marines undergoing administrative/legal proceedings where service-connected mental health, SMI or TBI may be contributing factors.
Assist Marine commands, medical personnel, referred Marines and their family members with procurement of information regarding WWR programs, WWR support services, and resources for mental health including SMI and complex medical conditions.
Serve as a consultant for medical personnel caring for WII Marines regarding mental health and complex medical evaluation and treatment.
Assist service member’s medical care team and case managers to obtain specialized mental health and complex medical evaluations and enrollment in specialized treatment programs that are not readily accessible at the service member’s locale.
Participate in multi-disciplinary teams when requested and provide advice and assistance in identifying deficiencies in evaluation and treatment, resolving barriers to care, and engagement in more effective treatment courses to improve the mental health and improve outcomes for the Marine and his/her family.