The Office of Environmental Health & Engineering is responsible for the coordination of facilities planning, environmental health issues, emergency preparedness, tribal utilities, and sanitation facilities construction for the 29 tribes in the Nashville Area.

Duties

Determine eligibility of patients for Purchased Referred Care (PRC) and prepare authorization or denial documents based on applicable PRC regulations, policies, and practices. Prepare referrals with correct patient information, medical report, and estimated charges of medical care. Monitors activities and records pertaining to the fiscal management of Purchased Referred Care (PRC). Functions in a liaison capacity to both vendors and recipients of PRC by telephone, electronic mail, and written correspondence. Explains and interprets regulations and policies to health service providers and recipients as well as IHS personnel.

Requirements

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS, GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Respond to inquiries and requests through telephone, correspondence and personal visits. Experience in funds control techniques and monitoring and accounting for funds allotted. MINIMUM QUALIFICATIONS, GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Assure funds have been obligated within deadlines, unused obligations are cancelled and re-obligated. Assist in determining patient eligibility. Maintain obligation registers regarding funds for inpatient and outpatient services. MINIMUM QUALIFICATIONS, GS-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Experience in applying policies, procedures, rules and regulations when determining patient eligibility, availability of services and identification of fiscal resources. Manage funds control techniques to account for allotted funds and preparing statements and reports. You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

There are no education requirements.

You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.

Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.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 Manlius 122 E Seneca St Manlius, NY 13104 US
• Name: Nashville Area HR Inquiries
• Email: [email protected]