Clinical Case Manager - United States - VA - NORFOLK
1 day ago
Job description
Required Education:
- Bachelor's degree and five (5) years' experience; additional four (4) years' experience can be considered in lieu of degree.
Required Clearance:
- Must possess an active Interim Secret security clearance with the ability to obtain and maintain an active Secret clearance; US Citizenship required.
Required Skills:
Current, unrestricted medical provider license (e.g., RN, LPN, NP, PA) or equivalent certification
Minimum of 3 years of experience in healthcare, with a preference for experience in military or civilian healthcare environments
Minimum of 1 year of experience in case management or similar roles
Desired Skills:
- Strong understanding of TRICARE benefits and healthcare systems
Required Certifications:
- Certification in Case Management (CCM)
SAIC is a premier Fortune 500 mission integrator focused on advancing the power of technology and innovation to serve and protect our world. Our robust portfolio of offerings across the defense, space, civilian and intelligence markets includes secure high-end solutions in mission IT, enterprise IT, engineering services and professional services. We integrate emerging technology, rapidly and securely, into mission critical operations that modernize and enable critical national imperatives.
We are approximately 24,000 strong; driven by mission, united by purpose, and inspired by opportunities. SAIC is an Equal Opportunity Employer. Headquartered in Reston, Virginia, SAIC has annual revenues of approximately $7.5 billion. For more information, visit For ongoing news, please visit our newsroom.
SAIC is seeking a Clinical Case Manager (CCM) to support the First Army, Soldiers and Family members enrolled in the TRICARE Prime Remote (TPR) program, and those assigned to First Army Support Command and associated training locations in Norfolk, VA. The CCM serves as a critical link between Soldiers, Commanders, Brigade Medical Teams, and the broader healthcare system to ensure comprehensive and coordinated care.
The Clinical Case Manager (CCM) will be responsible for but not limited to the following:
- Provide comprehensive case management services to assigned Soldiers and Family Members, including assessment, planning, implementation, resource coordination, polypharmacy monitoring, billing and referral assistance, and evaluation of care plans.
- Track and monitor medical readiness status for all components of First Army, identifying and addressing barriers to compliance.
- Provide dedicated support to Soldiers navigating the Medical Evaluation Board (MEB) and Physical Evaluation Board (PEB) processes, including timeline management, documentation assistance, and communication with relevant agencies.
- Serve as a liaison between First Army units, Medical Readiness Commands (MRCs), DoD medical facilities, and civilian healthcare providers.
- Facilitate access to care, addressing delays in scheduling appointments (Primary Care, Behavioral Health, Physical Therapy) and navigating TRICARE authorization requirements.
- Information Management\: Maintain accurate and confidential patient records, adhering to HIPAA regulations and Army privacy policies.
- Command Consultation\: Inform Command Teams of potential health risks and provide recommendations for mitigating those risks, particularly in locations with limited resources.
- System Navigation\: Assist Brigade and Battalion Medical personnel with access to and utilization of relevant healthcare systems (e.g., JLV, Genesis, Vantage).
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