Clinical Subject Matter Expert (Remote)

Govcio LLC•UNAVAILABLE, UNAVAILABLE

6d•Remote

About The Position

GovCIO is hiring a Clinical Subject Matter Expert to serve as the clinical authority on a team that designs and delivers health IT capabilities for Veteran community care. The role documents how community care operates day to day, translates clinical and operational practice into clear, testable requirements, and validates delivered functionality against real clinic workloads. The position is fully remote within the United States and generally reports to a Program Manager. The role covers community care referral and care coordination workflows from consult receipt through episode closeout. It bridges frontline clinical practice, program leadership, engineering, and data and analytics teams, ensuring system behavior reflects governing VHA policy and field standard operating procedures. It also supports requirements and design activities, clinical user acceptance testing, reporting and dashboard definition, and training and field readiness.

Requirements

Bachelor's degree with 8 or more years of experience, or commensurate experience.
Registered Nurse with 5 or more years of clinical healthcare experience, or commensurate experience.
Active, unrestricted Registered Nurse license in a U.S. state or territory.
At least two years of direct, hands-on work in VA community care referral coordination, consult management, community care scheduling, or community care eligibility and authorization; experience must be current or within the last twelve months.
Daily working use of the VA referral management system (HSRM) and VistA/CPRS, or Millennium/PowerChart Referral Management at a Federal Electronic Health Record site.
Working knowledge of the Consult Toolbox, standardized episodes of care (SEOCs), and the Request for Services process.
Applied working knowledge of VHA Directives 1230, 1231, and 1232, the Community Care Field Guidebook, and community care eligibility standards under the MISSION Act.
Ability to write clearly for audiences outside the candidate's discipline, demonstrated through work products such as procedures, job aids, training material, standard work, or briefing documents.
Ability to work remotely with reliable connectivity during core Eastern Time business hours.
Ability to obtain and maintain a favorably adjudicated VA Public Trust background investigation.

Nice To Haves

Bachelor of Science in Nursing, or a graduate degree in nursing, health informatics, healthcare administration, or public health.
Experience contributing to system design, requirements definition, user story writing, user acceptance testing, or agile ceremonies.
Experience across more than one community care function, such as coordination plus scheduling or coordination plus eligibility and authorization.
Experience working in more than one VA electronic health record environment.
Experience with community care reporting and dashboards, such as EPRS, VSSC, Power BI, Tableau, or CDW-sourced reporting.
Experience as a super user, preceptor, trainer, or site champion during a system rollout or upgrade.
Nursing informatics certification, such as ANCC Informatics Nursing; Certified Scrum Product Owner or ScrumMaster; SAFe; Lean or Six Sigma; or Project Management Professional certification. None is required.
Prior experience supporting a federal health program as a contractor.
Existing VA Public Trust adjudication, which may shorten onboarding.

Responsibilities

Serve as the clinical and operational authority for community care referral and care coordination workflows on a health IT delivery team.
Document end-to-end community care workflows, including consult receipt and team assignment, eligibility verification and authorization, SEOC selection, screening and triage, care coordination planning, provider documentation exchange, scheduling and follow-up, and episode closeout.
Identify operational practices behind written procedures, including manual workarounds, undocumented service levels, and work performed outside current systems.
Translate clinical and operational knowledge into user stories, acceptance criteria, business rules, decision tables, and process diagrams.
Ensure system behavior reflects VHA Directives 1230, 1231, and 1232, field standard operating procedures, consult status and action rules, cancellation and resubmission limits, contact-attempt requirements, and community care wait-time and drive-time eligibility standards.
Participate in requirements refinement, design reviews, and sprint demonstrations as the clinical reviewer, identifying decisions that would not hold up under a real coordinator workload.
Define and execute clinical user acceptance testing using scenarios drawn from actual case types, and determine whether delivered functionality is fit for field use.
Define reporting and dashboard requirements from coordinator and supervisor perspectives, including the clinical definitions behind each metric.
Convene and translate for a broader subject matter expert group covering adjacent functions such as scheduling, eligibility and authorization, and provider data.
Support training and field readiness by identifying what staff need to use delivered functionality effectively.
Bridge clinical intent and the data and analytics team so metrics and reporting use correct clinical definitions.