Case Manager

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Job Description:

We are GDIT. We stay at the forefront of innovation to solve complex technical challenges.

GDIT is your place. Make it your own by discovering new ways to apply the latest technology and processes. Own your opportunity at GDIT and you’ll be a meaningful part of improving how agencies operate. Our work depends on a Case Manager joining our team to lead professionals supporting the Health Resources & Services Administration (HRSA).

The Health Resources and Services Administration (HRSA) aims to improve health outcomes by enhancing access to quality services, developing a skilled health workforce, and implementing innovative programs that benefit geographically isolated, economically or medically vulnerable populations. HRSA focuses on increasing health equity and strengthening local health systems through initiatives such as community health centers, the Organ Procurement & Transplantation Network (OPTN), the Ryan White HIV/AIDS Program, and support for maternal and child health.

At GDIT, we foster a people-centric environment. The Case Manager serves as the primary contact and coordinator for the monitoring, compliance, and performance improvement of OPTN member institutions, including transplant hospitals, Organ Procurement Organizations (OPOs), and histocompatibility laboratories. This role is integral to ensuring patient safety and equitable organ allocation by overseeing the entire case management lifecycle, which encompasses case intake, triage, tracking, analysis, review, and resolution. Case Managers investigate potential violations of transplant policies, ensure adherence to federal regulations, monitor member organization compliance, and actively work to improve policies and processes. They also provide critical guidance to transplant centers, manage quality assurance activities, conduct audits, analyze data for trends, and liaise with stakeholders to optimize compliance processes and outcomes.

The Case Manager role requires discretion, analytical expertise, and leadership skills to protect patients, ensure compliance with regulations, and maintain the organizational integrity of the OPTN. Case Managers will routinely report progress to relevant stakeholders, represent the department in cross-functional teams, and collaborate with task leads and contractors to enhance processes.

In this role, the Case Manager responsibilities include:

• Provide leadership and oversight for Site Visit Leads/Investigators during patient safety and compliance case reviews.

• Act as the team lead for the task team responsible for managing case intake, triage, tracking, review, and resolution activities.

• Train, motivate, and mentor team members to ensure high-quality case management activities and adherence to project deadlines and standards.

• Manage the secure intake and documentation process for incoming patient safety and compliance cases from all sources.

• Redact sensitive information and ensure proper record management in accordance with federal regulations.

• Safeguard case records using secure storage, transfer, and handling methods.

• Develop and maintain case tracking tools that monitor case progression, metrics, and outcomes from intake through resolution.

• Ensure case tracking systems support real-time access for stakeholders and facilitate trend analysis.

• Prepare regular and ad hoc reports summarizing case activity, resolution status, and outcomes for HRSA, OPTN Committees, and other stakeholders.

• Assess newly submitted cases for severity, urgency, and scope.

• Develop initial case review plans, including timeframes, required data, and identification of involved stakeholders.

• Escalate cases when appropriate, including coordinating external reviews with entities like Centers for Medicare & Medicaid Services (CMS).

• Coordinate case-related activities among various stakeholder groups, including HRSA, OPTN Committees, and other contractors.

• Document the roles, responsibilities, and coordination needs of all parties involved in individual cases.

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

• Prepare actionable recommendations for process improvement, policy updates, and educational initiatives for OPTN member organizations.

• Provide insights to HRSA and other stakeholders on compliance issues, risks, and necessary corrective actions.

• Conduct thorough, well-documented case reviews ensuring fair and consistent evaluation of patient safety and compliance issues.

• Draft comprehensive final case reports summarizing findings, decisions, and recommended follow-up actions such as Corrective Action Plans (CAPs).

• Oversee the implementation of final decisions and recommendations, including tracking follow-up actions, updates to member records, and any necessary coordination with OPTN IT contractors or other teams.

• Manage continuous quality improvement efforts to strengthen case intake, triage, review, and resolution processes.

• Evaluate historical case trends and past operational reviews to refine workflows and policies proactively.

• Recommend strategies for improving oversight and accountability in OPTN member compliance activities.

WHAT YOU'LL NEED

• Requires at least 6 years in compliance, project management, quality improvement, auditing, or investigations, within healthcare or regulatory environments

• A Bachelors degree

• Strong understanding of federal, state, and local regulations

• Analytic skills: ability to use independent judgment to determine risk

• Excellent communication skills written and verbal

• Leadership capabilities

• Strong organizational skills to manage schedules and audit logistics.

• Demonstrated ability to handle sensitive information securely and discretely

• Ability to travel to member organizations throughout the country (up to 15% of the time)

• Must be able to obtain a Public Trust clearance

#GDITFedHealthJobs #GDITHealth

GDIT IS YOUR PLACE
At GDIT, the mission is our purpose, and our people are at the center of everything we do.
● Growth: AI-powered career tool that identifies career steps and learning opportunities
● Support: An internal mobility team focused on helping you achieve your career goals
● Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
● Flexibility: Full-flex work week to own your priorities at work and at home
● Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY

Explore a career in program management at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your passion for the mission and delivering results.

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