The position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Mid-Atlantic Health Care Network (VISN 6), Salisbury VA Medical Center (VAMC), Medicine Service, Salisbury, NC. The primary duties of the position are to perform clinical, administrative and technical data support for Medicine Service. This position may provide coverage within any of the departments in the Medicine Service.Learn more about this agency
Manages the credentialing and privileging requirements for the Service. Maintains and updates provider notebooks with information required by Joint Commission on approximately 70 providers. Works closely with the Medicine Service Administrative Officer (AO), Section Chiefs and the Associate Chief of Staff (ACOS) Medicine, to ensure that the provider notebooks are maintained and updated. Each provider requires an Ongoing Professional Practice Evaluation (OPPE) to be maintained with quarterly updates and data run for completion. Aggregated and comparison data is collected and utilized for provider's reappraisal from the OPPE. The Program Specialist monitors the completion and timeliness of the clinical pertinence reviews submitted (10 per quarter for each provider) and maintains a database of these for review. In addition there are also Focused Professional Practice Evaluations (FPPE) required for new employees and updates as needed. Periodic re-credentialing of the providers requires gathering all the required documentation, collecting signatures and reviewing the OPPEs for completion for submission to the Professional Standards Board.
Manages the service consult tracking data, clinic profiles, and encounter completion in order to meet or exceed Advanced Clinic Access performance measures for the VAMC. Develops, establishes and manages clinic profiles for medical specialty clinics. Monitors and reevaluates clinic profiles/schedules which are used in the Medical Center's Appointment Management scheduling software package. Proper configuration of clinic profiles in the VAMC computer system and overseeing clinic usage has direct effect on scheduling, patient flow and processes within individual clinics, workload being captured, and on the effective reimbursement of Medical Care Cost Recovery (MCCR) funds. Ability to set up and oversee evening and Saturday clinics when needed for backlog, providing data for clinic usage, setting up provider coverage and reporting overtime cost for running these clinics. Functions as liaison between clinical practitioners and patients referred to the various disciplines within Medicine Service. Functions as the administrative support person for the purpose of facilitating and troubleshooting patient and administrative issues related to the consult process within specialty care of Medicine Service. Monitors consult backlog and clinic wait times via consult tracking package in the Veterans Health Information Systems and Technology Architecture (VistA) consult tracking package. Collects, compiles, analyzes and presents data to the AO and ACOS Medicine regarding the consult-tracking package. Provides administrative support for issues/processes related to inter-facility consults to other medical centers. This position develops and implements Computerized Patient Record System (CPRS) templates for the enhancement of specialty care progress notes and/or consults. Coordinates and develops CPRS templates, note titles and new consults with Office of Information and Technology (OI&T) and the Medical Records Committee.
Functions as the administrative process and policy expert, advising medical and administrative staff relative to creating new clinic profiles or making changes to established profiles. The incumbent works with Decision Support System (DSS) staff and with clinical services to ensure the clinic stop code information corresponds with the DSS stop code identifiers on the clinic profiles. Coordinates with MCCR staff to determine if clinic services are billable; verifies with Health Information Management Section (HIMS) that the appropriate International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes are entered on the electronic encounter form setup and follows up on incomplete encounters entered by providers. Within the clinic profile for medical specialties, the incumbent will be responsible for programming detailed encounter forms and action profile settings, resolving the electronic no-show policy, setting appointment length and overbook capacity, granting individuals scheduling access to restricted clinics, and assigning specific user class rights to providers, based on verified credentials. Sets up clinic profiles to indicate providers' daily schedule.
Serves as one of the time and attendance record keepers for the Service and performs other directly related duties as assigned.
Work Schedule: Monday - Friday, 7:30am - 4:00pm
Telework: Ad Hoc
Virtual: This is not a virtual position.
Position Description/PD#: Program Specialist / #000862
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required
Occasional travel - You may be expected to travel for this position.
Job family (Series)
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/568293100. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.