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Medical Case Manager — Adjudication Support & Customer Support

Essential HealthCare Solutions

Medical Case Manager role supporting HQ AFRC aeromedical case management, with a primary focus on adjudication support, final disposition processing, and unit/member customer support.

  • Process high-volume aeromedical cases for HQ AFRC.
  • Prepare cases for provider adjudication and ensure case files are complete.
  • Compile final disposition packages and member mail-outs.
  • Serve as a day-to-day help desk for medical personnel across the force.
  • Cross-train on all team functions and rotate into intake and data entry during surge periods.
  • Work on-site at Robins AFB in Warner Robins, GA, with situational telework available only by prior approval.
Requirements & Qualifications

Required Qualifications

  • Military medical experience strongly preferred.
  • Demonstrated experience processing and managing physical exams and medical standards in a military medical environment or equivalent civilian aeromedical, occupational health, or disability evaluation system.
  • Working knowledge of medical standards for retention, flying classes, Line of Duty (LOD) determinations, and special operational duty for the USAF.
  • Familiarity with the Aeromedical Waiver Guide (AMWG), Medical Standards Directory (MSD), applicable AFIs, and 422/469 and DES processes, or ability to quickly learn them.
  • Basic knowledge of anatomy, physiology, disorders of human body systems, and emergency medical care procedures.
  • Proficiency with medical terminology and ICD-10 coding for case documentation.
  • Strong oral and written communication skills with the ability to translate complex medical and administrative instructions.
  • Project-management and workflow-tracking skills.
  • Proficiency with Adobe PDF and Microsoft Office applications.
  • Strong typing skills, including QWERTY and 9-key/numeric pad input.
  • Ability to work independently with excellent time management and prioritization.
  • Exceptional customer service, interpersonal, and de-escalation skills.
  • Ability to read, write, speak, and understand English fluently.
  • Must be able to obtain and maintain a favorable Tier 1 background investigation.
  • Must complete required government-provided training and sign the NDA prior to performance.
Benefits & Perks

Compensation and Work Conditions

  • Full-time, non-exempt position under the Service Contract Act.
  • Base wage of $21.76 per hour.
  • Health & Welfare pay of $5.55 per hour.
  • Overtime is not authorized unless approved by the client.
  • Government-provided training and system access.
  • Equal opportunity employer.
  • E-Verify participation.
  • No required travel; relocation and travel are not reimbursed.

Location

Georgia, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

3 months ago

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