The incumbent serves as Health Care System Credentials File Manager and medical staff subject matter expert for accreditation. Assists the Clinical Leadership in developing short and long-term goals necessary to accomplish the mission of the credentialing and privileging program. Identifies the resources necessary for accomplishing the mission and function of the credentials and privileging program.Learn more about this agency
Work Schedule: Monday- Friday 8:00 am to 4:30 pm
Position Description/PD#: Health Systems Specialist (Credentialing & Privileging) GS-7-10853A/GS-9-21673A
Typical duties include but are not limited to:
- Provides ongoing review of regulatory requirements, TJC Standards, changing laws and legal precedents in order to review hospital regulations and make necessary recommendations for changes to ensure compliance with current VA, VHA, Commission on Accreditation of Rehabilitation Facilities (CARF), and Utilization Review Accreditation Commission (URAC) and TJC Standards.
- Reviews documents and applications for omissions and inconsistencies, and assures data entry is complete and accurate to meet VA policy and regulation, accreditation, as well as industry standards
- Receives and reviews daily reports detecting problem areas requiring further investigation.
- Informs Clinical Leadership of trends identified, audit results and identified problems that may affect a provider's privilege status.
Job family (Series)
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/493720100. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.