Health Systems Specialist

3 weeks ago

Salem, Oregon, United States Veterans Affairs, Veterans Health Administration Full time

Job Summary:

This position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Mid-Atlantic Health Care Network VISN 6, Salem VA Medical Center in Quality Management Service.

The Risk Manager is directly responsible to the Chief, Quality Management.

Key Responsibilities:

  • Develop and maintain the Medical Center Quality Management - Risk Management Program.
  • Analyze medical records and Computerized Patient Record System (CPRS) notes to retrieve information related to tort claims.
  • Respond to inquiries from patients related to procedures on filing claims.
  • Coordinate peer and administrative reviews subsequent to notification of claims alleging medical malpractice.
  • Coordinate tort claims (medical malpractice, liability/other, small claims, and 4629 claims).
  • Maintain a database of all such claims for the purpose of identifying trends and potential areas of improvement.
  • Serve as a liaison with the Regional Counsel's staff in matters relating to tort claims and contacts Regional Counsel on legal issues that are unusual.
  • Coordinate for a board of investigation process for the Medical Center for a Board of Investigation.
  • Reviews board reports and provides timely submission of original reports and tracking of corrective actions.
  • Provide oversight of the Peer Review program and supports the Peer Review Committee as an advisor.
  • Make recommendations to Medical Center Leadership and Service/Service Line Managers based on analysis of Risk Management data.
  • Collaborate/Lead Performance Improvement activities related to Claims Review, Boards of Investigations, Peer Review, Occurrence Screens, Disclosures, Risk Management Performance Improvement and Program Integration of the Risk Management program throughout the facility.
  • Assist with visits from outside regulatory and licensing agencies to include Office of Inspector General (OIG) and The Joint Commission (TJC).

Work Schedule:

Monday-Friday; 7:30 am to 4:30 pm

Telework:

Ad-hoc Remote: Not a remote position

Physical Requirements:

The work requires some mobility but is generally sedentary and may be performed from a seated position. Overnight travel can occur.

Requirements:

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

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-09 position you must have served 52 weeks at the GS-07. For a GS-11 position you must have served 52 weeks at the GS-09. For a GS-12 position you must have served 52 weeks at the GS-11.

Qualifications:

To qualify for this position, you must have one year of specialized experience equivalent to at least the next lower grade in the normal line of progression for the occupation in the organization.

Examples of specialized experience would typically include, but are not limited to:

  • Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field.
  • This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities.
  • Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
    • Missions, organizations, programs, and requirements of health care delivery systems;
    • Regulations and standards of various regulatory and credentialing groups;
    • Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.

Preferred Experience:

Risk management experience and coordinating activities as appropriate for Tort claims for both medical malpractice and administrative Tort claims. Familiar with VA OIG, TJC regulations as it relates to Risk Management.

Education 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:


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