Job opening: Health Systems Specialist - Credentialing and Privileging Specialist
Salary: $62 522 - 81 278 per year
Published at: Feb 09 2024
Employment Type: Full-time
The Chalmers P Wylie Veterans Outpatient Clinic is recruiting for a Health Systems Specialist to function in Chief of Staff Office. The incumbent serves as a Health Systems Specialist and is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA Medical Center. Responsible for implementation, maintenance, and update of Focused Professional Practice Evaluations and Ongoing Professional Practice Evaluations monitoring systems in support of all divisions of the VAMC.
Duties
Program Analysis and Support (40%)
The incumbent is responsible for working collaboratively with VAMC leadership, healthcare providers, the C&P administrative specialists, and other administrative teams in managing the FPPE and the OPPE for the C&P Program. The incumbent applies knowledge of the C&P process and knowledge of medical terminology, medical specialties and core privileges and procedures to serve as the first line reviewer of the facility's FPPE and OPPE forms, plans, and processes. The incumbent analyzes clinical evaluation plans to assure that they meet standards and are thorough and appropriate to measure and document the clinical competence of the Licensed Independent Practitioner (LIP). Coordinates and consults with medical care providers when plans lack specificity or other required information.
The incumbent is the lead consultant for the VAMC Report Card data related to the C&P Program. The incumbent gathers, analyzes, documents and tracks program data from beginning to end ensuring program compliance. Conducts analytical assessments for program processes and procedures; and manages data collection and reporting outcomes. Evaluates Our Providers database information and assesses provider State Licensing reporting information.Evaluates Joint Commission standards, Federal and State Regulations, and new VA directives, memos, policies, notices and procedures and determines their impact on the FPPE and OPPE and other key components of the C&P program and makes recommendations for local process and policy changes to the supervisor. Provides training on FPPE, OPPE, and other key areas of the C&P program to administrative support personnel and others involved in the process. Collaborates with the VAMC's Telehealth Coordinator to ensure practitioners are part of current Memorandum of Understanding (MOU) and are meeting C&P requirements. Ensures that exit review forms are completed properly and timely for licensed providers who leave the VAMC and that State licensing reports are done.
Compliance (30%)
The incumbent ensures initiation, completion and compliance of FPPE and OPPE clinical evaluations to include providing guidance and assistance in accordance with all requirements and standards and monitoring the evaluations' status. Implements tracking and monitoring systems for actions indicated by the Credentials Committee, such as licensed provider's exit review forms, Service Chief and supervisory requirements, state licensing board reporting requirements, and state licensing board reporting correspondences.Reviews and participates in the development of privileging forms; provides local VA policy updates; manages two part folder reviews and processes and ensures they are federally archived in accordance with VHA System of records policy; performs VetPro access quarterly reviews; implements monitoring system for Our Provider database; manages facility Report Card data tracking system, tracks data trends, and serves as the primary consultant to the supervisor for the development and implementation of program operations that have a direct impact on data management and process improvements. The incumbent conducts audits on provider time-limited credentials, provider C&P two part folders, the provider exit review monitoring system, privileging documents, the FPPE and OPPE tracking systems, credentialing program training requirements, telehealth providers monitoring system, and any Committee recommended actions.
Special Projects (30%)
Manages special projects for new program initiatives and requirements and for process improvements and changes; provides data analysis support; leads in implementation practices and procedures. Collaborates with VAMC personnel and external medical professionals to ensure revisions are appropriately followed and documented. Provides technical guidance and supports program leadership by conducting and analyzing healthcare provider industry studies. Validates conclusions and recommendations, estimates, projects, or forecasts established from healthcare industry studies and participates in high level multi-functional teams to oversee the accomplishment of long-term plans. Performs other duties within the C&P program as assigned.
Work Schedule: Full Time, Monday to Friday; 8:00am to 4:30pm
Compressed/Flexible: N/A
Virtual: This is not a virtual position.
Telework: Ad-Hoc (as needed, per service) and as determined by the agency policy.
Financial Disclosure Report: Not required
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 02/22/2024.
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-09 position you must have served 52 weeks at the GS-07. 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 as described below:
Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-7 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
Regulations and standards of various regulatory and credentialing groups; and
Missions, organizations, programs, and requirements of health care delivery systems;
OR,
Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a
Master's or equivalent graduate degree (2 full years of progressively higher level graduate education leading to such a degree), with a Major study of hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.
or LL.B. or J.D., if related
Combination Experience and Education: Only graduate education in excess of one year may be used to qualify in combination with experience.
Combinations of successfully completed graduate education beyond one year and experience may be used to meet total qualification requirements and may be computed by combining total qualifying experience as a percentage of the experience required; then determining education as a percentage of the education required. The total percentages must equal at least 100 percent to qualify an applicant for that grade level.
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 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 require 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
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:
https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Contacts
- Address Chalmers P Wylie Veterans Outpatient Clinic
420 North James Road
Columbus, OH 43219
US
- Name: Aubrey Kipp
- Phone: 269-275-6381
- Email: [email protected]
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