Program Specialist

Program Specialist

Major duties of the position include but are not limited to: PCMM COORDINATION 65% PCMM is a complex, nationally implemented, stand-alone computer program that is designed to monitor and manage primary care services throughout the VA system.

• Monitoring and maintaining provider profiles, monitoring panel sizes, oversight and correction of transmission errors, and review/recertification of incorrect patient assignments.
• Develops a process to track patients from enrollment and eligibility through vesting, New Enrollee Appointment Request (NEAR) report, and assignment to a PACT. Has primary responsibility for establishing and managing PCMM team and position set up for all primary care services at Medical Center.
• Electronically create or modify team and position settings, assign provider user class based on verified credentials, link the associated clinic, set maximum panel sizes, program clinical alert notification levels, and establish preceptor to associate provider links. The incumbent uses multiple assignment/reassignment tools to move large groups of primary care patients to different teams and positions, when changes become necessary.
• Notify patients via postal mail of their new team assignments and introduces the members of that team.
• Works directly with the Nurse Managers and the Patient Advocate to track and complete clinic-wide patient provider change requests for patient satisfaction,
• Works directly with a Pharmacy representative notifying them of all relocated patients that no longer require pharmaceutical support.
• Responsible for notifying nationwide other PCMM Coordinators of patients transferring care outside of their VISN jurisdiction to allow proper panel management and capacity ensuring only qualified veterans are dual assigned across VISNs with proper CPRS documentation.
• Responsible for verifying accuracy and correction of national duplicate assignments on a monthly basis.
• Serves as the main point of contact for all new consults/referrals submitted to Primary Care directing them to the proper provider for care and assignment based on panel availability.
• Monitors timeliness statistics for scheduling new patients, reporting to Primary Care leadership when problems exist which prevent compliance with VISN and VACO goals.
• Accountable for initial and reinforced training for any Mental Health PCMM affiliates covering all aspects of the PCMM software and proper maintenance and legitimacy of inputted information.
• Participates in patient education training as is related to outpatient systems organization, clinic access, scheduling, and logistical issues.

Reports 25%

• Prepares national, VISN and Medical Center level reports, upon request using established and ad hoc computer programming routines.
• Collects, compiles, analyzes and presents data regarding the integrity of the PCMM package and uses this analysis to prepare and develop PCMM program evaluation reports.

Training and Resource Utilization 10%

• Responsible to notify and train all Primary Care leadership as well as the associated CBOC Managers for proper FTEE formulation for all employees which directly effects staffing and room utilization at the VISN level.
• Prepares national, VISN, and Medical Center-level reports, using established and ad hoc computer programming routines.
• Collect, compile, analyze, and present data regarding the integrity of the PCMM package, acting as a resource to clinical staff in troubleshooting of VistA and PCMM software applications associated with the Primary Care clinic treatment area.
• Responsible for creating templates for report generation and updates/generates reports on a daily, monthly, or quarterly basis as requested or assigned.

Work Schedule: Monday- Friday; 07:00am-03:30pm. Schedule may be subject to change based on the needs of the Agency.

Telework: This position may be authorized for some ad-hoc (short term or episodic) telework only per Agency policy.

Virtual: This is not a virtual position.

Position Description/PD#: Program Specialist/ PD919360

Relocation/Recruitment Incentives: Not Authorized

Critical Skills Incentive (CSI): Not approved

Permanent Change of Station (PCS): Not Authorized VA Healthcare System advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.