Health System Specialist (Medical Designator/Utilization Review Administrator)

Commander, Navy Installations Command

• $127K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's or Master's degree in hospital administration or related field with health care administration coursework.
  • Progressively responsible experience in health care administration or clinical management.
  • Knowledge of health care delivery systems, regulations, and credentialing standards.
  • Experience coordinating and evaluating administrative and clinical activities in a health care setting.
  • At least two years of experience in patient care decision-making.

Responsibilities

  • Provide technical guidance to Community Program Managers and other health administrators.
  • Evaluate and designate inmates with medical issues to appropriate facilities.
  • Redesignate inmates in FPS with complex medical or psychiatric conditions to suitable facilities.
  • Manage the movement of inmates with health-related problems throughout the FPS.
  • Ensure compliance with operational procedures for medical care delivery.

Benefits

  • Comprehensive benefits package including health insurance and retirement plans for federal employees.
  • Eligibility for varied benefits based on employment type (full-time, part-time, or intermittent).
  • Access to federal Career Transition Programs for eligible individuals.
Full Job Description
Duties

Provides technical guidance and assistance to Community Program Managers, Regional Designators, Regional Health Systems Administrators, medical/psychiatric referral centers, and Federal Prison System (FPS) facilities.

Responsible for reviewing, evaluating, and initially designating inmates with medical problems to an appropriate facility for evaluation and/or treatment upon entering the FPS.

Reviews, evaluates, and redesignates those inmates who are currently in FPS facilities who may have medical or psychiatric problems beyond the medical resources of that facility.

Responsible for the overall management control, and movement of inmates with health-related problems throughout the FPS.

Requirements

Conditions of employment

Career Transition Programs (CTAP or ICTAP): These programs apply to Federal and/or DOJ employees who meet the definition of surplus or displaced from a position in the competitive service. To receive selection priority for this position, you must:

  1. Meet CTAP or ICTAP eligibility criteria;
  2. Be rated well-qualified for the position, scoring at least half of the total possible points for the vacancy KSAs or competencies; and
  3. Submit the appropriate documentation to support your CTAP or ICTAP eligibility:
    • A copy of the agency notice (i.e., separation notice or agency RIF letter),
    • Most recent performance appraisal, and
    • Most recent SF-50 showing current/former position, grade, promotion potential, and duty location.
    • See USAJOBS' Career Transition Programs for more information.


Key Requirements:

  • U.S. Citizenship is Required.
  • See Special Conditions of Employment Section.


Qualifications

To be considered for the position, you must meet the following qualification requirements.

Basic Requirements:

Education:

Undergraduate and Graduate Education: Major study - hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.

OR

Specialized Experience:

Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:

  • Missions, organizations, programs, and requirements of health care delivery systems;
  • Regulations and standards of various regulatory and credentialing groups; and
  • Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.


OR

Special Provision for Inservice Placement:

Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included:

  • Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements;
  • Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and
  • Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program.


AND

In addition to meeting the Basic Requirements, applicants must have the following:

Education:

There is no substitution of education for specialized experience for this position.

Experience:

You must have at least one year of specialized experience equivalent in difficulty and complexity to the next lower grade level. To be creditable, this experience must have equipped the applicant with the particular qualifications to successfully perform the duties of the position and must typically be in or related to the position to be filled.

Some examples of this qualifying experience are:

  • Experience that demonstrates the knowledge of the interrelationships and interdependencies among various medical and administrative services and programs. Additionally, he/she must be able to identify operational or program issues and initiate corrective action or recommend solutions with limited oversight.
  • Experience in coordinating, implementing, monitoring, and evaluating utilization review and risk management activities to ensure compliance with established operational procedures.
  • Experience overseeing a program, policy, or procedure or may assist in planning, directing, coordinating and evaluating policy. Their primary duties must have a significant effect on the formulation or execution of management
    policies.


AND

Selective Placement Factor:

Applicants applying for this position, MUST also possess the following Selective Factor. In the event you do not possess the Selective Factor, you will be found ineligible for the position.

  • Applicant must have a minimum of two years of experience with patient care and interventions, making decisions and recommendations about patient's medical and mental health care needs.


Applicants must clearly address this experience in their resume to be found qualified.

If applicable, credit will be given for paid and unpaid experience. To receive proper credit, you must show the actual time (such as number of hours worked per week) spent in the activities.

**Your eligibility for consideration will be based on your responses to the questions in the application.**

Education

ONLY if education is a requirement/substitution for specialized experience, applicant MUST upload legible transcripts as verification of educational requirement. Transcripts MUST be uploaded and electronically linked from USAJOBS at the time you apply and MUST include identifying information to include School Name, Student Name, Degree and Date Awarded (if applicable). All academic degrees and coursework must be completed at a college or university that has obtained accreditation or pre-accreditation status from an accrediting body recognized by the U.S. Department of Education. For a list of schools that meet this criteria, Click Here.

Foreign Education: For information regarding foreign education requirements, please see Foreign Diploma and Credit Recognition at the U.S. Department of Education website: Recognition of Foreign Qualifications.

Additional information

Division: Medical Designation Section, Medical Director's Office, Health Services Division, Central Office

In accordance with 5 U.S.C. 3307, a max entry age of 36 has been established for original appointment to a position in a BOP institution.

If you are above the max entry age and have prior federal law enforcement (LEO) coverage, you MUST submit an SF-50 to verify prior coverage.

The representative rate for this position is $127,283 P/Y ($60.99 P/H).

Conditions of Employment:

The incumbent is subject to geographic relocation to meet the needs of the agency.

Appointment is subject to satisfactory completion of a UA, physical, and background investigation.

All applicants are subject to NCIC and credit checks.

All applicants not currently working in an institution will be required to complete a qualification inquiry regarding convictions of misdemeanor crimes of domestic violence in order to be authorized to carry a firearm.

The addresses listed on the USAJOBS account/resume must be the primary residence at the time of application. You may be required to provide proof of residence.

Additional selections may be made if vacancies occur within the life of the certificate.

Competitive and non-competitive applications are accepted, the selecting official may elect to have only one group reviewed.

This is a secondary LEO coverage position. Individuals that DO NOT have three years of LEO coverage gained in a primary LEO position by the closing date of the vacancy announcement, will not be eligible for this position.

Current Federal LEO Employees:

Completion of the mandatory courses "Intro to Correctional Techniques (ICT) Phase I and Phase II" is a condition of employment for this secondary law enforcement position. Employees who have not yet completed ICT Phase I and II will be required to do so after entering the position. This requirement does not apply to non-LEO positions.

Eligibility for secondary LEO coverage is determined in accordance with applicable regulations. Coverage may be attained through any qualifying federal LEO service that meets the definitions in 5 U.S.C. 8401(17) and satisfies the conditions in 5 CFR 842.803.

Reasonable Accommodation (RA) Requests: If you believe you have a disability covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport-usastaffing.opm.gov/hc/en-us/sections/[redacted]5-Reasonable-Accommodation-Information)

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

Similar Jobs

More Jobs at Commander, Navy Installations Command

More Healthcare Jobs

Find similar Health System Specialist (Medical Designator/Utilization Review Administrator) jobs: