RN, Nurse Case manager, Madison, WI - June 16, 2015
We are responsible for approximately 7,000 Army National Guard soldiers assigned in Wisconsin. Our cases consist of behavioral health, ortho, neurology, oncology, CVSP and everything in between. Our average case load varies from 60-120 cases after the Jan SRP. We coordinate with soldier to assess and arrange for treatment on a monthly basis. Manage care by reviewing medical documentation for abnormalities and disqualifying defects then generate profiles based on MD recommendation. Review Army regulation AR 40-501 to determine Serviceman’s fitness for duty and deployability. Those referred to Medical board, a summary is done and sent to the State Surgeon for review. I am proficient in the numerous programs needed for the case management process to include: obtaining AHLTA/theater records, Med chart, E-profile, LOD’s, Pre-Auth’s, HRR, MODS-PHA and PDHRA, separations tracker, SIDPERS, as well as microsoft excel, word and outlook. I review soldiers CVSP results and calculate the Framingham and refer to MD for appropriate treatment as outlined in the regulation. The hardest part of the job is the computer systems, frequent outages. Management and co-workers are fantastic but the greatest reward is working the soldiers. For those that have been injured in the wars to find them treatment and or compensation for their service to our country is the most rewarding.