About the Position: This position is located within the Blanchfield Army Community Hospital, Fort Campbell, Tennessee. The incumbent will review, manage, process, and track referrals to specialists in either the direct care system (DCS) or purchased care system. Incumbent is delegated full authority for program operations to include 1st line supervision of subordinates engaged in patient liaison as well as health benefits and enrollment issues.

Duties

Responsible for improving the referral reconciliation efforts to include Military Treatment Facility/Network referral utilization as well as MTF/Network referral results getting returned. Maintain direct communication and recommend improvements with the Managed Care Support Contractor (MCSC) Medical Management Department, TRICARE Service Center (TSC) Referral Management Center Liaison (RMCL), and TSC Site Manager. Perform monitoring and tracking of referrals in the Direct Care System (DCS) and the purchased care system ensuring referrals meet the TRICARE access standards. Responsible for monitoring, executing, and improving the MTF referral reconciliation process, with the dual intent of improving the utilization rates of all MTF/Network referrals. Serve as the Command designated central MTF POC for coordination with the Military Medical Support Office (MMSO) on behalf of Active-Duty Service Members (ADSM) and their beneficiaries. Establish performance objectives, evaluates performance and renders official performance appraisals. Keep employees informed on related personnel management policies and programs. Identify training and developmental opportunities of employees and arranges for employees to attend training.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.

Qualifications

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. Current Civilian Employees of the Defense Health Agency (DHA)Current Permanent Department of Defense (DoD) Civilian EmployeeDomestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel WorkforceInteragency Career Transition Assistance PlanLand Management Workforce Flexibility ActMilitary Spouses, under Executive Order (E.O.) 13473Non-Appropriated Fund Instrumentality (NAFI)Non-Department of Defense (DoD) TransferOffice of Personnel Management (OPM) Interchange Agreement EligiblePriority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician EligiblePriority Placement Program, DoD Military Spouse Preference (MSP) EligiblePriority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability RetirementPriority Placement Program, DoD Retained Grade Preference EligibleReinstatementVeterans Employment Opportunity Act (VEOA) of 1998 In order to qualify, you must meet the experience requirements described below. 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). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Specialized Experience: One year of specialized experience which includes (1) assist with planning a Medical Treatment/Health Care facility network referral process; maintain and improve referral management practices designed to monitor and evaluate health care practices (2) Utilize databases to prepare reports on the referral process. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-08). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. You will be evaluated on the basis of your level of competency in the following areas: Computer LiteracyLeadershipManages and Organizes InformationPatient-focused Customer Service Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-08).

Contacts

• Address JT-DHA-DD83CI DHA SW KENTUCKY MKT-BLANCHFIELD ACH DO NOT USE Fort Campbell, KY 42223 US
• Name: Army Applicant Help Desk