Case Manager

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

📋 Description

• Provide guidance and supervision to Site Visit Leads/Investigators during reviews of patient safety and compliance cases.

• Lead the task force responsible for case intake, triage, tracking, review, and resolution.

• Train, inspire, and mentor team members.

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

• Redact sensitive data and uphold records in compliance with federal regulations.

• Ensure the security of case records through proper storage, transfer, and handling.

• Develop and sustain case tracking tools, metrics, and outcome monitoring.

• Generate regular and ad hoc reports for HRSA, OPTN Committees, and other stakeholders.

• Evaluate cases for severity, urgency, and scope.

• Create initial case review plans and identify necessary data and stakeholders.

• Escalate cases and coordinate external reviews with agencies such as CMS.

• Facilitate case-related activities among HRSA, OPTN Committees, and contractors.

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

• Suggest process enhancements, policy updates, and educational initiatives.

• Conduct documented case reviews and compile final case reports.

• Oversee the execution of decisions, corrective actions, follow-up activities, and updates to member records.

• Manage continuous quality improvement for processes related to case intake, triage, review, and resolution.

• Assess historical trends and conduct operational reviews to optimize workflows and policies.

• Communicate progress to stakeholders and collaborate with cross-functional teams, task leads, and contractors.

⛳️ Requirements

• Minimum of 6 years of experience in compliance, project management, quality improvement, auditing, or investigations within healthcare or regulatory settings.

• Bachelor’s degree.

• Strong comprehension of federal, state, and local regulations.

• Capacity to use independent judgment to assess risk.

• Outstanding written and verbal communication abilities.

• Proven leadership skills.

• Exceptional organizational skills for managing schedules and audit logistics.

• Capability to handle sensitive information securely and with discretion.

• Willingness to travel to member organizations nationwide, up to 15% of the time.

• Must be able to obtain a Public Trust clearance.

• Current clearance not required.

• U.S. citizenship not required.

🏝️ Benefits

• Comprehensive benefits and wellness packages.

• 401K with company match.

• Competitive pay.

• Paid time off.

• Flexible work weeks.

• Medical plan options, some including Health Savings Accounts.

• Dental plan options.

• Vision plan options.

• 401(k) contributions with company match.

• Vacation, sick, and personal time.

• Paid holidays.

• Paid parental leave.

• Military leave.

• Bereavement leave.

• Jury duty leave.

• 15 days of paid leave per calendar year for new employees, prorated based on hire date.

• 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 for identifying career steps and learning opportunities.

• Internal mobility team.

• Award-winning culture of innovation.

• Military-friendly workplace.