Health System Specialist (Credentialing and Privileging Manager) - #740812

US Veterans Health Administration


Date: 01/15/2022 01:30 AM

City: Canandaigua, New York

Salary: $79,363 - $103,176 / year

Contract type: Full Time

Work schedule: Full Day

Duties


  • Provides direct technical and administrative supervision to employees in the VAMC's C&P Office;
  • 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;
  • Develops, modifies, and/or interprets performance standards; outlines and explains performance expectations to staff;
  • Assigns and reviews work performed by subordinates based on priorities, consideration of complexity and requirements of

    assignments and employee skill level;
  • Evaluates work performance mid-year and annually, and provides regular feedback on employees' strengths and weaknesses;
  • Provides advice, counsel, and instruction to employees on work and administrative matters;
  • Serves as approving official for leave requests and approving official for credit card purchases and reconciliations;
  • Conducts staff meetings and composes minutes;
  • Identifies developmental and training needs of employees;
  • Provides or arranges for needed development and training;
  • The incumbent is the Point of Contact (POC) and SME for credentialing updates, Human Resources, providers and hiring services;
  • Hears and resolves issues and complaints from employees, referring group grievances and more serious unresolved complaints to higher-level officials as needed;
  • Interviews and selects candidates for vacancies, promotions, details and reassignments; and applies EEO and merit promotion principles and requirements to all personnel management actions and decisions to ensure that all personnel are treated in a manner that is free of discrimination;
  • Prepares and deploys action plans for corrective action related to the findings and monitors to ensure corrections have been made and/or risks have been mitigated to recommendations or findings;
  • Attends committee meetings and presents providers' credentials, clinical practice histories and red flags;
  • Researches provider credentialing requirements;
  • Identifies potential privileging issues;
  • Interprets and explains new regulatory requirements, and VHA requirements, procedures and processes;
  • Reviews clinical privileges and scope of practices for accuracy, setting specific indicator and signature appropriations as required for VAMC compliance with Joint Commission Standards;
  • Updates clinical privilege forms to reflect procedures added or deleted. Coordinates with telehealth program team to ensure compliance;
  • 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.
  • Other duties as assigned.
Work Schedule: 8AM-4:30PM, M-F.

Position Description Title/PD#: Supervisory Health System Specialist, PD # 99874-A.

Physical Requirements: The work is primarily sedentary. Some walking, bending and carrying of light office items is

required.


Requirements


Conditions of Employment


  • You must be a U.S. citizen to apply for this job
  • Subject to a background/suitability investigation
  • Designated and/or random drug testing may be required
  • 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

Qualifications


To qualify for this position, applicants must meet all requirements by the closing date of this announcement.



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-12 position you must have served 52 weeks at the GS-11. 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 specialized experience as described 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 may include but not limited to: Knowledge of the basic principles and practices related to the management of a health care delivery system necessary to identify the improvement needs for a variety of health care management problems, and resolve various problems arising in the health care delivery system; Knowledge of the organizational structure of the medical facility; clinical operations, programs and requirements to study and analyze procedures and practices related to the provision of medical care and staffing requirements as is related to Chief of Staff Services; Knowledge of VA and Health Care Delivery Systems federal regulations, policies, and protocols in various areas such as hospital administration, fiscal management, personnel and logistics, to obtain information for studies and to perform coordination functions; Ability to effectively communicate orally and in writing with a wide variety of health care professionals and vendors for services and products with diverse functions needed to gather information, present recommendations, and coordinate services: Knowledge and skill in applying analytical and evaluative methods and techniques to issues related to the efficiency and effectiveness of program operations; performed by administrative, technical, and studies to evaluate and recommend ways to improve the effectiveness and efficiency of health care services, using both quantitative and qualitative measures; Knowledge of computer database and spreadsheet applications to monitor, extract, and analyze data pertaining to nursing outcomes; Interpersonal skills and experience with health care delivery systems. In addition, this position requires specialized knowledge of the basic principles and practices related to the management of health care delivery systems; Knowledge to assess and evaluate clinical and administrative information leading to timely and accurate solutions and recommendations.



Preferred Experience/Education: Possession of a graduate degree in hospital administration or a subject related to the position such as business or public administration with course work in health care administration. AND



Knowledge and skill in applying analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of the facility's medical staff functions and Credentialing & Privileging Program operations. Extensive knowledge and skill in interpreting C&P, as well as Staffing regulations/requirements for health care practitioners in compliance with a broad range of National and Local Handbooks, Directives, Memorandums, MOUs, Policies, Medical Staff Bylaws and a variety of auditing and accrediting agencies. Extensive knowledge and skill in interpreting C&P, as well as Staffing regulations/requirements for health care practitioners in compliance with a broad range of National and Local Handbooks, Directives, Memorandums, MOUs, Policies, Medical Staff Bylaws and a variety of auditing and accrediting agencies. Extensive knowledge of medical specialties, medical terminology, and design and implementation of best practices for criteria based privileging systems for granting of clinical privileges and/or reduction and/or revocation of clinical privileges. Expert knowledge of the characteristics of credentialing/privileging and groups, adverse events, hearing and appeals committee actions and legal requirements. Ability to reconcile contradictory requirements in preparing staff recommendations and in coordinating clinical and administrative services. Knowledge of minimizing legal risks associated with adverse actions


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

Additional information


COVID-19 Vaccination Requirement- As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required exception from this requirement using the reasonable accommodation process.



COVID-19 Pandemic Expanded Telework Program - Due to COVID-19, VA is currently in an expanded telework posture. If selected, you may be expected to temporarily telework, even if your home is located outside the local commuting area. Once employees are permitted to return to the office, you will be expected to report to the duty station listed on this announcement. Management officials will provide information about returning to the official, pre-pandemic worksite, when applicable. At that time, you may be eligible to request to continue to telework depending upon the terms of your organization's telework policy and the duties of the position.



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.



The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be well-qualified, applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors if applicable, and must be proficient in most of the requirements of the job. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website which can be found at https://www.opm.gov/.



Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.



This job opportunity announcement may be used to fill additional vacancies.



If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.




  • Benefits



    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.


How You Will Be Evaluated


You will be evaluated for this job based on how well you meet the qualifications above.


IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Applicants will be referred in the order in which they were received

  • Benefits



    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.


  • Required Documents


    As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.


    Documents Accepted:

    • Cover Letter
    • DD-214/ Statement of Service
    • Disability Letter (Schedule A)
    • Disability Letter (VA)
    • Other (2)
    • Resume
    • SF-50/ Notification of Personnel Action
    • Transcript


    Documents Required:

    • Resume


    Please review the above list(s) to ensure you have included all necessary documents required for your application.Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).You will not be contacted for additional information. Applicants will be deemed ineligible if supporting documentation is not submitted.



    Veterans' Preference: Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply. Qualified veterans will, however, be given full consideration for this position.



    Applications are accepted online. Applying online will allow you to review and track the status of your application

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating

  • How to Apply


    All applicants are encouraged to apply online.



    To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section. The complete application package must be submitted by 11:59 PM (EST) on 01/27/2022 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11342712.



    1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.



    2. Click Submit My Answers to submit your application package.



    NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the More Information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.



    To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.



    Agency contact information


    Girolamo Tavolante

    Phone

    (315) 425-4400 X57450

    Email

    Girolamo.Tavolante@va.gov

    Address

    Canandaigua VA Medical Center

    400 Fort Hill Ave

    Canandaigua, NY 14424

    US

    Next steps


    After the vacancy announcement closes, applicants are evaluated to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email

  • Fair and Transparent


    The Federal hiring process is setup to be fair and transparent. Please read the following guidance

    • Equal Employment Opportunity (EEO) Policy
    • Reasonable accommodation policy
    • Financial suitability
    • Selective Service
    • New employee probationary period
    • Signature and false statements
    • Privacy Act
    • Social security number request

Required Documents


Documents Accepted:

  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (Schedule A)
  • Disability Letter (VA)
  • Other (2)
  • Resume
  • SF-50/ Notification of Personnel Action
  • Transcript


Documents Required:

  • Resume


Please review the above list(s) to ensure you have included all necessary documents required for your application.Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).You will not be contacted for additional information. Applicants will be deemed ineligible if supporting documentation is not submitted.



Veterans' Preference: Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply. Qualified veterans will, however, be given full consideration for this position.



Applications are accepted online. Applying online will allow you to review and track the status of your application

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.



Help

This job is open to


  • The public


    U.S. Citizens, Nationals or those who owe allegiance to the U.S.


Clarification from the agency


ALL US CITIZENS. DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (COVID-19 - VA 005) in-accordance with 5 U.S.C. 3304(a)(3) and 5 CFR 337.205(b)(1)-(4).

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