Job opening: Supervisory Health System Specialist (Credentialing & Privileging)
Salary: $101 121 - 131 452 per year
Published at: Jan 30 2024
Employment Type: Full-time
The VA Loma Linda Healthcare System is currently recruiting one Supervisory Health System Specialist in the Office of the Chief of Staff in Loma Linda, CA. The incumbent oversees all functions related to healthcare providers' professional credentials supporting all divisions of the VAMC in accordance with VHA Credentialing and Privileging, Directives, VA Handbooks, Policies, Memos &Notices.
Duties
Duties include but are not limited to the following:
Identify/present to leadership the resources necessary for accomplishing the mission and/or function of the facility's Credentialing and Privileging program.
Demonstrate expertise in utilization of the VetPro credentialing system including knowledge of the credentialing and privileging process, documentation of primary source verifications, and how to audit credentialing files and/or reporting functions.
Identify developmental and training needs of employees; provide or arrange for needed development and training; advocate to leadership and/or program officials for training resources.
Utilize cost-effectiveness, cost-benefit, and cost-utility analyses in programmatic prioritization and/or decision making.
Conduct supervisory reviews of completed tasks, present information, and make recommendations on how to improve.
Develop statistical, graphical, and narrative reports justifying training or changes in processes to improve systems effectiveness/efficiency and/or customer service quality.
Determine appropriate actions, including those resulting from VISN and local level reviews, initial and recredentialing processes, reporting and data trends, identify issues that require further review, electronic credentialing database and/or clinical privilege maintenance.
Monitor and audit the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools.
Ensure national level reporting requirements are accurately completed, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the VA/DoD shared provider registry.
Ensure mandatory reviews and recommendations are documented in the electronic credentialing database; manage facility accounts; ensure appointed licensed providers maintain an active enrollment.
Ensure information accuracy; review credentialing files for inaccuracies; manage troubleshooting efforts; take corrective actions; and conduct quarterly reviews and/or certifications.
Manage enrollments, single queries and re-enrollments; prepare and submitting reports for adverse privileging actions.
Work Schedule: - Friday, 8:00 am - 4:30 pm.
Virtual: This is not a virtual position.
Position Description/PD#: Supervisory Health System Specialist (Credentialing & Privileging)/PD99874A
Financial Disclosure Report: Not required
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 02/09/2024.
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. You may be required to provide two SF-50s in order to document beginning and end dates of the time-in-grade your claimmg
You may qualify based on your experience and/or education as described below:
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: accomplishing quality work that is compliant with regulatory requirements/procedures, TJC standards, laws, VHA Credentialing and Privileging (C&P) policies and requirements.
You will be rated on the following Competencies for this position:
Human Resources ManagementOrganizational AwarenessQuality AssuranceTechnical Competence
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: he 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. The work is performed in an office setting which requires normal safety precautions typical for offices and meeting rooms. The work area is adequately lighted, heated, and ventilated.
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 this 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 Jerry L Pettis Memorial Veterans Hospital
11201 Benton Street
Loma Linda, CA 92357
US
- Name: Mianna Arrington
- Phone: 253-304-7374
- Email: [email protected]
Map