Credentialing Program Assistant

Veterans Health Administration • Columbia, MO

2d • Onsite

About The Position

The Credentialing Program Assistant is assigned to the Chief of Staff office at Harry S Truman VA Medical Center and provides administrative and technical direction and support for credentialing and privileging (C&P) operations in Columbia, Missouri. The position assists the C&P Manager/Analyst with program goals and resource identification, monitors provider credentialing information, supports application processing and primary-source verification, and helps ensure compliance with applicable VHA and The Joint Commission standards and requirements.

The incumbent reviews correspondence, communications, VetPro reports, audit results, and other findings; investigates identified issues; keeps leadership informed of program changes and trends; and escalates serious matters to a supervisor. The role also provides guidance to hospital staff on required credentialing documentation, coordinates with clinical departments on clinical-care competency findings, participates in annual self-assessments and improvement efforts, and reviews regulatory requirements and quality, risk-management, and malpractice findings relevant to provider suitability. Other C&P program duties may be assigned.

Work schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m.

Requirements

• One year of specialized experience equivalent to the GS-05 level in the federal service, involving knowledge and skills applicable to the position.
• Specialized experience must include assisting a C&P Manager in drafting local credentialing processes and Medical Staff Bylaws in compliance with applicable regulations; providing guidance and instruction to hospital staff; analyzing and managing issues; collecting, compiling, and tracking data; preparing reports; and verifying required information to determine acceptability of credentials and privileging in a medical setting.
• There is no educational substitution for the GS-06 level.
• Must be a U.S. citizen.
• Subject to a background/suitability investigation.
• Selective Service registration is required for males born after December 31, 1959.
• A complete application package, including resume and transcripts, is required.
• Selected applicants must complete an online onboarding process and provide acceptable identification for pre-employment requirements.
• Must serve a one-year probationary period.

Responsibilities

• Assist the C&P Manager/Analyst in developing short- and long-term goals for the C&P program and identifying resources needed to accomplish its mission.
• Keep leadership and appropriate administrative staff informed of program changes, regulatory requirements, and C&P policies and procedures.
• Receive and review C&P correspondence and communications, determining which require immediate attention or are confidential.
• Review VetPro reports to detect problem areas, research relevant references and standards, identify corrective actions, and elevate serious issues to the supervisor.
• Ensure accurate provider data is entered into and maintained in VetPro, including information on licenses, DEA credentials, NPDB Continuous Query enrollment and renewals, education, specialty training, certifications, adverse actions, and initial credentialing.
• Inform the C&P Manager/Analyst of trends, audit results, and problems that may affect a provider's credentialing status.
• Manage initial provider applications for non-LIPs within the medical center.
• Provide guidance and instruction to hospital staff completing documentation required to establish credentialing for LIPs.
• Review individual credential files and ensure primary-source verification of licenses, DEA credentials, certifications, medical specialty training, and board certifications.
• Coordinate with clinical service departments regarding findings on clinical-care competency.
• Participate in the annual C&P self-assessment and in improvement efforts when opportunities are identified.
• Review regulatory requirements, The Joint Commission standards, changing laws, and legal precedents; review hospital regulations and recommend changes to support compliance with current VHA and Joint Commission standards, including during an emergency declaration.
• Review quality-assessment findings, risk-management evaluations, and malpractice claim actions to ensure appropriate coordination with the credentialing and privileging function of the medical staff credentials committee.
• Perform other duties within the C&P program as assigned.

Benefits

• Federal employee benefits package available to the employee and family; specific benefits depend on position type and should be confirmed with the hiring agency.
• VA may grant newly appointed federal employees credit for job-related non-federal experience or active-duty uniformed military service when determining annual leave accrual; approval is required and is not guaranteed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed