Summary
The Supervisory Health Systems Specialist - Credentialing and Privileging Manager oversee all functions related to healthcare providers' professional credentials supporting all divisions of the Cleveland VA Medical Center (VAMC).
Duties
The Health System Specialist (Credentialing and Privileging Manager) duties include, but are not limited to: Provides direct technical and administrative supervision to employees in the Credentialing & Privileging Office. Manages staff performance by setting and adjusting short and long-term priorities; assesses staffing needs; plans work to be accomplished. Develops, modifies, and/or interprets performance standards; outlines and explains performance expectations to staff. Provides advice, counsel, and instruction to employees on work and administrative matters. Identifies developmental and training needs of employees and provides/arranges for needed development and training. Provides consulting and guidance to local leadership and credentialing employees on all matters pertaining to credentialing program. Attends committee meetings and presents providers' credentials, clinical practice histories and red flags. Performs as the subject matter expert for credentialing updates to Human Resources, providers and hiring services. Attends meetings, conferences and seminars to assist with the identification of areas needing improvement. Interprets and explains new regulatory requirements, procedures and processes. Reviews clinical privileges and scope of practices for accuracy, setting specific indicators and signature appropriations as required for compliance. Ensures all mandatory reviews and recommendations are documented in an electronic credentialing database. Leads external and internal regulatory and accrediting investigations issues surrounding credentialing, privileging, and/or reporting. Assisting with developing, coordinating and recommending changes for the improvement of workflow in the program or section area. Responsible for reporting needs to State Licensing Board, National Practitioner Data Bank (NPDB), tort claim, and other governing bodies. Work Schedule: Monday- Friday, 7:30am- 4:00pm, 8:00am- 4:30pm Telework: This position may be authorized for ad-hoc telework. Telework eligibility will be discussed during the interview process. Position Description/PD#: Supervisory Health System Specialist (Credentialing & Privileging Manager)/PD91703VS Relocation/Recruitment Incentives: Relocation/Recruitment incentive may be authorized for highly qualified candidates. Critical Skills Incentive (CSI): Not approved Permanent Change of Station (PCS): Not authorized
Requirements
You must be a U.S. Citizen to apply for this job Selective Service Registration is required for males born after 12/31/1959 Subject to background/security investigation Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
How you will be evaluated
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Narrative responses are not required at this time. If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview. Your resume and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document. Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.