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Job opening: Supervisory Health System Specialist - Credentialing and Privileging Manager

Salary: $82 830 - 107 680 per year
Published at: Aug 08 2023
Employment Type: Full-time
This position serves as a Supervisory Health Systems Specialist (organizational title is Credentialing and Privileging Manager) and is assigned to the Medical Staff Office, which is under the Chief of Staff (COS) at VA Southern Oregon Health Care System - White City VA Medical Center in White City, OR.

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** The incumbent serves as a Supervisory Health Systems Specialist (Credentialing and Privileging Manager). They oversee all functions related to healthcare providers' professional credentials supporting all divisions of the VA Medical Center (VAMC). The Incumbent is responsible for working collaboratively with local and VISN leadership to identify and/or implement best practices and advising VAMC leadership of all program requirements pertaining to the C&P program. They ensure quality assurance and provide oversight for the VAMC C&P program and ensures that the Medical Staff Bylaws/Rules and Regulations are reviewed and updated annually (or as needed) to reflect regulations or accreditation standards. Major duties and responsibilities include but not limited to: Providing direct technical and administrative supervision to employees Responsible for ensuring that employees are efficiently and effectively accomplishing quality work that is compliant with regulatory requirements and procedures, TJC standards, laws, and VHA C&P policies and requirements, as well as assuring implementation and accomplishment of the goals and objectives of the C&P Program Identifying and presenting to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program Providing guidance to local leadership and C&P employees on all matters pertaining to the facility's C&P program Attending committee meetings and presents providers' credentials, clinical practice histories and red flags Serving as the primary consultant for the facility's C&P program; analyzes program audit results; interprets facility quarterly report card data; researches provider credentialing requirements; and identifies potential privileging issues Coordinating with Service Chiefs and service level administrative teams for annual Committee(s) review of clinical privileges and scope of practice Serving as the Point of Contact (POC) and SME (Subject Matter Expert) for credentialing updates, Human Resources, providers and hiring services Monitoring and auditing the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools Ensuring national level reporting requirements are accurately completed including, but not limited to, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the VA/DoD shared provider registry Monitoring C&P program resources to ensure programs are appropriately staffed Serving as a liaison and partner with Human Resources Service programs for common program goals and issues including, but not limited to, provider onboarding, provider exit reviews and assessments, privileging actions, and guidance related to clinical performance concerns Responsible for ensuring quality assurance in the facility's C&P program; applying organizational and system-wide strategies for continuous quality improvement as they relate to C&P processes and procedures Serving as the administrator for the National Practitioner Data Bank, Federation of Medical Boards, and Our Providers Database Work Schedule: Monday to Friday; 08:00 a.m. to 04:30 p.m. Recruitment & Relocation Incentives: Not authorized Financial Disclosure Report: Not Required

Requirements

Qualifications

Minimum Requirement: The following are minimum requirements for appointment as a Supervisory Health System Specialist in the Veterans Health Administration (VHA), which all applicants must met. Specialized Experience: You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-11) in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties as a Health System Specialist. Qualifying specialized experience is defined as progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: (1) Missions, organizations, programs, and requirements of health care delivery systems; (2) Regulations and standards of various regulatory and credentialing groups; and (3) Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. At this level, applicants would have obtained this experience working within a health care setting, working directly with clinicians and local leadership to solve problems in support of the delivery of patient care; applying organizational and system-wide strategies for continuous quality improvement; and experience running and supervising an administrative component of a health care credentialing and privileging program. NOTE: One (1) full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. (CLEAR DETAILS OF EXPERIENCE REQUIRED: Your resume must show complete information for each job entry, such as beginning and ending dates of employment, duties performed, and/or total hours worked per week.) You will be rated on the following Competencies as part of the assessment questionnaire for this position: Administration and ManagementInterpersonal SkillsLeadershipQuality AssuranceTechnical Competence IMPORTANT: A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

IMPORTANT: There is no educational substitution at this grade level.

Contacts

  • Address White City VA Medical Center 8495 Crater Lake Highway White City, OR 97503 US
  • Name: VHA National Recruitment Center
  • Phone: (844)456-5208
  • Email: [email protected]

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