Job opening: Health System Specialist
Salary: $69 961 - 109 011 per year
Published at: Aug 08 2023
Employment Type: Full-time
This position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Mid Atlantic Health Care Network (VlSN 6), Salem VA Medical Center in Quality Management Service. The Risk Manager is directly responsible to the Chief, Quality Management under the Medical Center Director. The Risk Manager works closely with all Service/Service Line Chiefs, Nurse Managers, Hospital Leadership and VISN 6 Risk Managers.
Duties
The position includes but is not limited to the following major duties:
Responsible for the development and maintenance of the Medical Center Quality Management - Risk Management Program.
Analyzes medical records and Computerized Patient Record System (CPRS) notes to retrieve information related to tort claims.
Responds to inquires from patients related to procedures on filing claims.
Coordinates peer and administrative reviews subsequent to notification of claims alleging medical malpractice.
Coordinates tort claims (medical malpractice, liability/other, small claims, and 4629 claims).
Maintains database of all such claims for the purpose of identifying trends and potential areas of improvement.
Serves as a liaison with the Regional Counsel's staff in matters relating to tort claims and contacts Regional Counsel on legal issues that are unusual.
Coordination with Medical Center Leadership when specific incidents indicate the need for a Board of Investigation.
Reviews board reports and provides timely submission of original reports and tracking of corrective actions.
Provides oversight of the Peer Review program and supports the Peer Review Committee as an advisor.
Makes recommendations to Medical Center Leadership and Service/Service Line Managers based on analysis of Risk Management data.
Collaborates/Leads Performance Improvement activities related to Claims Review, Boards of Investigations, Peer Review, Occurrence Screens, Disclosures, Risk Management Performance Improvement and Program Integration of the Risk Management program throughout the facility.
Assists with visits from outside regulatory and licensing agencies to include Office of Inspector General (OIG) and The Joint Commission (TJC).
Performs other related duties as assigned in support of the overall Quality Management program.
Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.
Work Schedule: Monday-Friday; 7:45 a.m. to 4:30 p.m.
Telework: Not Available
Virtual: This is not a virtual position.
Position Description/PD#: Health System Specialist/PD017880 and PD002500
Financial Disclosure Report: Not required
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/23/2023.
Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-11 position you must have served 52 weeks at the GS-09. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.
Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-12 position you must have served 52 weeks at the GS-11. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.
Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.
GS-11 Qualifications:
Specialized Experience: You must have One year of specialized experience equivalent to at least the next lower grade (GS-09) in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: 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:
Missions, organizations, programs, and requirements of health care delivery systems;
Regulations and standards of various regulatory and credentialing groups; and
Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
OR,
Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a Ph.D. or equivalent doctoral degree level OR three full years of progressively higher level graduate education leading to such a degree OR LL.M., if related, with a Major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.
OR,
Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education as described above.
GS-12 Qualifications:
Specialized Experience: You must have One year of specialized experience equivalent to at least the next lower grade (GS-11) in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: 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:
Missions, organizations, programs, and requirements of health care delivery systems;
Regulations and standards of various regulatory and credentialing groups; and
Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
Preferred Experience:
Paralegal experience and ASHRM Certification
You will be rated on the following Competencies for this position:
Performance MeasurementRisk ManagementStrategic Thinking
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; religions; 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.
Note: A 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.
Physical Requirements: This work requires some mobility but is generally sedentary and may be performed form a seating position.
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
There is no educational substitution at the GS-12 grade level.
A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here:
http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit:
http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Contacts
- Address Salem VA Medical Center
1970 Roanoke Boulevard
Salem, VA 24153
US
- Name: Quanetta Caudle
- Phone: 202-745-8000 X53524
- Email: [email protected]
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