Located at the VA Ann Arbor Healthcare System in Social Work & Community Based Service (SW&CBS). Performs under the SW&CBS service line and interfaces with all programs and staff within the department. Program Specialist assists in the administrative operation of the SW&CBS department. Point of contact for the VISN 10 Contracting Office, VISN 10 Payment Operations, Community Nursing Home Billing Offices, Office of Community Care, Beneficiary Travel, and staff within the department.

Duties

Accepts and supports the guiding principles of the VA Ann Arbor Healthcare System and Social Work and Community Based Services (SW&CBS) programming. SW&CBS provides Community Nursing Home (CNH) services for all Veterans receiving inpatient care services at VAAAHS as well as those Veterans hospitalized at an outside hospitalization and receive their Primary Care at VAAAHS. PRINCIPAL DUTIES AN RESPONSIBILITIES VISN 10 Contracting Office Interface 40% Act as the Contracting Office Representative (COR) on all Community Nursing Home contracts. Partner with the assigned Contracting Officer (s), assuring all required contract documents are completed timely and accurately, meeting the VISN 10 Contracting Office standards. Will partner with the Community Nursing Home Administrators to act as a liaison between VA Ann Arbor Healthcare System and the VISN 10 Contracting Office. Complete all necessary reports within CPARS as required by the Contracting Office. Will maintain and track base year contracts, option year contracts, and contract extensions. Create all needed documents to create or extend contracts. Act as a liaison with Community Nursing Home Administrators and the VISN 10 Contracting Office to complete base year contracts, Option year contracts, contract novation, and contract extensions. Has knowledge of computer technology, database management applications, and billing software. Must be able to manage and navigate VA data sources such as VSSC, DSS, VISTA CNH FEE, and CPRS. Financial 40% Will partner with Fiscal Service to initiate, monitor, increase, and decrease the completion of 1358 submissions. Responsible for miscellaneous Financial Obligations for the Community Nursing Home and ensures that all assigned fund control point activities and transactions are posted on a regular basis. Ensures the VISTA CNH schedule is compiled at the beginning of each Fiscal Year for use in processing CNH claims. Ensure each 1358 is recorded accurately and that daily balances are reconciled and submits adjustments to supervisor in a timely manner as appropriate. Verify the accuracy of all vendor demographics and coordinates with the Payment Operation Management team to maintain the vendors current information in the Vista Fee Vendor files. Coordinate payment of per diem charges, services, and medications for admissions to Community Nursing Homes and verifies fees in accordance with the contracted/RUG rates to determine whether the total charges are within allowable limitations. Determines where to obtain needed data or how to develop data, analyses and present summaries including graphs and charts. Assists in the development of special programs or initiatives. Documentation and Tracking 20% Tracks incoming faxes to the CNH Program including, but not limited to: PT/OT requests, SLP Requests, Fall Reports, Absent Sick from Hospital notification, monthly invoices, High-Cost Medication Requests, Payment Office corrections, and Benefit Travel requests. Monitor timeliness of completion and ensures reassignment or supervisor alert if consult/fax is in need of attention. Administratively track/monitors annual consult requests and completion for each Veteran within the CNH Program. Maintains monthly monitoring schedule for the CNH Program staff. Obtain, track, and upload documents to the National SharePoint, Completes, uploads, and tracts the Medicare Compare Star Rating 180 Day Report. Track, upload, and monitor CNH Annual Reviews, CNH Waiver/CNH Waiver Resolution, and the CNH facility list. Generates and disburses all CNH authorization letters (initial, annual, therapy services, Benefit Travel requests). Maintains listing of CNH Facility staff and phone numbers. Track Beneficiary Travel annual consults, maintain facility contract file, maintain COR Certification, and request all needed demographic and billing information for CNH facilities outside of VA Ann Arbor Healthcare System when required. Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Work Schedule: Monday-Friday, 8:00 am to 4:30 pm Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Position Description/PD#: Program Specialist/PD932920 and PD932930 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 05/22/2024. 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-7 position you must have served 52 weeks at the GS-5. For a GS-9 position you must have served 52 weeks at the GS-7.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: You will be rated on the following Competencies for this position: GS-7 Level: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-5 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: broad knowledge of a body of purchasing regulations, methods, procedures and business practices to make purchases involving specialized requirements and /or commercial requirements; extensive knowledge of the principles, practices and procedures of the science of Prosthetics and practices or Prosthetic; knowledge of agency policies, regulations, applicable Federal Statues and contracting procedures governing a Prosthetic Program to administer the various functional areas of prosthetic activity. OR Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successfully completed 1 full year of graduate level education or superior academic achievement that demonstrates the knowledge, skills, and abilities necessary to do the work of this position. Education cannot be credited without documentation. OR Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond bachelors degree may be used to qualify for the GS-7 grade level. GS-9 Level: 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: broad knowledge of a body of purchasing regulations, methods, procedures and business practices to make purchases involving specialized requirements and /or commercial requirements; extensive knowledge of the principles, practices and procedures of the science of Prosthetics and practices or Prosthetic; knowledge of agency policies, regulations, applicable Federal Statues and contracting procedures governing a Prosthetic Program to administer the various functional areas of prosthetic activity. OR Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successfully completed a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. of J.D., if related that . Education cannot be credited without documentation. OR Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond the first year (18 semester hours) may be used to qualify for the GS-9 grade level. Data ManagementPlanning and EvaluatingTeamwork 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 activity is primarily sedentary in nature, although some slight physical effort may be required. 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 Ann Arbor VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 US
• Name: Jessica Kidd
• Phone: 734-596-3177
• Email: [email protected]