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 program
• Assists in identifying the resources necessary for accomplishing the mission and function of the credentials program
• Serves as SME in the field of credentials
• Keeps leadership and appropriate administrative staff informed of program changes - new regulatory requirements - and policies and procedures pertaining to the C&P process
• Receives and reviews correspondence and communications for the C&P function and determines which items require immediate attention and which are confidential in nature
• Receives and reviews VetPro reports detecting problem areas requiring further investigation
• Upon identification of a problem - researches reference materials - regulations - and standards to identify appropriate action necessary to correct the problem
• Issues of a serious nature are elevated to the supervisor for guidance
• Ensures accurate provider data is entered into and maintained in the VetPro computer program
• Ensures 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 credentialing
• Informs C&P Manager/Analyst of trends identified - audit results and identified problems that may affect a provider's credentialing status
• Manages provider applications (initial) for non-LIPs within the VAMC
• Incumbent must have a broad knowledge of medical specialties
• Provides guidance and instruction to hospital staff in completing the required documentation of establishing credentialing for LIPs
• Upon 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 certifications
• Primary source verification includes - but may not be limited to - the American Medical Association - NPDB - state licensing agencies - specialty certification boards - universities - DoD and healthcare facilities
• Coordinates with clinical service departments on findings of clinical care competency
• Participates in the required annual C&P self-assessment and if opportunities for improvement are identified - is involved in improvement efforts
• Provides 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 declaration
• Reviews 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 suitability
• Performs other duties within the C&P program as assigned
• Work Schedule: Monday - Friday - 8:00am - 4:30pm Position Description Title/PD#: Credentialing Program Assistant/PD99876S