Credentialing Technician

Duties
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• Establishes and/or maintains privileged healthcare providers' Individual Credentials File (ICF) for appropriate individuals on active duty, employed by or contracted to Jacksonville and its branch clinics.
• Establishes and maintains an Individual Professional Files (IPF) for all active duty, civil service or contract non-privileged healthcare providers working at Jacksonville and its branch clinics.
• Responsible for the technical management of the credentials review and clinical privileging recommendation process.
• Provide daily continuity and uniformity in managing the Navy credentialing and privileging program.
• Enters required information concerning package status, education, training, board certifications, licensure, privileging, and supporting comments into the Centralized Credentials Quality Assurance System (CCQAS), and other databases required.
• Maintains over 200 Credentialing Transfer Briefs (CTBs) and privileging information on reservist and personnel who are at this command as a temporary assigned duty (TAD).
• Coordinates and facilitates the initial evaluation, renewal and modification of clinical privileges for all types of healthcare providers assigned to Jacksonville and its 5 Branch Health Clinics.
• Manage privileging requirements for different types of providers including Nurses, Physicians, Nurse Practitioners, Allied Health Specialists, and Dentists.
• Process files for healthcare providers with over 75 different functional specialties (e.g., Internal Medicine, Urology, Neurology, etc.).
• Work with privileging requirements for Navy, Army and Air Force which are all subject to different rules and regulations.
• Process files for Telemedicine providers from facilities all over the country.
• Review credentialing applications submitted by prospective civilian and contract employees to include verifications of education, training, and licensure, to determine their suitability.
• Gathers and verifies information on the professional education and specialized training of all clinical support staff requesting employment at the hospital.
• Ensures verification of all background information used in establishing a provider's Bonafide medical and professional expertise prior to employment at facilities.
• Prepares monthly reports listing all providers with licenses/certifications, privileges, renewal requirements.

Requirements
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Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.
• This position has mandatory seasonal Influenza vaccination requirements and is subject to annual seasonal Influenza vaccinations unless otherwise exempted for medical or religious reasons (documentation of exemption must be provided upon hire).

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the experience requirements described below. 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; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document .

Specialized Experience: One year of specialized experience performing any of the following which includes: Performing a variety of administrative and custodial functions in support of organizing and managing files for a Command level program; Maintaining security, integrity and confidentiality of all data received; Correlating and analyzing data received from outside agencies and other resources; Initiating evaluations, renewals and modification of clinical privileges for all types of healthcare providers and staff; Managing and analyzing applications and supplemental documentation submitted by all healthcare providers to include verification of education, training, and licensure, to determine their suitability; Corresponding and providing guidance to all levels of staff to ensure applications are accurate and complete; Gathering, interpreting and analyzing professional education and specialized training of all healthcare providers and staff requesting employment at a medical facility; interpretation and analysis of regulations and policies. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Education

This job does not have an education qualification requirement.

Additional information

• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• You will be required to provide proof of U.S. Citizenship.
• One year trial/probationary period may be required.
• Direct Deposit of Pay is required.
• This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Domestic Defense Industrial Base (DIB) in Department of Defense (DoD) to recruit and appoint qualified candidates to positions in the competitive service.
• Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
• Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
• Multiple positions may be filled from this announcement.
• Salary includes applicable locality pay or Local Market Supplement.
• If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
• Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.