The incumbent maintains continuity of functions and provides full medical administrative support to clinical and administrative hospital staff. Is responsible for achieving management objectives and supports the decisions of management in carrying out duties.

Duties

Interprets VA rules and regulations relating to determining legal entitlement to benefits relating to hospital admission, nursing home, dental care, domiciliary, fee basis, outpatient care, non-VA Care Coordination, and outpatient care. Interprets rules, regulations, policies and procedures relating to release of information and provides information to inquiries. Interprets and applies public laws in matters such as judicial hospitalization, issuing warrants, workman's compensation, reimbursable hospital insurance, liability of third parties, and other medico-legal matters. Processes administrative issues surrounding beneficiary death, seriously ill cases, elopements, suicides, assaults, death on arrival (DOA), homicides, code blue, cost recovery matters, and facility or community disaster, etc. Secures resources or services needed to manage the medical center. Processes administrative issues surrounding beneficiary death, seriously ill cases, elopements, suicides, assaults, deaths on arrival (DOAs), code blue, and facility or community disasters. Coordinates the resolution of medical-legal problems concerning the Medical Center to ensure that appropriate legal, regulatory, and policy requirements are met. Assists medical center staff with medically related legal problems including involuntary commitments, orders of protective custody, and management of unruly or severely disturbed patients. Provides written and oral reporting of incidents involving beneficiaries, employees, safety, or other issues. Applies working knowledge of the electronic medical record software and Veterans Health Information Systems and Technology Architecture (VISTA) to search and navigate records to acquire information. Uses computers, copiers, scanners, fax, calculator, and software programs such as MS Word, Excel, and Office or other compatible software. Uses medical computer applications in relationship to eligibility determinations, registration, scheduling, staffing, researching and preparing reports. Provides daily reports/logs of all activities occurring during tour of duty. Provides orientation and situational technical advice to physicians regarding VA administrative policies and procedures. Provides administrative authority, guidance, and advice to Medical Officer of the Day (MOD) and all other clinical staff concerning administrative matters necessary for operation during other than normal hours. Assists hospital staff with medically related legal problems, including involuntary commitments, orders of protective custody, and management of unruly or severely disturbed patients. Demonstrates an ability to cope with a wide variety of problems and to resolve them quickly and decisively with tact and diplomacy. Responds to emergencies, determines priorities and nature of action to be taken. Investigates unusual incidents occurring during tour involving welfare, injury, and abuse of patients. Intervenes when problems regarding patient activity occur, advising clinical staff of appropriate administrative action. Responds verbally and in writing to a wide variety of non-routine inquiries from families, veterans, visitors, law enforcement officers, physicians, media, general public, etc. Communicates with individuals from varied backgrounds on a daily basis. Assists family members with arrangements, including explanation of benefits, in the event of a sudden death or deceased person. Shows understanding, empathy, concern and politeness to others dealing with difficult or distressing situations. Receives and responds to non-routine patient condition inquiries and other administrative inquiries from concerned veterans, families, visitors, law enforcement officials, representatives from private hospitals, military personnel, and the general public. 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: All shifts, rotating holidays, and weekends. Virtual: This is not a virtual position. Position Description/PD#: Medical Management Specialist/PD99368-S and PD99385-S Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not Required.

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/15/2023. 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-7 position you must have served 52 weeks at the GS-5 and for a GS-9 position you must have served 52 weeks at the GS-7. 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. You may qualify based on your experience and/or education s described below: Specialized Experience GS-07 To qualify for the GS-07 level, you must possess at least one year of specialized experience equivalent to the GS-05 level or higher in Federal service, or comparable experience not gained through Federal service. This experience must include: 1. Assisting with all administrative tasks for a program; 2. Knowledge of VA health care programs, rules, procedures, techniques, and methods; 3. Ability to coordinate the operations of a Medical Center, skills in applying analytical and evaluation techniques, ability to communicate effectively; and 4. The ability to utilize computer applications. OR Education Substitution for Experience: (Copy of transcripts required)Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have one full year of graduate level education. OR Superior Academic Achievement: (Copy of transcripts required)Education must have been obtained in an accredited college or university and must demonstrate the knowledge, skills, and abilities necessary to do the work. Superior Academic Achievement is based on (1) class standing - Applicants must be in the upper third of the graduating class in the college, university, or major subdivision, such as the College of Liberal Arts or the School of Business Administration, based on completed courses., (2) grade-point average - 3.0 or higher out of a possible 4.0 ("B" or better) as recorded on their official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum., or (3) honor society membership - Applicants can be considered eligible based on membership in one of the national scholastic honor societies listed at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-policies/#url=General-Policies. OR Combination of Education and Experience: (Copy of transcripts required)Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond a bachelor's degree. Specialized Experience GS-09 To qualify for the GS-09 level, you must possess at least one year of specialized experience equivalent to the GS-07 level or higher in Federal service, or comparable experience not gained through Federal service. This experience must include: 1. Analyzing and evaluating administrative program requirements to include improving the accuracy and efficiency of involved processes; 2. Preparing periodic and/or ad hoc documentation, reports, presentations, and other administrative material; 3. Preparing, processing, revising, and maintaining electronic hardcopy correspondence, files, records, forms, reports, and other documentation; and 4. Developing, implementing, and coordinating administrative processes, procedures, and actions to meet mission requirements. OR Education Substitution for Experience: (Copy of transcripts required)Applicants may substitute education for the required experience. Must possess a master's or equivalent graduate degree of 2 full years of progressively higher level graduate level education leading to such a degree or LL.B. or J.D., if related. OR Combination of Education and Experience: (Copy of transcripts required)Possess an equivalent combination of successfully completed graduate education and specialized experience, as described above, which meets the total qualification requirement for the GS-07 grade level. You will be rated on the following Competencies for this position: Analytical ThinkingComplianceComputer SkillsInterpersonal Skills 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: The work requires much walking through the medical center with occasionally the requirement to lift objects such as suitcases, clothing, or medical charts. 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

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 Washington VA Medical Center 50 Irving Street, Northwest Washington, DC 20422 US
• Name: Denicia Moten
• Phone: 228-2951358
• Email: [email protected]