PWS_Case_Manager_(v3).docx

PERFORMANCE WORK STATEMENT (PWS)

FOR

Nonclinical Case Management & Professional Medical Support Services

1. General:

1.1 Scope: The purpose of this requirement is to provide Medical and Dental Non-clinical Case Management and Administrative Care Coordinator staffing in support of Individual Medical Readiness (IMR). This requirement is designed to be flexible, responsive, and meets the ever-evolving needs of the government. DoDI 6025.19 establishes aggressive quarterly and annual metric goals for the separate IMR elements and for the overall IMR category of Fully Medically Ready (FMR) soldiers. The ultimate goals are to produce real-time reports based on complete, accurate data. The minimum goal for overall medical readiness is more than 85% of service members FMR, with the ideal goal being 100%. The Kentucky Army National Guard (KYARNG) Surgeon’s Office requires a highly responsive process; whereby the government can quickly obtain needed support and services. This PWS reflects existing National Guard Bureau policies and regulations.

1.1.1 KYARNG Surgeon’s Office requires both case manager and administrative care coordinator support services. The case management position may be filled at a minimum by a Registered Nurse (RN).

1.1.2 The Contractor shall furnish all labor and services required to provide a wide range of Medical and Dental Non-clinical Case Management and related Medical Administrative support services.

1.1.3 Period of Performance (PoP): The period of performance shall be 15 SEP 2016 – 14 SEP 2017.

1.2 Background: The Department of Defense (DoD) TRICARE Management Activity (TMA) values all staff involved in the delivery of high-quality care to service members. In 2009, a Medical Management Guide was issued by the Office of the Assistant Secretary of Defense for Health Affairs (ASD [HA]) and TMA, Office of the Chief Medical Officer (OCMO), Population Health and Medical Management Division (PHMMD). The Guide covers the components of a Medical Management (MM) program, including applicable principles, implementation concepts, processes, and tools/databases for Utilization Management (UM), Case Management (CM), and Disease Management (DM). It complements the 2001 DoD Population Health Improvement Plan and Guide published by TMA and the Government Printing Office http://www.tricare.mil/ocmo/download/mhs_phi_guide.pdf. Under legislative mandates, the ASD (HA) submitted an annual report to Congress regarding healthcare delivery for Military Health System (MHS) beneficiaries. The 2009 report documented the MHS goal to providing high-quality care, improving performance through clinical and process outcomes, and increasing patients’ confidence in the care they receive. The Guide describes crucial components of Medical Management within the MHS, including the link between MM and population health and the dynamics between Utilization Management, Case Management and Disease Management in helping reduce unnecessary or inappropriate services and/or duplication of services. In the military setting, Case Management targets Active Duty Service Members and beneficiaries with complex, multi-system healthcare needs who require care coordination or case management services. Originally, Case Management almost exclusively targeted in-patients with catastrophic illnesses or injuries. However, a number of developments have served to change that strategy; notably:

- The emergence of the National Committee for Quality Assurance (NCQA): http://www.ncqa.orgorg/.

- The development of accreditation standards by the Utilization Review Accreditation Commission (URAC): http://www.urac.org.

While Case Management continues to focus on catastrophic illness or injury, Case Management practices are also intensely directed at addressing chronic conditions that are more prevalent in the general patient population. Case managers can affect patient outcomes through proactive interventions across multiple healthcare settings. Additionally, case managers are expected to engage community resources and facilitate ongoing and consistent patient education.

The MHS has three primary goals for Case Management:

1.2.1 The contracted company will pay the cost to conduct a background check(s) of employees as required.

1.3 Quality Control (QC): The Contractor shall provide a preliminary Quality Control Plan (QCP) with their proposal (see page 12).

Quality Assurance Surveillance Plan (QASP)

2.0 Purpose: This Quality Assurance Surveillance Plan is a government-developed document used to determine if the contractor’s performance meets the performance standards contained in the contract. The QASP establishes procedures on how this assessment/inspection process will be conducted. It provides the detailed process for a continuous oversight process:

- What will be monitored

- How monitoring will take place

- Who will conduct the monitoring

- How monitoring efforts and results will be documented

2.1 The contractor is responsible for implementing and delivering performance that meets contract standards using its Quality Control Plan. The QASP provides the structure for the government’s surveillance of the contractor’s performance to ensure that it meets contract standards. It is the government’s responsibility to be objective, fair and consistent in evaluating contractor performance.

2.2 The QASP is not part of the contract nor is it intended to duplicate the contractor’s quality control plan. This QASP is a living document. Flexibility in the QASP is required to allow for an increase or decrease in the level of surveillance necessary based on contractor performance.

2.3 The government may provide a copy of the QASP to the contractor to facilitate open communication. In addition, the QASP should recognize that unforeseen or uncontrollable circumstances might occur that are outside the control of the contractor.

2.4 Bottom line, the QASP should ensure early identification and resolution of performance issues to minimize impact on mission performance.

2.4.1 Authority - issuance of this QASP is provided under Part 46 of the Federal Acquisition Regulation, Inspection of Services clauses, which provide for inspection, acceptance and documentation of the service called for in the contract or order. This acceptance is to be executed by the contracting officer or a duly authorized representative.

2.4.2 Roles and Responsibilities - The following personnel shall oversee and coordinate surveillance activities.

2.4.2.1 Program/Project Manager (PM) – The PM (if the individual’s supervisor nominates or request the individual’s supervisor) nominate the Contracting Officer’s Representative (COR) using VCE-COR or as directed by the Contracting Officer based upon the dollar value of the action. The PM/Supervisor ensures the COR meets all COR training requirement outlined by the Contracting Office for the action before taking action regarding the nomination of the COR. The contract shall not be awarded until a qualified COR is appointed in writing by the Contracting Officer. The PM/Supervisor is not authorized to perform any COR duties but provides support to help the COR properly provide the necessary federal government oversight needed. The PM/Supervisor is required to include the performance of the COR in the COR/s annual performance rating. While the PM may serve as a direct conduit to provide Government guidance and feedback to and through the COR to the Contractor on technical matters, they are not empowered to make any contractual commitments or any contract changes on the government’s behalf. It is highly recommended the PM/Supervisor also nominate an alternate COR.

Assigned PM: LTC MARION PETERSON Organization or Agency: Kentucky National Guard Deputy DCSPER Telephone: 502 607 1462 Email: marion.peterson.mil@mail.mil

2.4.2.2 Contracting Officer (KO) – The KO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The KO shall also ensure the contractor receives impartial, fair, and equitable treatment under this contract. Determine the final assessment of the contractor’s performance.

Assigned KO: LTC BRENT A. WILKINS Organization or Agency: Kentucky National Guard KO Telephone: 502 607 1367

2.4.2.3 Contracting Officer’s Representative (COR) – The COR is responsible for providing continuous technical oversight of the contractor’s performance. The COR uses the QASP to conduct the oversight/surveillance process. The COR shall keep a Quality Assurance file that accurately documents the contractor’s actual performance. If required to use VCE-COR by the Contracting Officer, the COR will always make sure these records are accurately and timely uploaded to the VCE-COR system. The purpose is to ensure the contractor meets the performance standards contained in the contract. The COR is responsible for reporting early identification of performance problems to the KO. The COR is required to provide an annual performance assessment (or more frequently as directed by the Contracting Officer) to the KO which will be used in documenting past performance. The QASP is the primary tool for documenting contractor performance. The COR is not empowered to make any contractual commitments or to authorize any contractual change on the Government’s behalf. The COR shall meet with the KO periodically as directed (usually monthly or quarterly at a minimum) to discuss the CORs performance. These meeting are in addition to the progress and similar type meeting involving at a minimum the contractor, COR and KO. The COR and alternate as applicable should communicate frequently to ensure both are aware of the current on-going oversight status and contract performance status.

Assigned COR: MAJ Stephanie Fields & SFC Charity Lane Organization or Agency: G1 – Health Services Deputy State Surgeon and NCOIC Telephone: 502-607-1046 Email: Stephanie.k.fields.mil@mail.mil & charity.d.lane.mil@mail.mil

3.0 Government Contract Surveillance

The goal of the QASP is to ensure contractor performance is effectively monitored and documented. The COR is responsible for maintaining quality assurance surveillance for the federal government. The COR will ensure monthly quality assurance inspections are accomplished accurately and timely (frequency may change as determinate by each State KO and customer). All records shall be uploaded to VCE-COR as applicable. (STATES if VCE-COR is not applicable revise)

4.0. Surveillance Matrix

The Surveillance Matrix (Attachment 1) is the list of performance objectives and standards that must be performed by the government. This matrix details the method of surveillance the COR will use to validate and inspect these performance elements. Inspection of each element will be documented in the COR file.

4.1 Performance Rating Definitions

In evaluating the quality of contractor’s performance, the following performance ratings may be used.

Performance Rating Criteria

Performance objectives define the desired outcomes. Performance Standards define the level of service required under the contract to successfully meet the performance objective. The inspection methodology defines how, when, and what will be assessed in measuring performance. The Government performs surveillance, using this QASP, to determine the quality of the contractor’s performance as it relates to the performance element standards.

4.2 Corrective Action Report (CAR) (See attachment 2)

Used to identify, document and resolve issues or performance concerns/failures.

4.3 Customer Complaint Form (See attachment 3)

Provides a format for customers who are supported by the contractor to report on the contractor’s performance (For Agency use – Remember customers do not know what the contract requirements are). CORs should use this as method to become aware of issues but these forms are not to be used to evaluate the contractor unless complaint is valid and applicable to the contract (consult with Contracting Office if there are any questions).

4.4 Performance Assessment Report (States are recommended to develop their own local form for use by the COR to report the period (monthly or as directed by the KO) assessments of the contract performance.

Attachment 1: Surveillance Matrix

Electronic Systems Data Entry within 96 hours of event (PHA/SRP)

Timeliness

Credentialing/ Training Actions

Quality

4.b.2

4.b.9

accurately 4.a.3 4.a.4 4.b.4 4.b.5

Ensures at least 90% all Service members assessed receive information regarding their medical issue.

4.a.8 4.b.6 4.b.7

4.b.3 4.b.11

4.a.13

Attachment 2: Corrective Action Report (CAR)

CORRECTIVE ACTION REPORT (CAR)

(If more space is needed, use reverse and identify by number)

1. CONTRACTOR

2. CONTRACT NUMBER

3. TYPE OF SERVICES

4. FUNCTIONAL AREA

5. SUSPENSE DATE

6. CONTROL NUMBER

7. DEFICIENCY |_| MAJOR |_| MINOR

FINDING:

FINDING IMPACT:

Please respond with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence by Suspense Date in Block 5. If date was not entered in Block 5, the contractor is not required to provide a response.

8. QUALITY ASSURANCE PERSONNEL (COR)

TYPED NAME AND GRADE

SIGNATURE AND DATE

9. ISSUING AUTHORITY

TYPED NAME AND GRADE

SIGNATURE AND DATE

10. COR RESPONSE TO CONTRACTOR CORRECTIVE ACTION AND ACTION TAKEN TO PREVENT RECURRENCE

11. COR DETERMINATION

|_| ACCEPTED |_| REJECTED

12. CLOSE DATE

Attachment 3: Customer Complaint Record

CUSTOMER COMPLAINT RECORD

DATE/TIME OF COMPLAINT

SOURCE OF COMPLAINT

ORGANIZATION

BUILDING NUMBER

INDIVIDUAL

PHONE NUMBER

NATURE OF COMPLAINT

CONTRACT REFERENCE

VALIDATION

DATE/TIME CONTRACTOR INFORMED OF COMPLAINT

ACTION TAKEN BY CONTRACTOR

The QCP shall include a detailed discussion of the steps proposed to ensure quality, adherence to schedule, proactive communication and adherence to budget. The QCP shall include a description of corrective action to take should the contractor’s performance be substandard. An organizational depiction of the project team and chain(s)-of-command shall also be included in the QCP. The QCP shall be submitted as part of the proposal.

5.0 Quality Assurance (QA): The Government shall develop and utilize a quality assurance plan. This plan shall be primarily focused on what the Government must do to ensure the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) (defect rate(s)).

5.1.1 Recognized Holidays: The following are recognized US holidays.

1.3.3.1 New Year’s Day: January 1st

1.3.3.2 Martin Luther King, Jr.’s Birthday

1.3.3.3 President’s Day

1.3.3.4 Memorial Day

1.3.3.5 Independence Day: July 4th

1.3.3.6 Labor Day

1.3.3.7 Columbus Day

1.3.3.8 Veteran’s Day: November 11th

1.3.3.9 Thanksgiving Day

1.3.3.10 Christmas Day

5.1.2 Place and Performance of Services: Primary location of work is Frankfort, Greenville, Louisville and Richmond in Kentucky. Alternate duty assignments will vary throughout the Commonwealth of Kentucky. Alternate duty assignments will be coordinated between the contracted vendor and COR and will not use travel authorizations. Mission will dictate these locations.

5.1.3 Temporary duty assignments: These will vary throughout the Commonwealth of Kentucky and those duty assignments will use travel authorization. Contract Vendor, personnel and COR will clearly coordinate any travel arrangements prior to any temporary duty assignments.

5.1.4 Work Hours - Hours of Operation - Normal Hours of Operation: Duty hours are to be 0700 hours to 1700 hours (local time per location of work). In the event of a closure (office, building, installation etc.) for any reason, the Government will not be liable for contractor’s costs incurred during this period. Overtime and/or working from home are not authorized without prior approval.

5.1.5 Work week: The general work week is Monday through Friday, unless specified otherwise. However, some weekends will be required to ensure medical readiness goals are met.

5.1.5 Delays: Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

5.1.6 The contractor’s employees shall become familiar with and obey the regulations of the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

5.2 Awareness Training Level 1 (AT) - Security Requirements: The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

5.3 COMSEC/IT Security: All communications with DOD organizations are subject to communications security (COMSEC) review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DOD organizations. Therefore, the contractor is advised any time the contractor places or receives a call, they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DOD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

5.4 Government Information Systems (IS): Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DOD strategy and their actions affect the most vulnerable portion of the AEI. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system.

Contractor employees shall:

· Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

· Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

· Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

· Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

· Practice safe network and Internet operating principles and take no actions threatening the integrity of the system or network.

5.5 Protection of Personally Identifiable Information (PII): The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS 224.103 and DoDi 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals who’s PII has been compromised.

5.6 Equipment: Contractor must provide a computer. The computer will arrive with employee to be reimaged with KYARNG Policy and Network image. This process should take the government no more than one week to accomplish and give back to the employee. Upon employee’s termination or contract termination, computer will be purged of data and shipped back to employer/contractor at their cost. If Employer/contractor wish employee to have mobile telephone device the contractor must provide.

5.7 CAC Requirements: The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential. In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DOD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DOD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).

5.8 HSPD-12 Background Investigation Requirements: The contractor ensures CACs are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DOD network (and other eligible populations as specified in DTM-08-003 and are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the contractor to ensure all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form attachment at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward to the NGB Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive three e-mail messages; the first will confirm the request has been received by the Office of Personnel Management, the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system, and the third will originate from PSIP. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the Background Investigation (BI) will be initiated. The contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately. The contractor is cautioned the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2-6 weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause. The requirements of obtaining a CAC card and funding the security authorizations is the sole responsibility of the contract company. Contractors who do not have a CAC and the appropriate clearance to access programs after four weeks will be sent home until access and proper clearance is obtained.

5.9.1 Trusted Associate Sponsorship System (TASS): The contractor is responsible for processing applications for CACs for every contractor employee who deploys with the military force OR who has need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel." The contractor is responsible for managing requests for new or renewal CAC cards in sufficient time to ensure all contractor employees have them when needed to perform work under this contract. The norm is at least ten calendar days advance notice to the Trusted Agent (TA), unless there are extenuating circumstances approved by the COR or Contracting Officer. It is recommended a "Corporate Facility Security Officer" (FSO) be designated to serve as your firm's single point of contact for BI, the TASS application process and other CAC and security related matters. If a FSO is not established, each contractor employee requiring a CAC will be required to process their own applications. CAC applications shall be processed through the TASS. The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA) before accessing the TASS website. The request will include a completed DD 1172-2 with the following verbiage included in Section II, Block 36 Remarks: “An applicant requesting a government credential must first be vetted through his/her employer using the DOD-approved process and the process outlined in Directive-Type Memorandum (DTM) 08-006 – “DOD Implementation of Homeland Security Presidential National Agency Check with Inquiries (NACI), National Agency Check, Law Checks, and Credit, or an initiated national security investigation and favorable completion of a Federal Bureau of Investigation (FBI) fingerprint check.” “The employer organization has vetted the applicant according to these guidelines, and establish the affiliation of the applicant with the Service or Agency.” The contractor or FSO will sign in block 37. Section III, Blocks 39-46 will be completed by the KYARNG State Surgeon or Deputy State Surgeon. Evidence of the FSO or contractor employee has initiated a National Agency Check with Written Inquires (NACI) must be included with the request.

The TASS process will be:

· The government will establish a TASS application account for each CAC request and will provide each contractor employee a USER ID and password, via email, to the FSO or directly to the contractor employee.

· The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) https://www.dmdc.osd.mil/tass/.

· The FSO or contractor employee will submit completed applications in TASS and will follow up to ensure the TA is processing the request.

· A CAC cannot be issued without evidence the FSO has initiated a National Agency Check with Written Inquires (NACI).

· The government will inform the contractor employee, via email, of one of the following:

· At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor by SSN and two forms of identification.

· Issued CACs shall be for a period of performance not longer than three (3) years or the individual's contract end date (inclusive of any options), whichever is earlier. The contractor shall return issued CAC's to the COR/KO office upon departure or dismissal of each contractor employee. Obtain a receipt for each card.

· It is the contract company’s responsibility to work with the COR to maintain their access.

5.9.2 The contractor shall obtain an Army Knowledge Online (AKO) email address for each applicant, including subcontractors, who may be deployed or require logical access to a government computer network. This can be done by going to http://www.us.army.mil and register as an "Army Guest," with the sponsor being the COR or a COR designated individual if the COR is ineligible to serve as an AKO sponsor. Note: If an employee of a contractor loses the privilege to access AKO, they lose the ability to renew their CAC. Therefore it is critical contractor employees maintain their AKO accounts.

5.10 iWATCH training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This training shall be completed within 30 calendar days of contract award and within YY calendar days of new employees commencing performance with the results reported to the COR NTL 30 calendar days after contract award.

5.11 OPSEC SOP: For contracts that require an OPSEC Standing Operating Procedure/Plan. The contractor shall develop an OPSEC Standing Procedure/Plan (SOP) within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP plan will include the government’s critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the contractor will ensure this individual becomes OPSEC Level II per AR 530-1.

5.11.1 For contractors that require OPSEC training: Per AR-530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

5.12 For information assurance (IA) / information technology (IT) cortication. Per DoD 8570.1-M, DFARS 252.239.70014 and AR 25-2, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DOD 8750.01-M must be completed.

5.13 Physical Security: The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

6.0 Lead Nurse Case Manager RN (1 positions):

The Contractor shall:

6.1 Primary work location is Greenville KY

6.1.1 Supervisor must be at minimum an unrestricted Kentucky state licensed registered nurse. It is required that the contractor have a minimum of five (5) years’ experience with knowledge of military culture and experience. Must have experience with managing people. Position must also meet Department of Labor Occupational code 12314.

6.2 Directly assist the State Surgeon/Deputy State Surgeons’ office with the development of a Creative Action Plan to promote medical readiness throughout the state to include psychological health and wellness and the promotion of counseling and treatment services.

6.3 Perform initial in processing of all contractors on this contract to include orientation, CAC card and training needs.

6.4 Ensure contract personnel have processed leave request accordingly and maintain accurate leave logs for reconciliation with the budget/human resources analyst prior to monthly invoice payment.

6.5 Lead Supervisor for contract responsible for managing personnel on contract to include timesheets; approval for leave time and addressing work related concerns to include enforce professional attire, tardiness, workplace conflict between employees, QA/QC processes.

6.6 Contractor will work with the Deputy State Surgeons’ Office (DSS) to develop and maintain systems for identifying and resolving Soldiers’ health concerns.

6.7 Assign Soldiers to Case Management teams that are Medically Non Available/Non Deployable Soldiers referred from Medical Readiness Events (MRE) and Reserve Health Readiness Program (RHRP) events.

6.8 Develop and maintain positive relationships at multiple levels within the KY-ARNG, including both Army and Air National Guard.

6.9 Develop local resources that provide support to KY-ARNG members and their families in relation to community outreach programs.

6.9.1 Track service member’s (SM’s) Medical Operational Data System (MODS) and Medical Electronic Data (for) Care History and Readiness Tracking (MEDCHART) applications for QA.

6.10 Required to maintain access in MODS system through duration of employment.

6.11 Provide expeditious support to State Surgeon/Deputy State Surgeons’ office to find SM’s that may have been erroneously identified, and/or assist with processing SM’s which are found no longer fit for duty through appropriate medical and/or administrative separations.

6.12 Prepare a wide variety of recurring and nonrecurring correspondence, reports, and other documents, review and finalize correspondence/documents prepared by others in handwritten or electronic drafts.

6.13 Monitors suspense dates to accurately track that no suspense are missed due to Contractor error.

6.14 Monitors all MODS/MEDCHART applications for compliance with medical readiness objectives set forth by The Adjutant General (TAG) and State Surgeon’s Office for mobilizing units.

6.15 Assist with developing and maintaining state level medical readiness information databases and spreadsheets to provide weekly status reports to units and State Surgeon’s Office.

6.16 Proficient knowledge of all Medical Programs enabling Lead Supervisor to advise, educate and/or instruct classes on those programs.

6.17 Lead Supervisor will be responsible for ensuring that COR completes QASP and is submitted for review.

7.0 Nurse Case Manager RN: 2 positions

7.0.1 Primary Locations: Richmond, KY and Louisville, KY

7.1 Nurse Case Manager must have a current unrestricted Kentucky state licensed and be a registered nurse. It is preferred that the contractor have a minimum of five (5) years’ experience with knowledge of military culture and experience in occupational health, case management and/or collaborating with social service agencies to integrate resources, plan, and deliver comprehensive services. Position must also meet Department of Labor Occupational code 12311.

7.2 Incumbent must use initiative to learn new developments in the field and to recommend changes to improve case management services, correct deficiencies, and improve results. Judgment is required to assess situations relevant to overall case management and to formulate plans when the individual claimant’s clinical, behavioral, vocational, or financial factors to return the claimant to work and/or thorough channels for disposition.

7.3 Track SM’s in Medical Operational Data System (MODS) and Medical Electronic Data (for) Care History and Readiness Tracking (MEDCHART) applications. Will document on every Soldier’s case on a bi weekly basis until resolution. Required to maintain access in MODS system through duration of employment.

7.4 Responsible for tracking medical status of ALL assigned Soldiers, in accordance with DoD, NGB, and State guidelines in reference to type of follow up, timelines, dispositions and all other guidance set forth in policy.

7.5 Responsible for medical and administrative charting in MODS.

7.6 Request profile exams/evaluations and audiology exams at appropriate military and/or civilian center.

7.8 Coordinate Soldier treatment plans with appropriate medical facilities.

7.9 Submit case processing, medical documentation, and profile concerns to military/contracted provider.

7.10 Attend PHA events as determined by the needs of the state

7.11 Ensure those Soldiers referred by a provider are followed by the case management team in accordance with SOP.

7.12 Manage Soldier’s care from the identification of the condition to when the Soldier is either:

7.12.1 Considered medically ready.

7.12.2 Administratively separated from the military.

7.13 Educate Soldiers on resources available to improve medical readiness.

7.14 Maintain Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.

7.15 Review and track health assessment (PHA, SRP) lab results contact SM and educate on lifestyle modifications.

7.16 Run MEDPROS report Pre and Post all PHA/SRP events.

7.17 Monitor MEDPROS to ensure all scheduled services are completed/updated and current medical status is reflected.

7.18 Report Medical Readiness to the Commander or his/her designated representative.

7.19 Ensure Soldiers with T3, T4, P3 or P4 profiles are case managed in the eCase module.

7.20 Assist with development of hearing, vision conservation and preventive medicine programs to improve and maintain readiness.

7.21 Maintain applicable spreadsheets, schedules, appointments, archiving documents, and manage routine correspondence.

7.22 Inform the State Surgeon, Deputy State Surgeon and/or BDE Medical Officer of all significant modifications as related to Soldiers care or deviation from treatment plan.

8.0 Medical Administrative Support Personnel: 1 position

8.0.1 Primary Location: Greenville, KY

8.1 Preferred possession of a minimum 2 year degree in a medical field. Required minimum of five (5) years’ experience with knowledge of military culture and experience in a medical field, customer service, human resources, or case management. Must have excellent interpersonal skills. Position must also meet Department of Labor Occupational code 01020.

8.2 Responsible for tracking medical status of ALL assigned Soldiers, in accordance with DoD, NGB, and State guidelines in reference to type of follow up, timelines, dispositions and all other guidance set forth in policy.

8.3 Attend soldier readiness process/reverse soldier readiness process (SRP/RSRP) events and perform detailed records review of individual soldiers to identify any medical concerns that require correction to maintain a deployable status.

8.4 Ensure all medical documentation received from the Soldier and/or their medical team is received and placed in appropriated electronic record,

8.5 Review medical packets to include MEBs, LODS, INCAP, RCMC, etc. for accuracy and advise units on corrective actions if needed.

8.6 Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66.

8.7 Provide medical officer and/or MEB coordinator or delegate with all relevant medical documentation to make informed decisions on Soldiers care he/she is being profiled for in an organized fashion.

8.8 Obtain release of information from Soldier.

8.9 Track medical appointments by communication with unit to ensure Soldier attendance and submission of follow up documentation.

8.10 Correctly document care in MODS.

8.11 Run Reports and able to prepare documents supporting reports to the Deputy State Surgeon.

8.12 Run MEDPROS report pre/Post PHA/SRP event.

8.13 Monitor MEDPROS to ensure all scheduled services are completed/updated and current medical status is reflected.

8.14 Report Medical Readiness updates to case manager as needed and/or requested

8.15 1.3.27 Upload and index medical documents of case managed Soldiers into Health Readiness Record (HRR).

8.16 MODS entry of immunizations, designation of pregnancy, eye exams, medical warning tags.

8.17 Performs on site Mobilization Station Assistance visits for units of the KY-ARNG to facilitate processing through the SRP at the mobilization station as well as maintain a deployable status at all times.

9.0 Medical Specialty Support Professional 1 Position, Primary location: Frankfort, KY

9.1 Must maintain an unrestricted Advanced Practice Registered Nurse (APRN) in the state of Kentucky IAW Kentucky Board of Nursing. This is a professional position and a wage rate does not apply.

9.1.1 Must follow all State and Federal Licensing requirements to be credentialed through a Military Treatment Facility.

9.1.2 Will maintain their own personal liability malpractice insurance at their own expense; it WILL NOT be provided through a government entity (see clause 52.237-7). Contractor will either already possess or acquire as soon as possible, a Secret security clearance upon hire, pass all criteria necessary for employment, and obtain a Common Access Card (CAC).

9.2 Responsible for reviewing medical documentation from other physicians/medical facilities to recommend if soldier requires medical profile.

9.2.1 Complete Periodic Health Assessments, physical exams, IAW with AR-40-501

9.2.2 Prepares, reviews, and documents medical cases in E. Profiles and Ecase as needed.

9.2.3 Serves as subject matter expert to KYARNG on matters related to medical fitness standards, health standards, and advises the Deputy State Surgeon (DSS) on the Electronic Medical Management Processing System (EMMPS), while educating case managers and other personnel on the process as it relates to Soldier Care.

9.2.4 Facilitate movement of medically non-deployable Soldiers through the proper channels pertaining to their medical issues through EMMPS

9.2.4 Participates as medical expert on medical review boards at the state level (guard).

9.2.5 Prepares documents for submission to the Office of the Surgeon General for Review on behalf of the Guard member.

9.2.6 Facilitate quarterly case management meetings with case managers, Director of Physiological Health, Transitional Advisor Assistance, and Health System Specialist.

9.2.7 Provide Information, workshops, briefings, and assistance to Guard members in understanding medical-related issues and care.

9.2.8 Maintains working knowledge of provider credentialing combat medic sustainment requirements and assist with oversight of educational requirements to the program.

9.2.9 Attend conferences and training as needed and required.

9.2.10 Provide quarterly reports to the State Joint Forces Headquarters (G-1) as requested by the State Surgeon and/or Deputy State Surgeon that identify trends or reoccurring issues encountered by Guard members relating to pre-deployment, deployment, and other medical-related issues.

9.2.11 Overnight Travel is required (on occasion) to complete job requirements

9.2.13 Participate on councils/team representing HS to outside organizations and agencies involved resolving medical issues for National Guard Members

9.3 Performance Objectives

9.3.1 Ability to make…