Credentialing Program Assistant

Summary The Credentialing Program Assistant is assigned to the Chief of Staff office within Harry S Truman VA Medical Center and is responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations in Columbia - MO. Qualifications To qualify for this position - applicants must meet all requirements by the closing date of this announcement. GS-06 grade level: One year of specialized experience (equivalent to the GS-05 grade level in the federal service); experience that equipped the applicant with the particular knowledge - skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position - and that is typically in or related to the work of the position to be filled - in the normal line of progression for the occupation in the organization. Specialized experience includes: Assisting C&P Manager in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations. Provides guidance and instruction to hospital staff. Analyzes and manages issues. Collects - compiles - and tracks data. Prepares reports. Verifies required information to ensure acceptability of credentials and privileging in a medical setting There is no educational substitution for the GS-06 level. 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. Duties Duties include - but may not be limited to the following: C&P Duties (100%) The incumbent assists the C&P Manager/Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P programAssists in identifying the resources necessary for accomplishing the mission and function of the credentials programServes as SME in the field of credentialsKeeps leadership and appropriate administrative staff informed of program changes - new regulatory requirements - and policies and procedures pertaining to the C&P processReceives and reviews correspondence and communications for the C&P function and determines which items require immediate attention and which are confidential in natureReceives and reviews VetPro reports detecting problem areas requiring further investigationUpon identification of a problem - researches reference materials - regulations - and standards to identify appropriate action necessary to correct the problemIssues of a serious nature are elevated to the supervisor for guidanceEnsures accurate provider data is entered into and maintained in the VetPro computer programEnsures current information is present on providers relative to state licensure - Drug Enforcement Organization (DEA) license - National Practitioner Data Bank (NPDB) Continuous Query (CQ) enrollments and renewals - Federation of State Medical Boards (FSMB) - documentation of professional education - specialty medical training - certifications - adverse licensure or privileging actions - initial credentialingInforms C&P Manager/Analyst of trends identified - audit results and identified problems that may affect a provider's credentialing statusManages provider applications (initial) for non-LIPs within the VAMCIncumbent must have a broad knowledge of medical specialtiesProvides guidance and instruction to hospital staff in completing the required documentation of establishing credentialing for LIPsUpon receipt of individual credentials' files for review - incumbent ensures primary source verification to include - but not limited to - state licenses - DEA license - certifications - medical specialty training - and board certificationsPrimary source verification includes - but may not be limited to - the American Medical Association - NPDB - state licensing agencies - specialty certification boards - universities - DoD and healthcare facilitiesCoordinates with clinical service departments on findings of clinical care competencyParticipates in the required annual C&P self-assessment and if opportunities for improvement are identified - is involved in improvement effortsProvides ongoing review of regulatory requirements - TJC Standards - changing laws and legal precedents to review hospital regulations and make necessary recommendations for changes to ensure compliance with current VHA - and - TJC Standards and in the event of an emergency declarationReviews quality assessment findings - risk management evaluations and malpractice claim actions to ensure appropriate coordination with the credentials and privileging function of the credentials committee of the medical staff regarding individual provider clinical suitabilityPerforms other duties within the C&P program as assignedWork Schedule: Monday - Friday - 8:00am - 4:30pm Position Description Title/PD#: Credentialing Program Assistant/PD99876S