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Advanced Medical Support Assistant

Department of Veterans Affairs
Veterans Health Administration
VA Caribbean Healthcare System

Summary

The Advanced MSA will work collaboratively in an interdisciplinary coordinated care delivery model. They work with the patient care team to review the clinic utilization by using various reports, ensure that the clinic setup is closely monitored to effectively support the needs of the clinic, and make any necessary adjustments. They develop/maintain effective and efficient communication with the patient, interdisciplinary team, VA medical centers, and other agencies.

Overview

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Accepting applications
Open & closing dates
04/29/2026 to 05/13/2026
This job will close when we have received 25 applications which may be sooner than the closing date. Learn more
Salary
$45,409 - $57,599 per year
Pay scale & grade
GS 6
Location
1 vacancy in the following location:
Saint Thomas, VI
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Excepted
Promotion potential
None
Supervisory status
No
Security clearance
Other
Drug test
No
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Financial disclosure
No
Bargaining unit status
No
Announcement number
CBTC-12937677-26-KA
Control number
867209100

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Duties

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This position is located at The VA Caribbean Healthcare System's Community Based Outpatient Clinics in Saint Thomas, Virgin Islands. The tours of duty will be established based on demand of the work area. The incumbent is expected to present to work in a professional and timely manner in accordance with established tour of duty. Duties include but are not limited to:

  • Serve as a primary source of patient care and patient flow information, offering key administrative advice and guidance to the patient care team.
  • Perform clerical work that supports patient care and treatment across assigned services or clinics.
  • Work primarily within an assigned service or clinic, but may provide coverage for primary care, specialty care, Call Center, Urgent Care, or interdisciplinary care teams as needed.
  • Carry out scheduling duties in accordance with the National Scheduling Directive, using PC applications, VistA systems, and the Federal Electronic Health Record (EHR).
  • Use specialized administrative judgment and apply flexible clinical flow processes to support access to care across multiple clinics, specialties, and community care resources.
  • Coordinate with patient care teams to review clinic appointment availability and utilization, ensuring schedules are closely monitored and adjusted to meet clinic needs.
  • Maintain effective and efficient communication with patients, care teams, VA medical centers, and external agencies, including:- Assisting communication during inpatient-to-outpatient discharge- Contacting non-VA facilities- Preparing correspondence to notify patients of normal lab results- Managing follow-up systems for consults, tests, and other care needs
  • Process incoming Secure Messaging through MyHealtheVet and coordinate with care teams as appropriate.
  • Participate in team huddles and meetings to manage, plan, problem solve, and follow up on patient care through shared information and collaboration.
  • Set priorities and deadlines, adjusting workflow and task sequencing to meet team and patient needs.
  • Identify incomplete encounters and communicate results to providers; assist teams in reinforcing plans of care and self-help solutions.
  • Enter required information into the electronic record, monitor pre-appointment requirements, and assure patient readiness for visits and procedures.
  • Manage patient systems to verify and validate information accuracy, resolving discrepancies as needed.
  • Evaluate patient information and clinic schedule lists to determine if a patient requires an immediate appointment.
  • Inform team members about shared patients, including those receiving care at multiple VA centers or in the community.
  • Use word processing and office automation software to store and retrieve documents, format correspondence and reports, activate printers, and send/receive e-mail.
  • Performs other related duties as assigned, tailored to the needs of the specific service or unit.
  • Determining Veteran eligibility and enrollment status using the Veteran Enrollment system (VES) and other administrative tools.
  • Coordinating emergency and non-emergency transfers to VA or non-VA facilities and determining appointment type based on eligibility.
  • Assisting Veterans in completing documentation for medical benefits and entitlements.
  • Reviewing CPRS and administrative records to verify insurance coverage, service-connected conditions, and eligibility for specific benefits.



Work Schedule: Monday-Friday, 7:30am-4:00pm or 8:00am-4:30pm. Based on the needs of the service
Functional Statement #: 62019F

Requirements

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Conditions of employment

  • You must be a U.S. Citizen to apply for this job.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:

  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
English Proficiency. MSAs must be proficient in spoken and written English and Spanish.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations:

Preferred Experience: One year of experience equivalent to the next lower grade level (GS-5).May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Grade Determinations:

To qualify for the GS-06 level, you must have one year of experience equivalent to the GS-5 grade level. Experience at the GS-5 includes but is not limited to: scheduling, cancelling, re-scheduling patients appointments and/or monitoring both inpatient and outpatient appointments for areas of responsibility, ensuring encounter forms are completed in order to obtain appropriate workload credit, verifying and updating demographics and insurance information, processing all emergency and non-emergency transfers to other VA facilities or private hospitals, performing basic eligibility, co-pays and preauthorization requirements for specific coverage, etc.


References: VA Handbook 5005/53, Part II-G45, MEDICAL SUPPORT ASSISTANT, dated June 7,2012. This can be found in the local Human Resources Office.

The full performance level of this vacancy is GS-6.

References: VA Handbook 5005/53, Part II-G45, MEDICAL SUPPORT ASSISTANT, dated June 7,2012. This can be found in the local Human Resources Office.

Physical Requirements: The employee's work is mostly sedentary; however, some walking; standing, and carrying light items are required. Light filing, sometimes involving working close to the floor, is involved.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

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.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Veterans Health Administration

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?

Come work for the VA Caribbean Healthcare System where we provide services to veterans in Puerto Rico and the U.S. Virgin Islands. These islands enjoy year-round summer, and you can experience Caribbean living, history and a variety of activities. As a territory of the United States, Puerto Rico offers the conveniences of the mainland and a trip to the U.S. Virgin Islands is only 30 minutes away. Join us to experience the wonders of working and living in a tropical paradise.

Agency contact information

Karina Alvarez
Phone
(925) 260-4805
Email
karina.alvarez@va.gov
Address
San Juan VA Medical Center
10 Calle Casia
San Juan, PR 921
US

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