This position is aligned under the Chief of Staff, Community Care at the Edward Hines Jr. VA Hospital, Hines, IL. The primary purpose of the position is to serve as a 1st Level Supervisor over (non-clinical) functions for the Community Care (CC) staff and program. It is a foundational role within the continuum of patient care, working collaboratively with the patient care teams, healthcare providers, Community relations, and VA Business personnel. The role involves fact-finding and analysis of data, preparation of managerial problems, providing assistance to the organizational supervision of the program, and ensuring the appropriate processing of medical care authorizations and eligibility determinations for Community Care programs. The incumbent manages the Community Care Program, ensures timely provision of required information to the Third Party Administrator (TPA), and serves as the subject matter expert for the program. This includes identifying, obtaining, and managing resources for program success, coordinating business processes and software functions, and ensuring the integration of business/workflow processes, software applications, user interaction, and data. Knowledge of VISTA, CPRS, Provider Profile Management System (PPMS), and Health-Share Referral Manager (HSRM) is essential. The position is a primary resource for Community Care projects and may be assigned other related projects. Responsibilities include distributing and balancing workload, monitoring progress, ensuring timely accomplishment of tasks, and coordinating training programs for the CCC program. The role also involves monitoring program needs, coordinating planning, implementation, and training, and ensuring facility understanding of program regulations and procedures using technical manuals, policies, laws, and regulations. Assistance, training, and troubleshooting for clinical and administrative staff in business processes and software are provided. Training includes formal lectures and on-the-job sessions. Recommendations for modifying procedures to improve efficiency are coordinated. Employees are monitored for compliance with processes and computer systems. The position serves as the Time and Leave (T&L) Coordinator, resolves issues, and participates in establishing administrative qualitative standards. The incumbent also serves as a committee representative and performs other related duties as assigned.
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Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed