Supervisory Program Specialist (Community Care) - #19543263

Department of Veterans Affairs


Date: Apr 5, 2021
City: Columbia, MO
Contract type: Full time
Department of Veterans Affairs

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Summary


This position is located in the Office of the Chief of Staff at Harry S. Truman Memorial Veterans' Hospital in Columbia,Missouri. The incumbent serves as the Chief of Community Care and provides leadership, support, and required oversight to the Community Care section in Veteran eligibility identification, determination and implementation of entitlement and benefit delivery programs, provider contract development and maintenance, feasibility studies and support in strategic planning efforts.


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Responsibilities


Duties include:



  • Identifying areas for improvement, developing the processes for that improvement, implementing the improvements in the program, and evaluating the outcomes of the implemented processes.

  • Monitoring performance metrics associated with Community Care; includes consult management metric, Community Care Network (CCN) adequacy, community wait times, etc.

  • Responsible for budget development and execution for Community Care Section. Responsible for budget development and execution for Community Care Section.

  • Providing oversight of the day-to-day work completed by subordinates, setting and adjusting the short term and long-term priorities of the section, and preparing schedule for completion of work.

  • Serving as liaison and troubleshooting a multitude of problems related to Veteran's benefits, payment/reimbursement, and operational issues related to Community Care.

  • Conjointly works with Network clinical leadership in building a Care Coordination Network Model complementing VA providers with preferred community providers, selected for meeting quality and customer service standards and having values aligned with VHA to include a point of service option where Veterans elect other providers.

  • Provide effective planning direction for the Community Care program by taking the initiative to identify needs and potential issues/concerns, deciding flexibilities in operations and constructive cost-effective approaches to the resolution of problems.

  • Responsible for preparing and coordinating, and submitting monthly, quarterly, and annual reports.

  • Identifying areas for improvement, developing the processes for that improvement, implementing the improvements in the program, and evaluating the outcomes.

  • Overall responsiblity for ensuring the development and implementation of appropriate Standard Operating Procedures (SOPs) are in place for the completion of all administrative processing of authorizations, scheduling, payments, appeals, reconciliation of authorizations, projecting funding needs, maintaining accurate and timely tracking and reporting procedures and customer service, etc.

  • Establishes procedures to meet accreditation standards and consistently monitors to ensure services provided meet nationally accepted standards and are maximally cost effective.

  • Gives advice, counsel and instruction to employees on both work and administrative matters; hears and resolves minor complaints from employees.

  • Oversees the daily operation of the Community Care Section comprised of both clinical and


administrative employees, directly responsible for planning and directing the activities of


subordinates and managing training and support needs to assure an appropriate work


environment.


Work Schedule: Monday to Friday; 8:00 am - 4:30 pm


Telework: Ad Hoc


Virtual: This is not a virtual position.


Position Description/PD#: Supervisory Program Specialist (Community Care)/PD094500


Relocation/Recruitment Incentives: Not Authorized


Financial Disclosure Report: Not required


Travel Required


Not required


Supervisory status


Yes


Promotion Potential


12



  • Job family (Series)


0301 Miscellaneous Administration And Program


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Requirements


Conditions of Employment



  • You must be a U.S. Citizen to apply for this job

  • Designated and/or random drug testing may be required

  • Selective Service Registration is required for males born after 12/31/1959

  • You may be required to serve a probationary period

  • Subject to background/security investigation

  • Selected applicants will be required to complete an online onboarding process


Qualifications


To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04/12/2021.


Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-12 position you must have served 52 weeks at the GS-11. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.


Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.


Preferred Experience (please include in Resume if experience is present):



  • Prior Supervisory Experience - at least 2 years

  • Experience managing work flow processes.

  • Experience using data to make informed decisions.

  • Experience with Performance Improvement activities (Root Cause Analysis, Lean Six Sigma, Plan-Do-Study-Act, etc.)


You may qualify based on your experience as described below:



  • Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-11 for the GS-12 position in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Supervisory support and oversight of the Community Care section; Identifying areas for improvement, developing processes, implementing, and evaluating outcomes; Establishes procedures to meet accreditation standards and consistently monitors to ensure services provided meeting nationally accepted standards; Preparing and submitting recurring reports; Development and implementation of appropriate Standard Operating Procedures; Routinely obtaining all key information needed from Central Office, National Office of Community Care, VISN, and facility leadership and review released publications, meeting minutes, and committee meetings in order to respond to program offices seeking information; Serves as patient liaison in all issues relating to Community Care; Budget development and execution for Community Care program; Performs facility level program cost analysis projects and performance, cost benefit and economic evaluations of the Community Care program utilizing VSSC, SQL, Pyramid Analytics, and FBCS administrative reports; Participates in and has overall responsibility for ensuring systematic Internal Reviews with Compliance Officers of the VISN, VAMC's as well as auditing bodies who request reviews; and Conducts focused fact-findings or special studies.


You will be rated on the following Competencies for this position:



  • Administration and Management

  • Customer Service

  • Planning and Evaluating

  • Project Management


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.


Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.


Physical Requirements: Work is performed in designated office areas, everyday risks and discomforts are present. There is adequate light, heat, and ventilation. Office safety precautions are required.


For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.


Education


There is no educational substitution at this grade level.


Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

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