This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Nurse Specialist (Utilization Review Nurse Coordinator)

Department:Department Of Health And Human Services

Agency:Indian Health Service

Job Announcement Number:IHS-R1-NN-988468-DH

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.

SALARY RANGE:

$67,047.00 to $82,131.00 / Per Year

OPEN PERIOD:

Tuesday, November 26, 2013 to Tuesday, December 17, 2013

SERIES & GRADE:

GS-0610-11

POSITION INFORMATION:

Full Time - Multiple Appointment Types

PROMOTION POTENTIAL:

11

DUTY LOCATIONS:

1 vacancy in the following location:
Shiprock, NM View Map

WHO MAY APPLY:

All groups of qualified individuals

SECURITY CLEARANCE:

Not Applicable

SUPERVISORY STATUS:

No

JOB SUMMARY:

The Indian Health Service (IHS) is the principal federal health care provider and health advocate for American Indians and Alaska Natives (AI/AN). The IHS goal is to raise Indian health status to the highest possible level. IHS provides leadership and direction to programs and activities designed to improve health outcomes to over 1.9 million AI/AN through a system of IHS, Tribal and Urban operated facilities and programs.

For information on the IHS visit IHS.GOV

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The IHS is an Equal Opportunity Employer.

 

This position is being Re-Advertised to solicit additional applications.  Applicants who applied previously need not reapply unless submitting updated and/or missing information.

 

This position is being announced concurrently under Excepted Service and Merit Promotion procedures. Please review vacancy announcement number IHS-R1-NN-987900-ESEP/MP number for eligibility requirements. NOTE: Applicants must apply separately for each announcement in order to be considered

 

The Nurse Specialist (Utilization Review Nurse Coordinator) is located in the Professional Quality Services Division at Northern Navajo Medical Center, Shiprock, New Mexico.  Responsible for planning, directing, implementing and evaluating the functions and requirements of the utilization review. This position reports to Quality Assessment Officer.

TRAVEL REQUIRED

  • Not Required

RELOCATION AUTHORIZED

  • No

KEY REQUIREMENTS

  • The selected applicant will be subject to a pre-employment background
  • investigation, which will include a fingerprint check.
  • If applicable-Selective Service registration (Males born after 12/31/59)
  • U.S. Citizenship is required

DUTIES:

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  • Utilization Review an on-going process for assessing and monitoring patient charts and health status to determine appropriateness and completeness of medical documentation, length of stay, intensity of services, and allocation and utilization of resources for patient care.
  • Utilizing Nurse professional knowledge and training, will review medical documentation and correct such deficiencies to meet established criteria for severity of illness and intensity of service.
  • Conducts analysis of policies and directive pertinent to the administration and management of the utilization review and third party collection programs in order to  define requirements and objectives.
  • Responsible for identifying patients whose third party payors require admission preauthorization, procedures and transfers, communication with the payors and releasing medical information necessary to obtain approval.
  • Serves as Chair of the Utilization Review committee, manages the committee including rooms, notifications, and assures committee documentation is complete and accurate.  Maintains files and compiles with Records Management requirements.

 


QUALIFICATIONS REQUIRED:

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To qualify for this position, your resume must reflect sufficient experience and/or education, to perform the duties of the position for which you are applying. Your resume is key in evaluating your experience, as they relate to this position. Therefore, we encourage you to be clear and specific when describing your work experience.

 

BASIC REQUIREMENT(S):

Education:  Degree or diploma from a professional nursing programs approved by the legally designated State accrediting agency at the time the program was completed by the applicant. 

 

In addition, to the Basic Requirements, you must also met the Minimum Qualifications stated below-

 

MINIMUM QUALIFICATIONS:

GS-11: Completion of all requirements for a doctoral degree (Ph.D. or equivalent) or 3 full years of progressively higher level graduate education OR 1 year of experience equivalent to at least the GS-9 level.


You must meet the requirements of the job by this date: Tuesday, December 17, 2013

HOW YOU WILL BE EVALUATED:

You will be rated based on the information provided in your resume (your resume must state specific duties that relate to this position) and your responses to the assessment questions will be evaluated against the duties you provided in your resume, along with your submitted documentation to determine your ability to demonstrate the following:

  • Reasoning
  • Technical Competencies
  • Decision Making
  • Communication
  • Problem Solving

 

The following links below provide information on how you may be eligible for various hiring authorities. If you are a Veteran, qualified CTAP and ICTAP eligible, or an individual with a disability, please refer to the following links below for additional guidance:

Click here to view vacancy questions: View Assessment Questions. All documents above MUST be received by 11:59 (Eastern Standard Time) of the closing date of, Tuesday, December 17, 2013, to be considered.


BENEFITS:

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The Federal Government offers a comprehensive benefits package. Explore the major benefits offered to most Federal employees at https://my.usajobs.gov/ResourceCenter/Index/Interactive/Benefits.

OTHER INFORMATION:

PHS Commissioned Officers who are interested in this position within the Commissioned Corps MUST apply online in order to receive consideration. (DE/MP Vacancies- for applicable positions). For more information on PHS Commissioned Corps, visit the website at: http://www.usphs.gov/

Additional selections may be made on this vacancy announcement.

A one-year probationary period is required upon selection/placement.

 

Recruitment incentive will not be authorized.

Relocation expenses will not be paid.

 

CONDITIONS OF EMPLOYMENT:
Work is performed on a regular basis; however, incumbent may be required to work a second shift when necessary to assess the evening work production.

 

Measles and Rubella immunizations are required for selectees born after 1957.

 

IHS - Operated Properties are tobacco free



HOW TO APPLY:

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To apply for this position, you must provide a complete Application Package. See required documents below.

  1. Click ‘Apply Online' to create an account or log in to your existing USAJOBS account.
  2. Follow the prompts to complete the assessment questionnaire and upload required documents.
  3. Please ensure you click the Submit My Answers button to submit your application.
  4. Applications must be received by the closing date of the announcement to receive consideration.
  5. Check application status by logging into your USAJOBS account, clicking Application Status, then More Information for this position. Return to an incomplete application by clicking Apply Online in the vacancy announcement and re-selecting your resume and/or other documents from your USAJOBS account.

To fax supporting documents you are unable to upload, complete this cover page http://staffing.opm.gov/pdf/usascover.pdf using the following 988468. Fax your documents to 1-478-757-3144.

You are highly encouraged to submit your application package and complete your assessment questionnaire on-line. If you cannot apply online:

  1. Click to view and print the assessment questionnaire View Occupational Questionnaire.
  2. Print this 1203FX form to provide your response to the assessment questionnaire http://www.opm.gov./Forms/pdf_fill/OPM1203fx.pdf
  3. You are limited to selecting 10 locations.
  4. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144. Your 1203FX will serve as a cover page for your fax transmission.

PLEASE NOTE: When completing the 1203-FX, be sure to select only one response for each question. Selecting more than one response for a question may result in your application package being rated ineligible. In Section 25 of the Occupational Questionnaire, you may notice that the numbering restarts with number one. When entering your responses on the 1203-FX form please continue to enter your responses on the next available number within this section. The numbers on the 1203-FX will not match the Occupational Questionnaire once it restarts with number one.

Submission of a resume' or a 1203FX form alone IS NOT a complete application. This position requires the completion of additional forms and/or supplemental materials as described under Required Documents section.

The IHS provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please notify the Human Resources Office (Orlando Begay, (505)368-7048, and/or ORLANDO.BEGAY@IHS.GOV). The decision on granting reasonable accommodation will be on a case-by-case basis.

For additional questions please see our Frequently Asked Questions (FAQs) found here: http://www.ihs.gov/jobs/index.cfm?module=search&option=faq



REQUIRED DOCUMENTS:

Required Documentation for Eligibility and Preference:

 

Your application package MUST be complete by 11:59 pm Eastern Standard Time (EST) on Tuesday, December 17, 2013, the closing of this announcement.

AGENCY CONTACT INFO:

Orlando Begay
Phone: (505)368-7048
TDD: (301) 443-6394
Email: ORLANDO.BEGAY@IHS.GOV
Agency Information:
Indian Health Service HR Center
Hwy 491 N PO Box 160
Shiprock, NM
87420

WHAT TO EXPECT NEXT:

Once the online questionnaire is received you will receive an acknowledgement email that your submission was successful. Applicant MUST verify the completeness and successful submission of their applications by logging into the USAJobs Application Manager to check the “Status”. Your qualifications for the job will be reviewed against other applicants to determine, if you will be referred to the hiring manager for further consideration and possible interviews. We will notify you of the outcome after each of these steps have been completed. After making a tentative job offer, we will conduct a suitability/security background investigation.

You will no longer need to call the HR Office to determine your application status. USAJOBS has added an alert setting to their system to provide status updates for applicants. You can elect to activate the status updates from your USAJOBS profile at any point during the application process.

If all required documentation is not submitted with your application you will lose consideration. It is the applicant’s responsibility to verify that information and documents entered, uploaded, or faxed is received, legible and accurate. HR will not modify answers submitted by an applicant.

~ ~ ~ Indian Health Service (IHS) is an Equal Opportunity Employer


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Job Announcement Number:

IHS-R1-NN-988468-DH

Control Number:

356287000