Utilize fact-finding, investigative, communications, and office management expertise in order to successfully advance organizational objectives. Accurately organize and maintain records for 200 radiology personnel. Excel at the centralized point of contact between multiple parties, and departments, both internally and externally. Ensure compliance with all rules, regulations, policies, laws, guidelines, and procedures relevant to daily operations.
• Strengthened data research and report running, and served as the Health System Specialist in their absence.
• Solely responsible for tracking, initiating and submitting retention incentives for all civilian radiology specialists.
- Assistant Health System Specialist at Army Civilian
- Contact Representative, Medical Board Section at Army Civilian
- Lead Medical Support Assistant (MSA) at Madigan Army Medical Center
4 years, 11 months at this Job
- Certificate of Medical Billing - Medical Billing and Office Management
- - ACCOUNTING
• Serve as the Chief, Managed Care Operations, Managed Care Division, supervise, plan, organize, directs and coordinates the functions of a large division of employees to include the Referral Management Program, Utilization Management Program, Beneficiary Counseling and Assistance Program, Prime Travel Benefits, Enrollment Coordination Department, Life Space Interactive Area, Managed Care Support Contract, and the Debt Collections Assistance Program.
• Currently acting as the Chief, Managed Care Division, assuming the full responsibilities for that position and an addition of all personnel assigned to Patient Appointment Services. Is exclusively responsible for the management, judgment, productivity and daily execution of operations in MCD. Reports directly to the Deputy Commander for Administration.
• Monitors and budgets the cost of contracted providers in a managed health care delivery system. Monitors both supply and demand for health care and develops systems to modify services as appropriate to insure cost control, availability, and quality health care.
• Takes appropriate action to ensure that the organization's administrative activities and pertinent clinical activities are properly implemented and complied with. Ensures the TRICARE regulations/policies, DHA Policies, MEDCOM Policies, RHC-A OPORDS, and Joint Commission standards are complied with to meet the administrative and clinical mission requirements and advises the command of shortfalls.
• As a Supervisor, daily addresses employee relations such as equal employment opportunity, merit promotion, labor management relations and position management; and in fostering a commitment to these programs from subordinate managers and supervisors. Recognizes the unique contributions and needs of different individuals and groups by nominating employees for awards, applying personnel actions when necessary, review position descriptions for accuracy, and initiating hiring requests.
• Extensive experience in analyzing business operations, processes and information management needs of clinic organization. Prepares and presents to clinic Command team required monthly and Ad hoc registration reports, obtaining and using data as necessary from the DoD Military Health Services System (MHSS) databases. Also, serves as the Composite Health Care System (CHCS) Managed Care Program (MCP) Module Manager for the treatment center.
• Knowledge of various information technologies (i.e. software packages, hardware configurations, national and international standards, DHA policies, MEDCOM policies, RHCA-A policies, HIPAA and communication protocols) to assist customers in determining short term and long term benefits.
• Exceptional ability to communicate effectively orally and in writing. Responsible for the preparation of high quality communication products to include research reports, analysis studies, briefings, information papers, requirements documents, and concept papers; and maintaining a productive engagement with MTF personnel, committees, and working groups within Lyster, Regional Health Command, and DHA.
- Supervisory Health System Specialist at Lyster Army Health Clinic
- Health Systems Specialist at Lyster Army Health Clinic
- Management Assistant, GS-06 at Army Substance Abuse Program
- Information and Referral Program Manager, GS-09 at Army Community Services
2 years, 7 months at this Job
- Master's in Health and Human Performance - Health Care Administration
- Bachelor of Arts in Psychology - Psychology
• Independently operates, administrates, plans, initiates, and carries out duties.
• Serves as the Health Systems Specialist for the Fort Drum Department of Behavioral Health (DBH), which is comprised of a multi-disciplinary clinic; four Embedded Behavioral Health clinics; Child and Family Behavioral Health System; Family Advocacy Program; Tele-Behavioral Health; and the Army Substance Abuse Program.
• Provides department wide administrative support with particular emphasis on personnel management, projects, financial management, and automation management.
• Responsible for comprehensive administrative support for the clinical services/programs listed above.
• Assumes the administrative responsibilities, duties, and authority of the DBH as designated during short or extended absences of the Chief.
• Performs comprehensive budgeting over-watch for all expenditures within the department.
• Independently monitors all supply expenditures (approximately $8-9 million annually) and advises the Department Chief on personnel, contract, supply, TDY, and equipment accounts within the department.
• Works with the Resource Management Division, Logistics Readiness Center, and Mission Installation Contracting Command to monitor committed and allocated funds. When necessary, takes steps to obtain additional funding to support clinical workload and patient requirements through all available channels for funding. Serves as the Automation Management Staff Officer for the department with responsibility to interface with the Chief, Information Management Division, on all automation issues to include Composite Health Care System (CHCS), Local Area Network (LAN), Capability Requirements (CAPRs), telephonic, and Clinical Automation.
• Guides the process of prioritizing automation purchases, resolves common problems in user applications of clinic/program wide computer systems, and sets up multiple user training for users.
• Directs all personnel actions within the DBH to include all hiring actions, orientation of new employees, workload management, performance appraisal and evaluation, etc., for over 110 military, civilian, and contract employees within the DBH.
• Performs special projects at the direction of the Chief DBH which have department wide implications and frequently involve long range management or monitoring.
• Manages organizational, major structural, or content changes throughout the Department.
• Oversees the development of estimates, statistics, suggestions, and other information useful for strategic planning at all levels.
• Evaluates Behavioral Health services and adjusts operations to meet mission and resources.
• Provides direct support for Clinical Services in areas of long range planning, resolution of system problems, and assisting the Chief, DBH in controlling day to day administrative matters.
• Establishes and maintains close working relationships with professional medical and nursing staff.
• Attends professional staff meetings and conferences.
• Functions as a liaison between departments and arbitrates between services within the department.
• Provides information to the professional staff regarding the facilities, medical administration, budget, personnel support systems, and logistics support systems of the Fort Drum MEDDAC and the Department of Behavioral Health.
• Resolves exceptionally complex or difficult patient complaints and problems.
• Analyzes clinical practice and recommends improvements in all areas of deficiency.
• Implements solutions with approval of the department or service chiefs.
• Researches, develops, and implements programs to augment or extend available resources.
• Maintains knowledge of existing and emerging management tools and programs that enhance the quality and availability of medical care.
• Integrates those concepts into recommendations for implementation on a department-wide basis.
• Assists the Chief, DBH, in preparation for surveys and inspections including the Joint Commission; Department of Defense; Department of the Army; Health Services Command and Inspector General Inspections; audits by the Government Accounting Agency; Army Audit Agency; and others.
• Monitors compliance with environmental, safety, fire codes, regulations, and statutes.
• Establishes control procedures to ensure compliance and follows through to ensure that corrective action is implemented if necessary.
• Monitors and evaluates condition of facilities in assigned area of responsibility. Makes recommendations and directs actions involving major repairs, renovation, reconditioning, or replacement of same. Recommends construction and renovation, when necessary, to comply with environmental, fire, and safety requirements.
• Develops project specifications; participates in negotiations with engineering or contract personnel; oversees project progress and completion; and assists in post-construction quality assurance inspection.
• Serves as the primary manager for space management actions within the department.
• Develops capital equipment requirements program (CEEP).
• Identifies and provides supporting documentation for equipment requirements based on current and emerging technology; clinical practice; reimbursement and utilization trends that encompass all services; and planning programs in the area of responsibility.
• Analyzes the annual and long range equipment replacement and modernization requirements for areas of responsibility.
• Monitors completion and execution of CEEP transactions by Logistics and Contracting personnel.
• Works closely with professional medical staff to ensure appropriate equipment acquisition practices.
• Makes recommendations for acquisition priorities to the Chief, BHD, and the Deputy Commander for Clinical Services.
• Monitors and validates input for standard Army and DOD systems such as MEPRS, DMHRSi and CHCS.
• Ensures that all staff members are adequately trained in workload data capture, and that this data is captured accurately.
• Responsible for the monitoring of schedules and other documentation necessary for manpower and force structure management.
• Monitors appointment availability, CHCS template accuracy, as well as clinical access measures, and makes corrections, revisions, and adjustments as necessary.
• Responsible for the timely completion of the department's monthly review and analysis report, as well as other workload and staffing reports as necessary.
• Responsible for the documentation necessary for manpower and force structure management.
• Monitors applicable working Tables of Distribution and Allowances (WTDA) for completeness and accuracy, and if necessary, recommends changes to the WTDA in the appropriate areas.
• Implements concepts that correlate budget and workload.
• Conducts trend analysis to provide early warning on rapidly expanding areas of expenditure.
• Correlates Supplemental Care expenditures with revolving medical care practices, and recommends changes in equipment planning or clinical staffing.
• Functions as both a first-line and second-line supervisor over clerical personnel in the DBH. This includes all hiring, orientation, workload management, counseling, rating or other management actions.
• Approves time and attendance, approves/disapproves leave and absence, initiates performance standards and evaluations, and approves awards and promotions.
• Develops, coordinates, and conducts training sessions for new employees.
• Performs other duties as assigned.
- Supervisory Health System Specialist at Federal Job
- Behavioral Health Care Manager at CNY Health Home Network
- Behavioral Health Administrative Officer at Medical Department Activity
- Behavioral Health Program Manager at Medical Company
1 year, 11 months at this Job
- Bachelor of Arts - Psychology
- Associate of Science
6600 Van Aalst Boulevard 40 hours per week Fort Benning, GA 31905 Supervisory Health System Specialist, GS-0671-11 Serves as the Health Care Administrator in the Department of Surgery. Conducts in-depth program analysis of substantial scale and impact concerning all aspects of the assigned Military Healthcare System (MHS) to ensure compliance with established practices and make recommendations for the development of new policies and procedures. Work conducted is to optimize Healthcare System programs by identifying, analyzing, and documenting issues, patterns, and trends affecting the staffing, scheduling, clinic organization, clinic operations, appointment utilization patterns, template management, coding, lack of standardization internal to each clinic and between clinics and MTFs, metrics, and medical expense and reporting system in relation to the assigned program. Monitors Military Healthcare System (MHS) for trends, analysis, and comparisons, gather and interpret data, and make recommendations to the chain of command, Executive Leadership, Department Chiefs, and Service Chiefs/Clinical Managers on findings that may affect productivity, access and quality of service. Responsible for operational performance assessments identifying and developing process improvement and oversight, and management of the administrative operations, to include the management of the annual operating budget; personnel management; property management; IT management; management of multiple complex service contracts; clinical operations; public relations; systematic internal review, space utilization, strategic planning, and business analysis for administrative decision making. Applies a thorough and comprehensive specialized medical knowledge of controlling regulations and policies together with a thorough knowledge of the mission, functions, organization structure, and key personnel program responsibilities to assure essential services are maintained, in compliance with regulations, and establishment of area priorities. Develops plans to initiate and assess the impact of new and on-going services provided. Makes recommendations for revision of policies and procedures affecting the entire department, which often results in positive change and outcomes. Developed and reviews internal policies and Standard Operating Procedures for carrying out mission functions based on guidance and directives of local and higher headquarters. Develops and reviews performance metrics related for financial and operational efficiency and effectiveness. Conducts internal staff meetings to ensure subordinates are well informed of mission, goals, and objectives. Performs supervisory duties required by civilian personnel regulations and financial regulations. Initiates personnel actions to fill vacancies, interviews candidates, and makes selections for positions supervised; makes formal recommendations for promotions, assignments, and recognition of outstanding performance. Establishes performance standards and prepares performance appraisals for employees supervised. Provide performance counseling to subordinates regarding work performance. Effect minor disciplinary actions such as warnings and verbal reprimands; recommends action in more serious cases.
- Supervisory Health System Specialist at Martin Army Community Hospital
- Suicide Prevention Program Manager at 98th Training Division
- Health System Specialist/ Administrator at Martin Army Community Hospital
- Technical Trainer at L3 Division, MPRI
2 years, 10 months at this Job
- Master's Degree - Clinical Mental Health
- Master's Degree - Business Administration/ Health Care Management
- Bachelor's Degree - Social Science
135 East 38th Street Erie, PA 16504 United States 05/2015 - Present ~~~~~~~~~~~~~~~~~~~~~~~~~~ Hours per week: 40 Series: 0671 Pay Plan: GS Grade: 09 Health System Specialist (Credentialing) (This is a federal job) Duties, Accomplishments and Related Skills: Teleworking full-time as Erie VAMC Lead Credentialing Coordinator. Functions of this office are critical to accreditation and quality of care provided by the facility. Ensure compliance with VA guidelines, Joint Commission requirements and other internal and external reviewers. Organize credentialing and privileging for appointment, reappointment, and change in status of appointment processes for all full-time and part- time staff physicians, consulting and attending staff, fee based, without compensation (WOC), contract, dentists, psychologists, optometrists, podiatrists, nurse practitioners, physician assistants, and certified registered nurse anesthetists. Serve as the facility administrator for VetPro, assign access to the credentialing systems. Coordinate and perform all phases of the privileging and credentialing process including preparation of credentialing summaries and attendance at Professional Standards Board meetings as technical advisor to the Chairperson and Board for the entire credentialing process. Organize information for Quad members review and approval. Ensure credentialing and privileging packets are completed and processed in a timely manner. Notify providers prior to privilege expiration. Assure provider enters and submits credentialing information into VetPro system, providing assistance and training when needed. Troubleshoot any problems with staff using VetPro for the appointment process. Maintain credentialing files. Assist leadership in developing action plans regarding the credentialing program. Prepare information for the Professional Standards Board, Nursing PSB, CRNA PSB, PA PSB, Medical Executive Committee, Chief of Staff, and the Director. Type Board Actions and re-credentialing overviews, assemble folders and route for signatures. Review confidential correspondence when researching background of applicants. Submit NPDB queries, verify licenses and certifications. Send out renewal packets to all providers when their 2 year review is due. Create letters of request and send to references for verification. Complete & respond to other facilities' verification requests. Verify all provider information to include work history, malpractice claims, NPDB information, licenses, certifications, etc. Review documents for accuracy and completion. Track down information by emailing, faxing or calling when there is no response to verification requests. Assist facility staff with navigation of Vetpro. Assign Service Chief Approval in Vetpro. Train Medical Directors on Service Chief Approval process. Scan all required documents into Vetpro and verify the scans in order to appoint the provider in Vetpro. Appoint provider in Vetpro and send letter of appointment. Upload privileges to Sharepoint once the research process is complete and the provider is approved by the Board. Assign QA codes and send notification letters to providers. Assign new person file codes in Vista. Initiated collaboration with the OPQ program analyst in charge of Provider Profile to streamline and update the Provider Profile database for ease of use for both the Chief of Staff's (COS) office and the Office of Performance & Quality (OPQ). Temporarily took over maintenance of Provider Profile database when position was vacant. Continue to collaborate with Management Analyst on Provider Profile database, actions, etc. Update FPPE/OPPE, Out of OR Airway Management, License expirations, ACLS, Provider History spreadsheets. Send out notification to providers regarding license expiration. Update Vetpro, Med Staff roster, mail groups, spreadsheets, database & file folders when providers start and when they leave. Generate provider profile reports. Maintain aspects of Provider Profile database. Update provider profile database. Maintain facility medical staff roster and QA code roster. Perform checks on potential employees. Responsible for utilizing a government purchase card to acquire primary source verification and conduct National Practitioner Data Bank, FSMB, and other queries for the medical staff of the facility. Credit card holder for maintaining records, recording monthly charge statements, and verifying requests for licensure verification and board certification costs. Responsible for control point activities, which includes processing purchase order requests, reconciliation of transactions, balancing control point, etc. Enter and reconcile purchase orders in Vista. Print running balances & complete monthly reconciliations for Fiscal. Manage and approve US Bank transactions. Pay insurances (1034's). Supervisor: Lorrie Szablewski (814-860-2584) Okay to contact this Supervisor: Yes
- Health System Specialist at Erie VAMC
- Executive Secretary at Erie VAMC
- Program Support Assistant at Erie VAMC
- Secretary/Receptionist at WTC Technologies
3 years, 8 months at this Job
- Bachelor's Degree - General Arts & Sciences
5955 Zeamer Ave, JB Elmendorf-Richardson, AK 99506 United States
Feb 2017- Present Hours Per Week: 40
Series: 0671 Pay Plan: GS Grade: 09 Salary: 58,017 USD per Year
Health System Specialist
TRICARE Contract Liaison
• Determine requirements of TRICARE operations and referral management program to develop goals and objectives in accordance with the MTF's Business Performance Plan.
• Develop recommendations to improve TRICARE program operations and referral management processes affecting the integration of multiple healthcare disciplines, e.g. (process improvement, risk management, patient safety, utilization review and credentialing and privileging), ensuring compliance with policies and procedures.
• Participating in policy making, planning/management decisions and processes that impact the operation of the service.
• Accomplish analytical research and evaluation of diversified programs; development, administration and control of assigned projects; ability to access, locate, basic design, and update information through the use of personal computer technology.
• Conducts studies of health care delivery systems and operations, including services provided in the direct health care system, either through contracts or agreements, and the managed care support contractor's network.
• Advises senior leaders and Medical Treatment Facilities (MTF) Commanders on policies and procedures that will impact the measurement of workload.
• Provide assistance with administrative and financial services in support of TRICARE program operations to include maintaining and tracking a monthly average of $3.2M for civilian purchased care.
• monitoring of the Managed Care Support Contractor (MCSC) in accordance with contract data requirements lists (CDRLs) per the National Defense Authorization Act-17 (NDAA); liaison with MCSC's Optimization and Integration Director and Manager, Network Management, and Referral Management.
• Liaison with 673 MDG and MCSC to develop, implement, and monitor Military Treatment Facility (MTF) Prime Enrollment, Purchased Care Recapture, Internal Partnership Agreements (IPA), External Resource Sharing Agreements (ERSAs) and Clinical Support Agreements (CSAs).
• Accomplishes cost, quality and accessibility analysis of health care purchased. If service is deemed undesirable via the cost study, will coordinate with MCSC to provide viable alternatives in a prompt manner.
• Coordinate, and implement the West Region Contingency Program Plan with 673 MDG (Healthcare Integrators, Discharge Coordinators, Referral Management Services, TOPA Flt Commander, and Group Practice Managers), MCSC and DHA J10-West to ensure continuous provision of care in the event of changes to MTF capacity.
• Advisor on TRICARE-T2017 contract related services focusing on critical health care services, community shortfalls, and unique community health care resources.
• Identifies network adequacy and other alternative TRICARE sources that exist locally, within the West region or nationally across both the East and West regions.
• Subject Matter Expert for Joint Family Action Plan (JFAP), providing support to include state and federal regulations, policies, and other reference material to working group.
• Develop and Manage 673 MDG Enrollment guidelines to ensure patients are empaneled to the correct primary care manager by age, beneficiary category and healthcare plan.
• Develop and Manage 673 MDG Capability guidelines to ensure that the military treatment has right of first refusal on all civilian specialty care referrals.
• Receives and independently reviews physical disability and/or Line of Duty injury cases for active duty and/or Air Reserve Component (ARC) service members.
• Reviews narrative summaries, Line of Duty applications and other related documents to determine of all procedural requirements were met prior to approving claims for payment under the Supplemental Health Care Program.
• Applies pertinent laws, regulations, TRICARE policies and procedures to determine what action or information is required to initiate/finalize disability or line of duty claims throughout claims processing timelines.
• Establishes precise tracking and management of disability and line of duty cases and accurately updates the appropriate databases as referrals and claims progress through the system.
• Provides service and advice as the TRICARE subject matter expert on the Defense Eligibility Enrollment Report System (DEERS), TRICARE operations, TRICARE policies and procedures to service members, Physical Evaluation Board Liaison Officers, Military Personnel sections, Department of Veteran Affairs, and next of kin.
• Processes changes in final Defense Eligibility Enrollment Reporting System (DEERS) decisions, to include updating primary care manager assignments for beneficiaries, primary care manager's patient empanelment, preparing letters, updating the Composite Health Care System (CHCS), and notifying the managed care support contractor to ensure appropriate TRICARE enrollments adjustments in service member's claims account.
• Provide advisory services to military treatment facility staff on TRICARE travel policy and regulations, and ensures compliance. Review and assist the Patient Travel Office with processing domestic travel orders and vouchers. Beneficiary Counseling and Assistance Coordinator (BCAC)
• Serves as a beneficiary advocate and problem solver, providing dedicated service to all Military Health System (MHS) beneficiaries. Ensures health benefit information and assistance to access healthcare services is available to all eligible beneficiaries.
• Coordinates with appropriate points of contact throughout the MHS to include TMA, TRICARE Regional Offices (TROs), overseas TRICARE Area offices (TAOs), Managed Care Support Contractors (MCSCs), pharmacy, dental, fiscal intermediaries and MAJCOM Command Surgeon, AFMOA or specific service points of contact to best meet a beneficiary's need for information or assistance.
• Facilitates issue resolution through open communication with all involved parties.
• Ensure TRICARE information and assistance with accessing healthcare services is available across the TRICARE system for eligible beneficiaries.
• Helps beneficiaries address/resolve healthcare benefit concerns.
• Counsels beneficiaries regarding their healthcare benefits, consulting with other agencies as needed, to clarify information on various TRICARE basic benefit programs and supplemental programs to include TRICARE for Life, Dental Programs, and other Demonstrations/Projects.
• Works with functional experts to provide enrollment, benefit, and claims processing assistance. BCACs will describe or seek clarification on eligibility requirements and benefits based on the category of beneficiary seeking assistance.
• As directed, and with appropriate legal authority to disclose PHI, responds to beneficiary, leadership, and congressional inquiries regarding healthcare matters.
• Addresses access to healthcare complaints, ensuring that beneficiaries get the appropriate benefits and services to which they are entitled.
• Follow-up and troubleshoot claims, enrollment, referral and authorization problems or other system problems that are exceedingly complicated, unduly delayed, or inappropriately handled through primary program managers/systems. Elevate issues concerning network providers to the TRO.
• Support analysis, research and resolution of inquiries, regardless of method received (e.g., walk-in, written, telephonic, and e-mail).
• Assumes responsibility for the beneficiary case and/or inquiry from the time of initial contact until the issue is resolved.
• Maintain statistical data and generate reports for the TRO/TAO and MTF Commander on workload volume and categories of issues encountered.
• Input beneficiary associated case work into the Assistance Reporting Tool (ART), developed and maintained by TMA, Communications and Customer Service Division.
• Track, manage, refer, categorize, and document case workload in the ART. Any cases that need referral to a TRICARE Program Office (TMA, TRO, TAO) must be sent via ART.
• Assign a case identifier to each beneficiary case, using the ART developed by TMA. BCACs will track cases, categorizing caseload by data elements and timeliness of resolution.
• Maintain and analyze case data and generate reports for the MTF Commander, Service on workload volume and categories of issues encountered.
• Use information gleaned from reports to make suggestions for developing beneficiary and provider education efforts to improve understanding of issues and benefits at local, regional, or Service levels.
• Explain to and assist beneficiaries in understanding the TRICARE claims process, to include such things as information on filing claims, resolving unpaid healthcare claims, reauthorization requirements, and third-party liability and effects of having other health insurance on TRICARE benefits.
• Provide or direct communication information on healthcare services covered and excluded from TRICARE and convey how these benefits and policies integrate with other healthcare sources. Explain what costs and responsibilities must be borne by the beneficiary when enrolling in TRICARE Prime or Plus, as well as costs when accessing services under the Standard, Extra or other TRICARE options, to include TRICARE ECHO, TRICARE Reserve Select, TRICARE Young Adult and TRICARE For Life (TFL), Demonstration and other healthcare benefit programs. Government Supervisor
• Appointed as Functional Requirement Evaluator Designee (FRED) for 3 government contracts; 19 contractors.
• Monitors technical aspect of the Performance Work Statements and recommends contract modifications and change orders of Performance Work Statements as applicable.
• Monitors schedule compliance and work performance for each contractor, evaluates work as it progresses, exercises appropriate technical direction within the scope of contract, inspects and accepts completed work for the government.
• Assists Contracting Officer Representative (COR) with the contractor's past performance evaluations.
• Responsible for maintaining a COR file that consists of appointment letters, contract and modifications, noncompliance reports, memorandum for records (MFRs), and government surveillance reports (GSRs).
• Conduct monthly government surveillance reports and assess contractor in accordance with the terms and conditions of the contract with performance standards as specified by the corresponding Performance Work Statement.
• Report discrepancies to contractor for corrective action plan.
• Reports all unresolved discrepancies to Contracting Officer Representative. Public Relations
• Coordinates with multiple federal, state, and private organizations on access to health care opportunities, information and educational opportunities.
• Maintains direct contact with DHA J10-West, Managed Care Support Contractor and Major Command (MAJCOM) personnel and other federal agencies to establish, clarify and disseminate information concerning issues, needs, and current pertinent action.
• Provides information to beneficiaries, health care providers and medical staff regarding changes in TRICARE policies and programs, eligibility, claims methodology, and medical processing procedures imposed by medical treatment facility, DHA J10-West or Major Command (MAJCOM). Central Appointment Service Administrator
• Monitors the appointment service functions as outlined in the Patient Appointment Services Statement of Objectives (SOO); including making, rescheduling, or cancelling appointments within the 673 MDG as needed by the patient
• Oversight of MTF-specific telephone equipment to ensure operability of the phone system
• Liaison for Contractor and military treatment facilities' Contracting Officer Representative; report appointment service call trends and waiting times
• Interactive Customer Evaluation (ICE) Manager; respond to all ICE comments, both satisfied and dissatisfied, that patients submit regarding Central Appointment Services.
- Health System Specialist/TRICARE Contract Liaison at 673d Medical Group Joint Base Elmendorf
- Referral Management Liaison at UnitedHealthcare Military & Veterans
- Supervisor Customer Service-Alaska Call Center at UnitedHealthcare Military & Veterans
- Customer Service Quality/Audit Representative at UnitedHealthcare Military & Veterans
1 year, 11 months at this Job
- BA - Business Administration
• Serves as Administrator for Physical & Occupational Therapy Services at Brooke Army Medical Center responsible for providing administrative and healthcare management support through research, analysis, evaluation, advisory, consultation, and coordination of health care delivery services, systems, and operations.
• Performs as Contracting Officer Representative (COR) to verify contractor performance is 100% for services in accordance with contract. Accurately and timely manages all contract requirements for the Department with zero unauthorized commitments.
• Manages Department budget and performs in depth budget analysis including reviewing, editing, and consolidating budget submission. Works closely with Chief to monitor budget expenditures: supplies, travel, pay, etc. Employment Gap May 2014-Aug 2015
• Retired from 27 year military service and took time off to spend with family & travel before seeking employment.
- Health System Specialist (Civil Service) at Brooke Army Medical Center
- Director, Education & Training at Medical Service Corps (Active Duty) Army Officer
- Deputy Director, Military Human Resources Division at Medical Service Corps (Active Duty) Army Officer
- Commander and Director, Military & Civilian Human Resources at Medical Service Corps (Active Duty) Army Officer
3 years, 4 months at this Job
- Master's Degree - Human Relations
- Bachelor's Degree - Management/Healthcare
William Beaumont Army Medical Command
DA Civilian, GS-0671-11
Responsible to evaluate the effectiveness of operations for the Department of Nursing // Department for Inpatient Services and making recommendations regarding policies and procedures to develop and implement cost effectiveness within the service line and ensure efficiency for accessible and quality health care. Providing expertise in various health care administrative areas for managing an inpatient department consisting a staff of military and civilian of 400 nursing and administrative personnel. Develop process and procedures, and initiates support between various departments and Higher echelons to effectively accomplish health care operations. Supervises and manages administrative staff in the department and participates in all hiring actions for 11 sections
• Experienced expert in administration, strategic planning, and personnel management; provide direct support to Department Chief, 4 Sections Chiefs, and 22 Middle Managers.
• Strong analytical and communication skills, proficient with strategic developmental planning to facilitate organizational goals.
• Communicate and coordinate with high-ranking officials and department leaders to provide advice, recommendation, courses of actions on human resource and administrative management matters (to include time & attendance, pay & leave administration, recruitment & promotions, performance appraisal & awards).
• Implement trackers for various responsibilities; i.e. office budget/ staffing needs and oversight of onboarding new employees, and the credentialing and privileging of medical staff members.
• Liaises between Civilian Personnel Advisory Center (CPAC), Human Resource (HR) office, and Resource Management Department (RMD) through oral and written communication to initiate RPA numbers for hiring actions, Leave without Pay actions, Return to Duty action, Change to Lower Grade or Promotion action, as well as Off-Duty employment packets.
• Effectively manage department referral lists, initiate Direct Hiring, Credential Verification, and Advance in Hire actions (DH / AIH), and process personnel PBAC request before committee members. Reviews Positions Descriptions and establishes interview questions for candidates; facilitates interviews for credentialed and non-credentialed candidates.
• Provide direct support to Department Chief and 4 Section chiefs through various methods of interpretation from current policies and procedures, developing strategies to address problems, and advising on operational matters.
• Compiles and analyzes various administrative data for reports and presentations.
• Assigns work to employees, establishes priorities, reviews / accepts or rejects completed work, establishes performance standards & objectives, provides advice and guidance on work and administrative matters, provides training, and evaluates performance.
• Assist management with budget formulation and execution for travel, performance awards, and retention incentives.
- Supervisory Health System Specialist at Department of Defense
- Medical Readiness Specialist at Department of Defense
- Public Affairs Specialist // Blood Donor Recruitment at Department of Defense
- Contractor at Lockheed Martin
4 years, 3 months at this Job
- Master of Public Administration - Public Administration
- BA degree - Criminal Justice
- AA degree - General Studies
-GS-11 40 Hrs/Weekly
• Implements suicide and mental health crisis prevention approaches
• Provides support for the identification of veterans at high risk and coordinates enhanced care
• Conducts interviews and utilizes assessments tools to assess emotional, functional, and/or psychological conditions
• Prepares and maintains records and reports in accordance with program SOP guidelines
• Creates and maintains forms, surveys, instruments, and materials for proper coordination of the different treatment modules
• Provides psycho-education and directs advice regarding suicide/mental illness crisis
• Works collaboratively with other members of the VA Crisis Hotline Program to identify appropriate services to patients in crisis
• Assists patients and their family/friend/significant other with issues regarding the patient's mental health issues, referrals, benefits, support groups, and performs other duties as assigned
• Member of the Microsoft Dynamics CRM Trainer team to ensure new staff is trained and proficient in new data recording
• Point of Contact for Microsoft Dynamics CRM helpline desk to ensure 24-hour coverage
- Health System Specialist at Department of Veteran Affairs
- Medical Case Manager/Data Quality Analyst at Clarion University, Northwest Rural AIDS Alliance
- Medical Support Assistant at Department of Veteran Affairs
- Social Work Intern at Department of Veteran Affairs, Inpatient Psychiatric Department
2 years, 3 months at this Job
- Master of Social Work - Social Work
- Bachelor of Arts in Anthropology and Art History - Anthropology and Art History
• Health System Specialist for the Bay Pines VA Health Care System (BPVAHCS), a level 1a, tertiary care facility. The BPVAHCS operates nine facilities to include the main medical center in Bay Pines, FL and outpatient clinics located in Bradenton, Cape Coral, Naples, Palm Harbor, Port Charlotte, Sarasota, St. Petersburg, and Sebring. The facility currently operates 181 acute beds, a 142 bed Community Living Center, a 104 bed Domiciliary; and 34 Residential Treatment beds.
• Functions as the subject matter expert for healthcare operations, governance structure and underlying responsibilities of aligned services, to include: Patient Advocate Office, Patient Experience Office, Chaplain Service, and ten Nursing Services to account for a total of over 1500 employees.
• Provides cross coordination of services, goals and objectives for the healthcare system's Patient Centered Care Council, Strategic Planning, Whole Health Committee, Environment of Care, Capital Asset Management, Resource Management, Ethics, and Union/Management Relations.
• Provides executive level support for multiple network level and national level assignments.
• Serves as the facility's Strategic Planner, responsible for evaluating the overall planning activities in relation to defined national goals and objectives. Organized both the yearly Service Chief Strategic Retreat, and the all employee Strategic Planning Fair designed to better inform all staff members about BPVAHCS progress towards becoming a 5-star facility.
• Patient Experience Liaison leading multiple initiatives to improve outcomes, developing the operational plans and reporting measures for VISN and local leadership consumption. Initiatives include: Own the Moment, Standard Phone Greeting, Veteran Signals (Patient Experience Surveys), and the "I Choose VA Badge."
• Executive level mentor and educator, teaching classes on Leading People, Data Collection, and Building Coalitions to employees enrolled in VA leadership development programs.
• Responsible for executive level recruitment for Pentad and Service Chief level positions. Developing recruitment plans, announcements, and facilitating interviews and application ratings.
• Serves as the Patient Tracking Manager in the Hospital Incident Command System.
• Developed and monitored annual operating budget for services under the Associate Director of Patient Care Services.
• Green Belt- Lean Six Sigma certified, currently working as project lead on a GI Procedure efficiency project.
- Health Systems Specialist, Associate Director Patient Care Services at Bay Pines VA Health Care System
- Administrative Officer at Orlando VA Medical Center
- Program Coordinator at Martinsburg VA Medical Center
- Program and Management Analyst at Martinsburg VA Medical Center
1 year, 2 months at this Job
- Masters - Public Administration
- Bachelors of Science - Psychology