This position is located in the Purchased Referred Care (PRC) Department at the Claremore Indian Hospital, Claremore, OK. The incumbent is responsible for the management of the PRC program, including supervising, analyzing, developing, implementing, evaluating, advising, and coordinating program activities related to referral care, third party resources, and contracting activities. The position reports to the CIH Administrative Officer.

Duties

Supervise and coordinate the functions and staff of the Purchased Referred Care (PRC) Department, such as the review committee processes, obligation of referral payments, communication with vendors, and creating and issuing purchase orders. Provide technical assistance to management, medical providers, patients, and other facility personnel in regards to the PRC Department or processes. Establish and maintain working policies and procedures for the PRC program. Develop necessary liaison and agreements with Federal, State, Tribal, and other agencies relative to Medicare/Medicaid, AHCCCS, and other clinical departments of the Claremore Indian Hospital (CIH). Coordinate PRC services as they relate to Health Records, Nursing, and other clinical departments of CIH. Evaluate and arrange for training needs of PRC staff, personally conduct or participate with the orientation of new staff members and employees on management matters, PRC duties and responsibilities, and PRC rules and regulations.

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. INDIVIDUAL OCCUPATIONAL REQUIREMENTS (IOR): In order to qualify for this position, your application must demonstrate that you meet at least one of the following Individual Occupational Requirements: Education: Completion of an undergraduate or higher level degree that includes a major of study such as hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR Experience: Progressively responsible analytical, administrative, clinical management, or supervisory experience in the health care field performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. This 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. OR Special Provision for In-Service Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and include: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. In addition to the Individual Occupational Requirements, you must also meet the Minimum Qualifications for this grade level, as stated below. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: GS-12: Analyzing, developing, implementing, evaluating, advising, and coordinating program activities related to contract care, third party resources, and contracting activities to provide comprehensive purchased and referred care services. Supervisory Abilities: This is a supervisory position, in addition to the qualification requirements described above, must have demonstrated in their work experience or training, that they possess, or have the potential to develop, the qualities of successful management, as required for the position. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

If you are qualifying based on education, 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 Claremore Service Unit 101 S Moore Claremore, OK 74017 US
• Name: Raquel Sells
• Phone: 918-282-6049
• Email: [email protected]