Case Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the secure collection and documentation of patient safety and compliance cases.

• Evaluate cases based on severity, urgency, complexity, and potential impact on patients.

• Create case review plans that include timelines, data requirements, and stakeholder participation.

• Conduct thorough case reviews regarding compliance and patient safety issues.

• Facilitate information collection, documentation assessments, interviews, and related evaluation tasks.

• Raise cases and coordinate external reviews with organizations like CMS.

• Supervise and track Corrective Action Plans and other remedial measures.

• Coordinate case activities involving HRSA, OPTN committees, member organizations, contractors, and various stakeholders.

• Promote effective communication among stakeholders throughout the case lifecycle.

• Provide timely updates concerning case status, documentation needs, and follow-up actions.

• Assist in case review plans and resolution efforts.

• Engage in cross-functional meetings and stakeholder interactions.

• Analyze case data to detect trends, non-compliance issues, operational risks, and patient safety concerns.

• Suggest process enhancements, policy improvements, educational initiatives, and corrective actions.

• Contribute to ongoing quality improvement for case management workflows and oversight processes.

• Manage multiple cases concurrently, along with milestones, deliverables, deadlines, and follow-up tasks.

• Ensure precise case documentation, tracking tools, metrics, milestones, and outcomes are maintained.

• Appropriately handle, redact, store, and transfer sensitive information and records.

• Prepare regular and ad hoc reports for HRSA, OPTN committees, and stakeholders.

• Draft case reports summarizing findings, decisions, recommendations, and follow-up actions.

• Utilize case management and tracking systems for record-keeping and reporting.

• Analyze case and operational data to inform decisions and identify trends.

• Support improvements to case tracking, reporting, and workflow management tools.

⛳️ Requirements

• A clinical degree is required, such as BSN, RN, MD, DO, PA, or another relevant clinical degree and licensure.

• At least six (6) years of experience in case management, clinical review, quality improvement, auditing, investigations, compliance, transplantation, or related healthcare operations.

• Proven experience managing complex healthcare cases with multiple stakeholders.

• Experience in reviewing and interpreting clinical information and identifying potential patient safety concerns.

• Strong project coordination and organizational abilities.

• Capability to manage multiple priorities and deadlines within a fast-paced environment.

• Exceptional attention to detail and accuracy in documentation.

• Ability to independently organize, prioritize, and manage assigned tasks.

• Excellent written and verbal communication skills.

• Proficient in effective communication with clinicians, healthcare administrators, federal staff, contractors, and other stakeholders.

• Strong collaboration, facilitation, and stakeholder management skills.

• Ability to clearly and professionally present findings, recommendations, and case outcomes.

• Proficient computer skills, including Microsoft Word, Excel, PowerPoint, Outlook, and Teams.

• Experience using case management, compliance tracking, reporting, or workflow management systems.

• Ability to analyze and interpret data for operational and compliance activities.

• Capacity to handle sensitive and confidential information with discretion and professionalism.

• Willingness to travel throughout the United States up to 15% of the time.

• Must be able to obtain and maintain a Public Trust clearance.

• Preferred: experience in transplantation, organ donation, organ procurement, or related healthcare fields.

• Preferred: experience with transplant centers, OPOs, histocompatibility laboratories, or similar organizations.

• Preferred: PMP or another project management certification.

• Preferred: experience supporting federal healthcare programs, quality oversight, accreditation, or regulatory review processes.

• Preferred: familiarity with OPTN operations, member compliance, patient safety reviews, or performance monitoring.

🏝️ Benefits

• Comprehensive medical plan options, including plans with Health Savings Accounts.

• Dental plan options.

• Vision plan options.

• 401(k) plan with pre-tax and post-tax contributions and company match.

• Full-flex work weeks where feasible.

• Paid time off, including vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave.

• Typically 15 days of paid leave per calendar year.

• 10 paid holidays each year.

• Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees.

• Short- and long-term disability benefits.

• Life insurance.

• Accidental death and dismemberment insurance.

• Personal accident insurance.

• Critical illness insurance.

• Business travel and accident insurance.

• AI-powered career tool identifying career steps and learning opportunities.

• Internal mobility team supporting career goals.

• Wellness packages.

• Competitive pay.

• Award-winning culture of innovation.

• Military-friendly workplace.