Supervisory Health System Specialist (Credentialing & Privileging Manager)

Summary The Supervisory Health Systems Specialist

• Credentialing and Privileging Manager oversee all functions related to healthcare providers' professional credentials supporting all divisions of the Cleveland VA Medical Center (VAMC). Duties The Health System Specialist (Credentialing and Privileging Manager) duties include, but are not limited to: Provides direct technical and administrative supervision to employees in the Credentialing & Privileging Office. Manages staff performance by setting and adjusting short and long-term priorities; assesses staffing needs; plans work to be accomplished. Develops, modifies, and/or interprets performance standards; outlines and explains performance expectations to staff. Provides advice, counsel, and instruction to employees on work and administrative matters. Identifies developmental and training needs of employees and provides/arranges for needed development and training. Provides consulting and guidance to local leadership and credentialing employees on all matters pertaining to credentialing program. Attends committee meetings and presents providers' credentials, clinical practice histories and red flags. Performs as the subject matter expert for credentialing updates to Human Resources, providers and hiring services. Attends meetings, conferences and seminars to assist with the identification of areas needing improvement. Interprets and explains new regulatory requirements, procedures and processes. Reviews clinical privileges and scope of practices for accuracy, setting specific indicators and signature appropriations as required for compliance. Ensures all mandatory reviews and recommendations are documented in an electronic credentialing database. Leads external and internal regulatory and accrediting investigations issues surrounding credentialing, privileging, and/or reporting. Assisting with developing, coordinating and recommending changes for the improvement of workflow in the program or section area. Responsible for reporting needs to State Licensing Board, National Practitioner Data Bank (NPDB), tort claim, and other governing bodies. Work Schedule: Monday- Friday, 7:30am- 4:00pm, 8:00am- 4:30pm Telework: This position may be authorized for ad-hoc telework. Telework eligibility will be discussed during the interview process. Position Description/PD#: Supervisory Health System Specialist (Credentialing & Privileging Manager)/PD91703VS Relocation/Recruitment Incentives: Relocation/Recruitment incentive may be authorized for highly qualified candidates. Critical Skills Incentive (CSI): Not approved Permanent Change of Station (PCS): Not authorized Qualifications In order to qualify for this position, you must meet the following requirements within 30 calendar days of the closing date listed on the announcement: Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-12 position you must have served 52 weeks at the GS-11. The grade may have been in any occupation but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. Applicants must be eligible under the VA Interchange Agreement, having served continuously for at least one year in the other merit system under this interchange agreement. For more information regarding the VA Interchange Agreement please visit: All Title 38 Veterans Canteen Service (VCS) employees must have served in their Excepted Service position for at least 90 days in order to be eligible for a position within the Competitive Service. Applicants who were previously selected under a Competitive Delegating Examining Office (DEO) announcement must have served in their position for at least 90 days prior to being eligible for other positions within the Competitive Service. This position has an Individual Occupational Requirement (IOR). An IOR is part of the minimum qualifications for this occupational series. In order to meet the IOR you must have: Undergraduate and Graduate Level Education: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration., OR Specialized Experience: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement., OR Special Provision for Inservice Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. In addition to the qualification above you must also have: GS-12 Specialized Experience: You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-11) in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties as a Health System Specialist. Qualifying specialized experience is defined as progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: (1) Missions, organizations, programs, and requirements of health care delivery systems; (2) Regulations and standards of various regulatory and credentialing groups; and (3) Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. At this level, applicants would have obtained this experience working within a health care setting, working directly with clinicians and local leadership to solve problems in support of the delivery of patient care; applying organizational and system-wide strategies for continuous quality improvement; and