The incumbent serves as a Supervisory Health Systems Specialist (organizational title is Credentialing and Privileging Manager) and is assigned to the Medical Staff Office, which is under the Chief of Staff (COS) at a VAMC. The incumbent oversees all functions related to healthcare providers' professional credentials supporting all divisions of the VAMC.

Duties

The C&P Manager serves as the VAMC's Senior Technical Advisor and as the primary consultant and liaison to the VISN C&P Officer. The incumbent outlines VAMC C&P program goals and objectives, identifies risks, supervises all VAMC C&P employees, ensures training and education, and completes second level reviews as appropriate. Major Duties includes: Identifies and presents to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program. Validates processes that are working efficiently and according to plan to identify dysfunctional process. Manages the C&P staff; sets and adjusts short and long-term priorities; assesses staffing needs; plans work to be accomplished; and ensures positions are appropriately manned to cover all program functions. Ensures quality assurance in the facility's C&P program. Develops, modifies, and/or interprets performance standards; outlines and explains performance expectations to staff; assigns and reviews work performed by subordinates based on priorities, consideration of complexity and requirements of assignments and employee skill level; evaluates work performance mid-year and annually, and provides regular feedback on employees' strengths and weaknesses. Provides advice, counsel, and instruction to employees on work and administrative matters; serves as approving official for leave requests and approving official for credit card purchases and reconciliations; conducts staff meetings and composes minutes. Identifies developmental and training needs of employees; provides or arranges for needed development and training; advocates to leadership and/or program officials for training resources. Determines appropriate actions, including those resulting from VISN and local level reviews, initial and recredentialing processes, including, but not limited to primary source verifications. Point of Contact (POC) and SME for credentialing updates. Participates in the monitoring and follow up for issue briefs concerning C&P issues. Serves as the primary consultant for the facility's C&P program. Coordinates with Service Chiefs and service level administrative teams for annual Committee(s) review of clinical privileges and scope of practice forms. Serves as the administrator for the TRJC. Serves as the administrator for the Federation of Medical Boards. Manages query submissions and results; ensures that primary source verifications are obtained and processed via quality control review. Coordinates with Service Chiefs, VISN Chief Medical Officer and Committee for Reviews and Recommendations when query results require action. Ensures all mandatory reviews and recommendations are documented in the electronic credentialing database. Provides regularly scheduled committee reports. Monitors and audits the C&P program utilizing reports, mandatory auditing and reporting tools. Work Schedule: Monday to Friday; 8:00am to 4:30pm Position Description Title/PD#: Supervisory Health System Specialist/PD99874A 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. GS-12 grade level: One year of specialized experience (equivalent to the GS-11 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: Candidates must meet the following Individual Occupational Requirement: Candidates must meet the following minimum qualifications of the 0671 Health System Administration Series. Undergraduate and Graduate Education: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. (Must upload transcripts) OR, Specialized Experience for GS-12: Knowledge and skill in applying analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of the facility's medical staff functions and Credentialing or Accrediting/Regulatory Program operations. Comprehensive knowledge of pertinent laws, regulations, policies, and precedents; verification and/or accreditation standards and guidelines, including, but not limited to accrediting bodies, handbooks, directives, etc. Comprehensive knowledge of the principles, provisions and practices of accreditation and regulatory agencies such as but not limited to TJC, Office of Inspector General/Combined Assessment Program (OIG/CAP)and Government Accountability Office (GAO) or other regulatory or accrediting bodies. Knowledge and skill in interpreting requirements for health care practitioners in compliance with a broad range of polices, including but not limited to, Handbooks, Directives, Memorandums, MOUs, Policies, and a variety of auditing and accrediting agencies. Knowledge of the characteristics of credentialing and/or regulatory groups, adverse events, hearing and appeals committee actions and legal requirements. Knowledge of minimizing legal risks associated with adverse actions. Broad knowledge of policies, procedures, regulations, etc. to recognize problems/issues and to make substantial recommendations to the appropriate offices/accrediting/regulatory bodies. Extensive skill in research of data, policies, legal issues involving actions of such nature that results in the potential for reporting to the National Practitioner Data Bank or Regulatory/Accrediting Agencies. Extensive skill in the use of data and studies to be incorporated into program directives covering new and innovative conceptual approaches and methods for enhancing the assessment of current competence and quality of care provided and identification of areas for improvement. Skill in written communication to organize ideas and present findings in a logical manner for responses, reports, papers, presentations and meetings with a diverse group of employees and leadership. Comprehensive knowledge of regulatory or accrediting systems. Comprehensive knowledge of credentials verification or accreditation/regulatory systems to accomplish work. 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 Chalmers P Wylie Veterans Outpatient Clinic 420 North James Road Columbus, OH 43219 US
• Name: Jamail Mays
• Phone: 346 228 1017
• Email: [email protected]