The incumbent is assigned to the Medical Staff Office, under Chief of Staff at the Miami VA Medical Center and is responsible for providing administrative and technical direction and support to the Credentialing and Privileging (C&P) operations. The Medical Staff Office is responsible for the Credentialing and Privileging process of the Miami VAMC clinical providers. The C&P Specialist is aligned to and supervised by the C&P Manager.

Duties

Provide administrative support to a credentialing and privileging office. Coordinate credentialing meetings which includes preparing agendas, notifying attendees, and providing documents for committee action. Assist in identifying the resources necessary for accomplishing the mission and function of the credentials and privileging program. Provide informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings. Review reports from credentialing software, such as VetPro, detecting problem areas requiring further investigation. Inform manager on audit results and identified problems that may affect a provider's privilege status. Refer current issues, trends, problem areas as well as recommended program revisions to Credentials and Privileging functions through the Manager/Analyst. Research material, such as regulations and standards, to identify appropriate action necessary to correct the problem. Provide ongoing review of regulatory requirements, Joint Commission Standards, changing laws and legal precedents to review current hospital regulations for making necessary changes within compliance. Provide guidance and instruction to hospital staff in completing the required documentation of establishing privileges for licensed independent providers. Assure data entry is complete and accurate to meet hospital policy and regulation, and The Joint Commission standards. Ensure accurate provider data is entered into and maintained in the computer program, such as VetPro. Conduct final appointment into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities. Assure application folder and database account, VetPro or other internal databases and spreadsheets, meet technical requirements. Monitor providers' data relative to state licensure, Drug Enforcement Organization (DEA) license, National Practitioner Data Bank (NPDB), Continuous Query (CQ) enrollments and renewals, Federation of State Medical Boards (FSMB), documentation of professional education, specialty medical training, certifications, adverse licensure or privileging actions, initial and renewal of privileges which may affect the status of privileges granted for medical practice. Ensure suspense are met in the time sensitive actions for privileges modification, biennial renewals, temporary limitations or suspensions, and any other time-limited privileging action. Work Schedule: Monday to Friday (7:30am-4:00pm) Position Description Title/PD#: Health System Specialist/PD99876A Physical Requirements: The work is mostly sedentary. Occasionally, light physical effort may be required, such as that involved with walking, stair climbing, and carrying of light office items.

Requirements

• You must be a U.S. citizen to apply for this job
• Subject to a background/suitability investigation
• May serve a probationary period
• Selective Service Registration is required for males born after 12/31/1959
• A complete application package; Resume, Transcripts, etc.
• Selected applicants will be required to complete an online onboarding process

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement. Individual Occupational Requirement (IOR) Education * Undergraduate and Graduate Education in a Major study of hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR Experience * Experience of 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 * Special Provision for In service Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. GS-9 grade level: One year of specialized experience (equivalent to the GS-7 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: provide administrative support to a credentialing and privileging office. Review reports from credentialing software, such as VetPro, detecting problem areas requiring further investigation. Refer current issues, trends, problem areas as well as recommended program revisions to Credentials and Privileging functions through the Manager/Analyst. Ensure accurate provider data is entered into and maintained in the computer program, such as VetPro. Conduct final appointment into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities. Assure application folder and database account, VetPro or other internal databases and spreadsheets, meet technical requirements. OR Applicants may substitute education for the experience required for the GS-9 level. To qualify based on education for this grade level you must have Master's degree or equivalent or two (2) full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. NOTE: A transcript must be submitted if you are basing all or part of your qualifications on education. Applications submitted without this information may not be considered. OR Applicants may also combine education and experience to qualify at the GS-9 level.To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first 60 semester hours that you earned). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify at the GS-9. For example, an applicant who has 9 semester hours of graduate level education (i.e. 50% of graduate education required) and 6 months of creditable specialized experience (i.e. 50% of the required experience) would equal 100% of the required experience for the position A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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.

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.

Contacts

• Address Bruce W Carter Department of Veterans Affairs Medical Center 1201 Northwest 16th Street Miami, FL 33125 US
• Name: Vilnalys Irizarry-Brisueno
• Phone: (939) 227-1856
• Email: [email protected]