This position is responsible for working collaboratively with local and VISN leadership to identify and/or implement best practices and advising VAMC leadership of all program requirements pertaining to the Credentialing and Privileging (C&P) program. The incumbent will ensure quality assurance and provide oversight for the VA Medical Center C&P program. ****Recruitment is offering the following Incentives as well as choice of duty station**** Relocation/Recruitment Incentives PCS

Duties

Major duties include but is not limited to: Identifies and presents to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program 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 Identifies developmental and training needs of employees; provides or arranges for needed development and training Provides consulting and guidance to local leadership and C&P employees on all matters pertaining to the facility's C&P program Determines appropriate actions, including those resulting from VISN and local level reviews Attends committee meetings and presents providers' credentials, clinical practice histories and red flags Documents and composes committee minutes, privileging requests and/or actions, malpractice payments, tort claims and adverse actions, Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) reviews and completion timeframes Serves as the primary consultant for the facility's C&P program Analyzes program audit results; interprets facility quarterly report card data; researches provider credentialing requirements; identifies potential privileging issues Drafts facility Medical Staff Bylaws updates and revisions; interprets and explains new regulatory requirements, and VHA requirements, procedures and processes; contributes to development of local policies Coordinates with Service Chiefs and service level administrative teams for annual Committee(s) review of clinical privileges and scope of practice forms; reviews clinical privileges and scope of practices for accuracy Coordinates with telehealth program team to ensure compliance Performs as the VAMC Subject Matter Expert on the following topics credentialing of licensed independent practitioners (LIP) and Non-LIPs, privileging and privileging related matters including focused and ongoing professional practice, adverse privileging actions, Reporting to the National Practitioner Data Bank (NPDB), and reporting to State Licensing Boards (SLB) Responsible for ensuring quality assurance in the facility's C&P program Participates in policy and decision-making initiatives and continuously develops a greater understanding of regulatory and policy requirements, quality assurance methodologies as well as best practices Conducts 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 and efficiency and customer service quality Serves as the administrator for the National Practitioner Data Bank (NPDB) managing enrollments, single queries and re-enrollments; preparing and submitting reports for adverse privileging actions; submitting federal tort claims for substandard clinical care Ensures all mandatory reviews and recommendations are documented in the electronic credentialing database; manages facility accounts; and ensures appointed licensed providers maintain an active enrollment Serves as the administrator for the Federation of Medical Boards managing query submissions and results; ensures that primary source verifications are obtained and processed via quality control review Ensures all mandatory reviews and recommendations are documented in the electronic credentialing database Serves as the administrator for the Our Providers Database ensuring information accuracy; reviews credentialing files for inaccuracies; manages troubleshooting efforts; takes corrective actions; and conducts quarterly reviews and certifications Performs other C&P program related duties as assigned Work Schedule: Monday - Friday, 8:00 am to 4:30 pm Position Description Title/PD#: Supervisory Health System Specialist/PD99874--S 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
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Department of Veterans Affairs Personnel
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)

Qualifications

To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. Individual Occupational Requirement (IOR): The 0671 series requires specific education or experience to be met in order to be appointed into a position of this series. Examples of the Individual Occupational Requirement Experiences as set by Office of Personnel Management (OPM) for this occupation and grade level may include: Undergraduate and Graduate Education in 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. Transcripts required. OR 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: Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. You must meet the Individual Occupational Requirement (IOR) AND the Specialized Experience as outlined below: 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: Identifies and presents to leadership the resources necessary for accomplishing the mission and function of the facility's Credentialing and Privileging (C & P) program; Manages the C&P staff; sets and adjusts short and long-term priorities; Serves as the primary consultant for a facility's C&P program; analyzes program audit results; interprets facility quarterly report card data; researches provider credentialing requirements; identifies potential privileging issues; drafts facility Medical Staff Bylaws updates and revisions; interprets and explains new regulatory requirements, and VHA requirements, procedures and processes; Contributes to development of local policies; ensures program compliance; monitors National Practitioner Databank reporting and queries results; prepares Federal and State Medical Boards reports; tracks State Licensing Board reporting; communicates telehealth provider requirements; Applies organizational and system-wide strategies for continuous quality improvement as they relate to C&P processes and procedures; Assists with developing, coordinating and recommending changes for the improvement of workflow in the program; Manages enrollments, single queries and re-enrollments; preparing and submitting reports for adverse privileging actions; submitting federal tort claims for substandard clinical care per the Office of General Counsel. There is no educational substitution for the GS-12 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.

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 Roseburg VA Medical Center 913 Northwest Garden Valley Boulevard Roseburg, OR 97471 US
• Name: Merlinda Winbush
• Phone: 702-791-9000 X14083
• Email: [email protected]