About the Position: This position is located at Blanchfield Army Community Hospital, Fort Campbell, KY and is in the Referral Management Office. The incumbent will verify military eligibility (including Reservists, LOD, Chaptered Out, Requesting care/treatment in another location), Prime enrollment status, completeness and appropriateness of the referral enrollment status, completeness and appropriateness of the referral.

Duties

Ensure optimization of healthcare at the Military Treatment Facilities (MTFs). Determine appropriateness of referrals, to include ensuring the requested service is a TRICARE covered benefit. Assist in improving Referral Management Center (RMC) processes, as appropriate. Assist in the improvement of the referral reconciliation efforts (i.e., MTF/Network referral utilization and return of MTF/Network referral results). Verify military eligibility (including Reservists, LOD, Chaptered Out, requesting care/treatment in another location); Prime enrollment status, completeness and appropriateness of the referral. Manage multiple databases unique to TRICARE and the referral program.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Incumbent may be required to perform call duties; work overtime to include weekends and federal holidays, out of cycle, or unscheduled training or on an emergency basis.
• The work may require the incumbent to work evenings/nights; rotating shifts, extended hours or other schedules common to hospital operations.
• This is an inclement weather position. The incumbent is expected to make every attempt to report for duty on time and/or remain on duty during inclement weather conditions.
• This position is designated “Mission Essential”. In the event of severe weather conditions or other such emergency type situations the incumbent is required to report to work or remain at work as scheduled to support mission operations.

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. 30 Percent or More Disabled VeteransCurrent Civilian Employees of the Defense Health Agency (DHA)Current Department of Defense (DOD) Civilian Employee (non-Army)Current Permanent Department of Defense (DoD) Civilian EmployeeDomestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel WorkforceExecutive Order (E.O.) 12721Interagency 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 education AND/OR experience 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 reviewing and implementing policies and procedures on the referral management process; reviewing health care referrals for completeness, appropriateness, and TRICARE covered benefits; assisting staff in the coordination of process improvements; entering and validating information in a variety of health care system data bases; and/or reviewing health care data to enhance quality of patient care. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-07). OR Education: One and a half years (i.e., 27 semester hours) of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Business Administration, Management, or HealthCare Administration. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) beyond one year (total semester hours minus 18) by 9. Add the two percentages.} You will be evaluated on the basis of your level of competency in the following areas: Computer Skills Customer Service (Clerical/Technical) Patient Rapport and Healthcare Advocacy Problem Solving 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-07).

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications.

Contacts

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