The selectee for this position will serve as an Supv Nurse Consultant in the Referral Management Department, Director of Healthcare Business, of Naval Health Clinic Patuxent River (NAVAL HOSPITAL).Learn more about this agency
THIS POSITION IS A FULL-TIME TERM APPOINTMENT NOT TO EXCEED 4 YEARS. Term appointments may be extended up to 4 years at the discretion of management and in accordance with applicable regulations.
The successful selectee will perform the following duties:
- Supervise staff within the Referral Management Center providing direction and guidance in procedures and policies.
- Provide technical medical necessity determinations on specialty care consultations destined for care outside the Military Treatment Facility.
- Advise management regarding development, organization and delivery of medical necessity determination, principles, process, and procedures.
- Coordinate care, access and utilization of medical assets that are needed for all beneficiaries who are enrolled in TRICARE Prime.
Occasional travel - You may be expected to travel for this position.
Job family (Series)
Conditions of Employment
Must be a US Citizen.
Males must be registered or exempt from Selective Service. www.sss.gov
Must be determined suitable for federal employment.
Must participate in the direct deposit pay program.
May be required to successfully complete a probationary/trial period.
All qualifications requirements must be met by the closing date of this announcement and clearly documented in your resume.
Within the Department of Defense (DoD), the appointment of retired military members within 180 days immediately following retirement date to a civilian position is subject to the provisions of 5 United States Code 3326.
Must be able to obtain an interim and/or final (e.g., confidential/secret/top secret, etc.) security clearance prior to entrance on duty AND must be able to maintain the required level of clearance while employed in the subject position. Failure to obtain and maintain the required level of clearance may result in the withdrawal of a job offer or removal.
Successful completion of a pre-employment drug test is required. A tentative offer of employment will be rescinded if the applicant fails to report to the scheduled drug test appointment. Incumbents of drug testing designated positions will be subject to random testing. Please Note: Marijuana is a Schedule I drug under the Controlled Substances Act and therefore use of marijuana is illegal under Federal law regardless of State laws. A positive drug test result for marijuana (or any other drug tested for) will result in withdrawal of the tentative job offer and ineligibility to apply for a position within the Department of Defense for 6 months from the date of the drug test.
This position may require travel from normal duty station to CONUS and OCONUS and may include remote or isolated sites. Must be willing and able to travel on military and commercial aircraft for extended periods of time.
QualificationsThis position has a selective placement factor needed in order to qualify. The actual Selective Placement Factor is a Basic Life Support (BLS) Certification. Failure to possess this factor WILL result in an ineligible rating. Possession of this factor must be verifiable by submitting a copy of your current Basic Cardiac Life Support certification with your application.
In order to qualify for this position, your resume must provide sufficient experience and/or education, knowledge, skills, and abilities to perform the duties of the specific position for which you are being considered. Your resume is the key means we have for evaluating your skills, knowledge, and abilities as they relate to this position. Therefore, we encourage you to be clear and specific when describing your experience.
In addition to the Basic Educational Requirements for this position, your resume must also demonstrate of professional nursing experience (equivalent to the GS-09 grade level) and possession of a diploma, associate degree, bachelor's degree, or master's degree from a professional nursing educational program. Professional experience must demonstrate the following:
- Conduct research and data mining in various healthcare data reporting systems, such as Composite Health Care System (CHCS), Referral and Authorization System, and other automated information systems to collect, compile and trend utilization, medical necessity, and referral data.
- Analyze and report information for utilization, medical necessity and specialty care referral metrics.
- Preform criteria based, systematic evaluation on a situational basis on the medical necessity, propriety and efficiency of the use of healthcare services, procedures, and facilities.
- Research and review internal and external consultation and referral request for patient eligibility coverage under the Tricare Health Benefit Plan.
Additional qualification information can be found from the following Office of Personnel Management website:
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., professional, philanthropic, religious, 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.
Applicants must meet the following Basic Educational Requirements of the Office of Personnel Management (OPM) Qualifications Standards Manual:
EDUCATION: Applicants must possess A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note - Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools).
I have passed the National Council Licensure Examination.
I possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
Education completed in foreign colleges or universities may be used to meet the qualification requirements if the applicant can provide documentation indicating that the foreign education is comparable to that received in an accredited educational institution in the United States. It is the responsibility of the applicant to provide such evidence when applying for further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html
See the Office of Personnel Management's General Policies for information on crediting education.
This position is covered by the Department of Defense Priority Placement Program.
Additional vacancies may be filled by this announcement.
A tentative offer of employment will be rescinded if the selectee fails to meet the pre-employment requirements, including failure to report to any of the scheduled appointments.
The Department of the Navy uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify.
If you are unable to apply online and request information about the Alternate Application process, please contact the Department of Navy's Employment Information Center.
Federal annuitant information: The selection of an annuitant is subject to the Department of Defense and Department of the Navy policy on the employment of annuitants. Policy information may be found at: http://www.secnav.navy.mil/donhr/Documents/CivilianJobs/FedCivAnnuitants.pdf
ICTAP Applicants: To be considered well-qualified and exercise selection priority as an ICTAP candidate for this vacancy, displaced Federal employees must satisfy all qualification requirements for the position and receive a rating in the well qualified category or higher. For more information about ICTAP eligibility please review the following link: http://www.public.navy.mil/donhr/Employment/CivJobOpps/Documents/ICTAP_Statement.pdf.
Active duty military members MAY apply under this announcement. If selected, appointment eligibility requirements must be met prior to the effective date of appointment.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
When the application process is complete, we will review your resume to ensure you meet the hiring eligibility and qualification requirements listed in this announcement. You will be rated based on the information provided in your resume and responses to the Occupational Questionnaire, along with your supporting documentation.
If selected, you may be required to provide supporting documentation.
If, after reviewing your resume and supporting documentation, a determination is made that you inflated your qualifications and/or experience, you may be found ineligible/not qualified.
Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment.
All qualifications requirements must be met by the closing date of this announcement.
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.
Background checks and security clearance
A COMPLETE RESUME IS REQUIRED. Your resume must show relevant experience (cover letter optional) where you worked, job title, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week & salary. If you are a current Federal employee or previous Federal employee, provide your pay plan, series and grade level i.e. GS-0201-09. Note: Only the last resume received will be reviewed.
YOU ARE REQUIRED TO DOCUMENT IN YOUR APPLICATION PACKAGE EVIDENCE THAT SUPPORTS YOUR ELIGIBILITY AND QUALIFICATION CLAIMS. You are required to upload the applicable documents with your application package. These documents will assist the staffing specialist in determining your eligibility and qualifications.
DOES THIS POSITION REQUIRE A LICENSE OR CERTIFICATE?
You must submit a copy of your license or certificate in your application package.
ARE YOU QUALIFYING BASED ON EDUCATION or A COMBINATION OF EDUCATION AND EXPERIENCE?
You must submit a copy of your college transcript or an appropriate course listing. 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. Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html. All education claimed by applicants will be verified by the appointing agency accordingly. If selected, an official/sealed transcript will be required prior to appointment.
ARE YOU A VETERAN CLAIMING SOLE SURVIVORSHIP PREFERENCE OR 5-POINT VETERANS' PREFERENCE?
You must provide legible copy/copies of the following: DD-214 (member 4 copy), "Certificate of Release or Discharge from Active Duty," showing all dates of service, as well as character of service (Honorable, General, etc.) or Statement of Service/Proof of Service (in lieu of a DD-214) from your command or local Personnel Support Detachment (PSD). The Statement of Service/Proof of Service must provide all dates of service, the expected date of discharge and anticipated character of service (Honorable, General, etc.). Veterans should upload their DD-214 once they receive it upon separation.
ARE YOU A DISABLED VETERAN or CLAIMING 10-POINT VETERANS' PREFERENCE?
Disabled veterans, veterans, widows, spouses or the mother of a veteran who are eligible for 10-point veterans' preference must provide legible copies of the following: Applicable supporting documents as noted on Standard Form-15 (SF-15). To obtain a copy of SF-15, go to http://www.opm.gov/forms/pdf_fill/SF15.pdf.
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
Click the Apply Online button to create an account or log in to your existing USAJOBS account.
To apply for this position, you must provide a complete Application Package which includes:
1. Complete resume with relevant experience where you worked, job title, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week and salary. If you are a current or previous federal employee, provide your pay plan, series and grade level (e.g. GS-0201-09).
2. Complete assessment questionnaire. For a quick preview of the assessment questionnaire click here: https://apply.usastaffing.gov/ViewQuestionnaire/10123845
3. Supporting documentation
Failure to submit a complete application package will result in an ineligible rating and loss of consideration.
Your complete application (resume, assessment questionnaire, and all supporting documents) must be received by 11:59 pm Eastern Standard Time (EST) on 02/18/2018. Applications received after 02/18/2018 may result in an ineligible rating and loss of consideration. If more than one resume is received, only the last resume received and processed will be reviewed.
NOTE: To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account: https://mydon.usajobs.gov/Account/Login select Application Status, and click on the more information link under the application status for this position. Your uploaded documents may take several hours to clear the virus scan process so please plan appropriately.
You are encouraged to apply online. Applying online will allow you to review and track the status of your application.
If you are unable to apply online or unable to upload your supporting documents contact Department of Navy EIC at DONEIC@navy.mil or (800) 378-4559.
Do not email or send hard copy resumes/applications to the Contact Information or Agency Information listed in this vacancy announcement. All resumes/applications received at the addresses listed in the Contact Information or Agency Information will be destroyed and will not be considered for this vacancy announcement.
It is the applicant's responsibility to verify that all information in their resume and documents are legible and accurate. HR will not modify answers/documents submitted by an applicant.
Agency contact information
Department of Navy EIC
47149 Buse Road
Patuxent River, MD 20670
When the application process is complete, your application will be reviewed to determine if you meet the hiring eligibility and qualification requirements for which you requested consideration. You will be rated based on the information provided in your resume and responses to the questionnaire, along with your supporting documentation to determine your level of knowledge, skill, and ability related to the job requirements.
Qualified applicants will be referred to the hiring manager. The selecting official may choose to conduct interviews, and once the selection is made, you will receive a notification of the decision.
Stay informed of changes to your application status by signing up for automatic email alerts at
Fair & Transparent
The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
Equal Employment Opportunity Policy
The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Reasonable Accommodation Policy
Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.
Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when:
- An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
- An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
- An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.
You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.
Legal and regulatory guidance
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/491160400. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.