Credentialing Program Assistant

Summary

The incumbent serves as a Credentialing Program Assistant and is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for conducting analytical reviews, managing and tracking data, and serving as an advisor to VAMC leadership on key processes related to the Credentialing and Privileging (C&P) program of the VAMC.

Duties

Major duties include, but are not limited to: Works collaboratively with VAMC leadership, healthcare providers, the C&P administrative specialists, and other administrative teams in managing the FPPE and the OPPE for the C&P Program. Applies knowledge of the C&P process and knowledge of medical terminology, medical specialties and core privileges and procedures to serve as the first line reviewer of the facility's FPPE and OPPE forms, plans, and processes. Analyzes clinical evaluation plans to assure that they meet standards and are thorough and appropriate to measure and document the clinical competence of the Licensed Independent Practitioner (LIP). Conducts analytical assessments for program processes and procedures, and manages data collection and reporting outcomes. Applies technical skills to extract and analyze large datasets in a variety of formats (i.e. Access, Excel, Power Point, etc.), and manages and organizes information from various VA repositor to present data in reports and presentations to supervisors and managers. Implements tracking and monitoring systems for actions indicated by the Credentials Committee, such as licensed provider's exit review forms, Service Chief and supervisory requirements, state licensing board reporting requirements, and state licensing board reporting correspondences. Conducts audits on provider time-limited credentials, provider C&P two- part folders, the provider exit review monitoring system, privileging documents, the FPPE and OPPE tracking systems, credentialing program training requirements, telehealth providers monitoring system, and any Committee recommended actions. Collaborates with VAMC personnel and external medical professionals to ensure revisions are appropriately followed and documented. Validates conclusions and recommendations, estimates, projects, or forecasts established from healthcare industry studies and participates in high level multi-functional teams to oversee the accomplishment of long term plans. Performs other related duties as assigned. Work Schedule: Monday through Friday, 7:30AM to 4:00PM Position Description Title/PD#: Credentialing Program Assistant/PD99868A Physical Requirements: None.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement. GS-06 grade level: One year of specialized experience (equivalent to the GS-05 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: Knowledge of pertinent laws, regulations, policies and precedents, accreditation standards and guidelines. Knowledge in VHA Handbooks, Directives, Memos, and Notices; VetPro Policies/Standard Operating Procedures, and local VAMC policies related to the principles, practices and program goals of the C&P program. Basic principles, provisions and practices of credentialing, privileging, medical staff process/personal, accreditation and regulatory issues/updates such as from the TJC, Office of Inspector General and Government Accountability Office activity. Medical terminology, medical specialties and core privileges and procedures to assure competence/appropriateness of credentials and privileging requested. Extensive knowledge of VetPro policies, including but not limited to, VetPro Data Integrity, Facility level access control, mandatory annual VetPro security and confidentiality training, and mandatory annual privacy act training. Communicate complex and highly technical information to a diverse group of managers, clinical providers, administrative personnel, and outside contacts with varying levels of understanding about the C&P program requirements. Using software applications such as word processing and data bases and internet database applications for data entry, file maintenance and data retrieval and analysis. Preferred Experience: Applying credentialing rules, regulations, policies, procedures, and compliance requirements. Analyzing credentialing database systems and processes to achieve data integrity. Utilizing various databases and electronic systems. Communication and works with staff at various managerial levels. Administrative experience within healthcare. 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

There is no educational substitution for the GS-06 level.