Medical Management Specialist

Medical Management Specialist

The Medical Management Specialist on Duty (HOD) is a facility-wide position, located in the Office of the Chief, Health Administration Service (HAS), or Business Office (BO), or Medical Administration Service (MAS), or similarly named and organized service; the position has both the authority and responsibility to represent both the Medical Center Director and the Chief, HAS on all administrative matters occurring when assigned to other than a normal tour of duty. In this position, you will serve as Medical Management Specialist and you will be required to provide 24-hour schedules, which involve teams of employees working across day and night or day, swing, and night shifts to provide 24/7 staffing.

Typical work assignments include, but are not limited to:

• Interprets VA rules and regulations, determining if presenting Veterans meet established criteria to warrant entitlement to benefits associated with hospital admission or outpatient care, nursing home care, dental treatment, domiciliary, distant patient lodging, non-VA care, prosthetic appliances, patient transfers, and beneficiary travel.
• Authorized as certifying officer for documents pertaining to the administration of laws concerning VA. Coordinates the resolution of medical-administrative-operational problems concerning the Healthcare System after normal working hours.
• Delegated authority to act on behalf of the HCS Director to initiate actions dealing with any disaster situation, in accordance with the hospital disaster plan.
• Serves as a resource to the Medical Officer of the Day (MOD), hospitalist, all other providers and clinical staff, and clerical staff concerning administrative matters necessary to support the operation of the Healthcare System during other than normal hours.
• Provides Healthcare System staff advice on administrative procedures and requirements, many of which are based on law/statute or regulation, utilizing practical knowledge and ample experience in such day to day matters, including involuntary commitments, conservatorship, orders of protective custody, and management of disruptive or severely disturbed patients.
• Maintains current bed inventory utilizing BMS (Bed Management System) software and ensures the accuracy of the program for national reporting purposes; obtains bed availability for treatment needs and provides daily report/log of all activities occurring during tour of duty. Briefs on-coming shift of pending events or the current status of any administrative issues.
• After regular hours responsible for initiating prearranged call tree, or for calling in all necessary employees on an overtime basis for emergent needs such as attending to patient care needs or emergency repairs.
• Coordinates with VA Crisis Line and VISN or regional Nurse Advice Line in assisting Veterans in emergent or crises situations.
• Records operative permits, when appropriate, and assists physician in administrative matters. Provides compassionate and sympathetic explanation of death and burial benefits to family and next­-of-kin.
• Records procedural, operative, autopsy, organ donation permits when appropriate. Provides sympathetic answers to family's concerns of how autopsy affects appearance of remains; assists with procedures on organ donation.

Work Schedule: 40 Hours a week, Monday-Sunday, Rotating Shifts, to include Evenings, Nights and Weekends, EST.

Telework: Maybe authorized at supervisor discretion.

Virtual: This is not a virtual position.

Position Description/PD#: Medical Management Specialist/ PDPD-99368-S,PD-99385-S

Relocation/Recruitment Incentives: Not Authorized

Critical Skills Incentive (CSI): Not Approved

Permanent Change of Station (PCS): Not Authorized

NOTIFICATIONS:

• This position is in the Competitive Service.
• This position is covered by locality-based comparability pay.
• Current Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
• This position is not a Bargaining Union Position.
• Veterans' Preference does not apply for internal or other current permanent Federal agency employees.
• Interchange Agreements with Other Merit System: Employees who occupy medical or medical-related positions and were appointed under 38 U.S.C. 4701(1) or (3) [formerly 38 U.S.C. 4104 (1) and (3)] must be serving in a full-time position without time limit and have served continuously for at least one year in this other merit system to be eligible to convert to the Title 5 System. Some exceptions to this rule may apply if you have previously acquired tenure under a Title 5 appointment.