The Robert J. Dole VA Medical Center is seeking to fill a Registered Nurse position within our Credentialing and Privileging Department. Work Schedule: 8:00 - 4:30, Monday-Friday Financial Disclosure Report: Not required Fair Labor Standards Act: Exempt Bargaining Unit Status: Covered Telework: Adhoc Virtual: This is not a virtual position. The Credentialing RN Consultant position is characterized as a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in clinical/nursing practice through integrated programs that cross service/discipline lines to influence the organizational mission for health care. As the Credentialing RN, you would initiate, implement, and evaluate clinical/process outcomes with an emphasis on clinical/nursing related direct provision of care, effective administrative systems, and clinical software. You combine professional experience, personal study, creative communication skills, and sound clinical expertise in developing and enhancing the facilities clinical applications programs in various specialty areas including but not limited to, primary care, specialty care, emergency care, and behavioral health. Collaborates with the professional clinical staff and provides support and education on clinical applications. This RN is directly responsible to the Credentialing and Privileging Manager and accountable for independently planning, organizing, and performing all assigned duties. The Credentialing RN Consultant serves as consultant for all credentialing matters. The Credentialing RN Consultant is also: Identifies resources necessary to accomplish mission and function of credentials and privileging program. Provides ongoing review of regulatory requirements, standards, changing laws and legal precedents in order to review hospital regulations and make necessary recommendations for changes to ensure compliance with current VA, VHA, Commission Accreditation of Rehabilitation, and Utilization Review Accreditation Commission. Identifies resources necessary to accomplish the mission and function of having provider OPPE or FPPEs completed as required. Provides ongoing review of regulatory requirements such as VHA Handbooks and Directives, OIG requirements, Local VA MCM's and SOPs, The Joint Commission standards, and CARF International standards. Exercises broad and thorough knowledge of regulatory requirements such as VHA Handbooks and Directives, OIG requirements, Local VA MCM's and SOP's, The Joint Commission standards and CARF International standards. Serves as subject matter expert in the field of provider OPPE- FPPEs. Keeps the management, administrative and clinical staff informed of new regulatory requirements, program changes, and documentation changes pertaining to provider OPPE-FPPEs. Develops and maintains spreadsheets for OPPEs, FPPEs, and Solo Providers completion and/ or due dates. Sends the Service Chief or designee list identifying providers that have OPPE-FPPEs due. Sends the Service Chief or designee copies of the OPPE- FPPE forms to be used when completing providers OPPE-FPPEs. Sends VISN 15 solo providers' names, random list of patients that the provider has seen within date range, send OPPE-FPPE forms with explanation of areas needing completed by VISN 15 and Wichita's COS. Ensure that when the providers' OPPE-FPPE forms are completed by service chief or designee, they are returned to Medical Staff Office for review and check for missing information. Makes sure after MEC meetings, provider OPPE-FPPEs are signed by the Chief of Staff or designee. The OPPE-FPPEs are scanned into the computer files and paper copies are placed in each provider's folder. When Management Reviews are needed the Medical Staff Office Nurse Consultant(s) collaborate with COS, Service Chiefs, involved providers, and Medical Executive Board. Ensures that providers OPPE/FPPE files and folders are prepared properly and are maintained correctly. Ensures that forms used for OPPE/FPPE evaluation meets the current standard, requirements, and guidelines of OIG as well as TJC. Receives and reviews both sensitive and non-sensitive correspondence for the OPPE/FPPE functions. Triage correspondences and communications to determine which items require immediate attention and which are confidential in nature. Inform Clinical Leadership of trends identified, audit results and identified problems that may affect a provider's privilege status. Ensures that FPPE/OPPE documents have correct and timely signature from Service Chiefs as well as COS. Provide data as necessary to audit groups or accreditation programs. Makes sure COS SOP- FPPE are followed. Makes sure COS SOP- OPPE are followed. Maintains confidentiality of information in accordance with the Privacy Act in releasing information. Attends Daily COS Huddles
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.