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Registered Nurse (rn) Utilization Review Vn I Iii

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Salary
$42,500.00 to $80,561.00

Location
USA-MO-Columbia
3 hit(s)  

Profile

Department:Department Of Veterans Affairs
Agency:Veterans Affairs, Veterans Health Administration
Job Announcement Number:OY660193CSK
SALARY RANGE:
$42,500.00
to
$80,561.00
/ Per Year
OPEN PERIOD:
Tuesday, May 08, 2012 to Tuesday, May 22, 2012
SERIES & GRADE:
VN-0610-01
POSITION INFORMATION:
Full Time - Permanent
DUTY LOCATIONS:
1 vacancy(s) - Columbia, MO United States
WHO MAY BE CONSIDERED:
US Citizens and Status Candidates
JOB SUMMARY:
Vacancy Identification Number (VIN):OY660193CSK (Please include on all documents)
Our mission: To fulfill President Lincoln's promise – To care for him who shall have borne the battle, and for his widow, and his orphan – by serving and honoring the men and women who are America's Veterans.
YOU CAN MAKE A DIFFERENCE
We are pleased to announce a dynamic and exciting opportunity available for an experienced Registered Nurse (Utilization Review) for the Consolidated Patient Accounts Center (CPAC) located in Leavenworth, KS with duty in Columbia, MO.
CPAC is a regionally consolidated business entity established to enhance resource operations throughout the VHA network by standardization and consolidation of functions, and the integration of VHA and industry best practices. The CPAC team provides revenue services for multiple medical centers, located within its assigned geographical area. CPAC is not part of the VA Medical Center.
The Department of Veterans Affairs offers Permanent Change of Station (PCS) relocation services. Permanent Change of Station is the relocation of a household due to government convenience in connection with a transfer between duty stations or facilities. For more information please visit the following website: ****Salaries will be determined by the Nurses Professional Standards Board (NPSB) for new VA employees only.
KEY REQUIREMENTS
Must be a US citizen to apply for this job
Selectees may be subject to a two-year probationary/trial period.
More than one selection may be made from this announcement.
All requirements must be met by the closing date of this announcement.
DUTIES:
Responsibilities of the RUR (Registered Utilization Review) Nurse include but are not limited to:
Pre-certification, admission, concurrent, discharge, retrospective and appeals/denial reviews to obtain approval from third party payers for services provided to Veterans.
Uses advanced clinical knowledge and communication skills to efficiently and effectively perform the clinical review in CPRS and to contact the third party payer for authorization of services.
The RUR nurse is a patient advocate and program liaison and conducts focused reviews requiring clinical input for sensitive diagnosis, special consent issues, service-connected and special eligibility validation, as well as clinical reviews for tort feasor and workers compensation cases.
Reviews and conducts special eligibility validation reviews including SC, Agent Orange, Combat Vet, etc.
The RUR nurse collaborates with clinical staff to provide education, feedback, and assistance regarding documentation of medical necessity, insurance review criteria, and SC issues and documents the results of the review in VISTA and Stockamp and coordinates continuity of care with facility revenue staff as needed.
Collaborates with the facility revenue staff for ROI documentation, and logs disclosure of ROI in the ROI package, or provides the necessary information to the ROI staff at the facility.
Actively participates in program development at the facility level and works to identify clinics that need to be added to the Stockamp High Dollar Clinic List.
Conducts SC reviews using Quadramed and also assists with clinical reviews as directed by the CBO: i.e., The Combat Vet Project.
The RUR nurse at the facility level performs reviews for their facility as well as provides support to other facilities within the CPAC.
QUALIFICATIONS REQUIRED:
Education Requirements:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience.
Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of experience, or an ADN or Diploma in Nursing and a bachelor's degree in a related field and no experience; or a Bachelors of Science in Nursing (BSN) and no experience.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master's degree in nursing (MSN) or related field with a BSN and no experience.
Nurse II - A BSN with approximately 2-3 years of experience, or ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 2-3 years experience or a Master's degree in nursing or related field with a BSN and approximately 1-2 years experience, or a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no experience.
Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years experience or Doctoral degree in nursing or related field and approximately 2-3 years experience
Required Experience:
· Current or previous clinical experience.
· Must be a graduate of a professional school of nursing approved by the appropriate State agency and accredited by the Nursing Accrediting Commission or the Commission on Collegiate Nursing Education.
· Current full, active, and unrestricted license and registration from any State, Territory or Commonwealth of the United States, or the District of Columbia.
· 38 U.S.C. 7402(d) and 7407(d) requires that persons appointed to direct patient-care positions must possess the required basic proficiency in spoken and written English.
· Must be able to pass a pre-employment physical.
· Documented skill in effective interpersonal relations and collaboration with interdisciplinary team members.
· Documented skill in effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers.
· Documented skill in independent decision-making, sound clinical judgment and critical thinking abilities.
· Documented knowledge of quality improvement issues related to the utilization of resources.
· Documented evidence of dependability and reliability.
CONDITIONS OF EMPLOYMENT: (Failure to comply may be grounds for withdrawal of an offer of employment or dismissal after appointment)
· Applicants must be citizens of the United States. Required English Language Proficiency
· Applicants tentatively selected for certain designated positions may be subject to a random drug screening for illegal drug use. Applicants who refuse to be tested will be denied employment.
· New Appointees will be subject to a background investigation to determine suitability. Male applicants born after December 31, 1959, must certify at the time of appointment that they have registered with the Selective Service system or are exempt for having to do so under Selective Service law.
· Applicants must not be listed on the Department of Health and Human Services (DHHS) Office of Inspector General Sanctions database.
· VET PRO: Selected candidate will be required to successfully complete a credential process before entering on duty. This process includes employment verification, personal history, education & license/registration/certification verification, and reference check. Selected candidate will be required to provide a certified copy of college transcript(s) and information on any licenses/certifications/or registrations currently or previously held.
Veterans: Must include a copy of Form DD-214 (Certificate of Discharge). 10 Pt preference-eligible should submit Form SF-15 (Application for 10 PT Veterans Preference) along with a letter (dated within the last 12 months) from the VA certifying percent of service-connected disability.
**Additional information on the qualification requirements is outlined in the OPM Qualifications Standards Handbook of General Schedule Positions. It is available for your review on OPM's web site at ****APPLICANTS PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: ****All education claimed by applicants will be verified by the appointing agency accordingly. *** 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.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming 10-point preference must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted 5 points tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit ****Special Employment Consideration: Individuals eligible for the following appointments are encouraged to apply: 5 CFR 213.3102 u, Schedule A, Appointment of persons with disabilities ; mental retardation, severe physical disabilities, or psychiatric disabilities; and Disabled veterans with a compensable service-connected disability of 30% or more.
Once the application process is complete, a review of your application will be made to ensure you meet the job requirements. Incomplete Applications will be disqualified and will receive no further consideration. Requests for reconsideration will not be considered for applicants who fail to submit a complete application package. We cannot be held responsible for delays in mail service, etc.
HOW YOU WILL BE EVALUATED: Once the application process is complete, a review of your application will be made to ensure you meet the job requirements. Incomplete Applications will be disqualified and will receive no further consideration. Requests for reconsideration will not be considered for applicants who fail to submit a complete application package. We cannot be held responsible for delays in mail service, etc.
BENEFITS:
Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, and participation in the Federal Employees Retirement System. In addition to traditional dollars and cents benefits, we offer a range of benefits to help balance work and life. For more information please visit us at ****OTHER INFORMATION: Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.
The materials you send with your application will not be returned to you.
We cannot be held responsible for incompatible software, fax transmissions, delays in mail service.
Applications received in government pre-paid envelopes will not be considered.
HOW TO APPLY:
To apply for this position, you MUST provide a COMPLETE application package. A complete application package includes the following:
1.) Non-VA federal employee candidates and employees of other VA facilities, including those of the Harry S. Truman VAMC.
A complete online Occupational Questionnaire View Occupational Questionnaire
A VA Form 10-2850a, Application for Nurses and Nurse Anesthetists
A copy of your most recent annual performance appraisal
A copy of your most recent SF-50, Notification of Personnel Action that includes current position title and grade
A copy of online license verification from state licensing board
Transcript(s). Unofficial transcripts will be accepted, provided the date of conferment or graduation date is clearly indicated.
An OF-306, Declaration of Federal Employment.
*Note* Former federal employees must submit a copy of their most recent SF-50, Notification of Personnel Action that includes current position title and grade. If you are a current or former federal employee with reinstatement eligibility, you must submit a copy of your last Notification of Personnel Action (SF50) showing your position, title, series, grade and eligibility.
2.) Non-federal applicants (General Public):
1. A current VA Form 10-2850a Application for Nurses and Nurse Anesthetics ****2. A complete online Occupational Questionnaire View Occupational Questionnaire
3. Transcript(s). Unofficial transcripts will be accepted, provided the date of conferment or graduation date is clearly indicated.
4. A photo copy of nursing license or online state license verification.
5. A valid email address where you can be contacted.
6. Completed OF-306, Declaration for Federal Employment: ****The completed application package must be submitted by 11:59 PM (EST) on Tuesday, May 22, 2012
To begin the process, click the Apply Online button to create an account or log in to your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process. Applicants are urged to apply online; this process is easier, faster, and provides more information as applications are processed.
Note: To return to a previously Saved or Incomplete application, simply reapply through your account in USAJOBS. After applying, return to USAJOBS (
****) to see the status of your application, including any messages that may have been sent to you.
If you CANNOT apply online, please follow these instructions:
1. Click the following link to view and print the Occupational Questionnaire View Occupational Questionnaire
2. Print this 1203FX form (pgs. 1-6) to provide your response to the Occupational Questionnaire: ****3. Fax the completed 1203FX form (pgs.1-6) along with any supporting documents to (478) 757-3144. Your 1203FX will serve as a cover page for your fax transmission.
To fax supporting documents you are unable to upload online, follow these instructions:
1. Complete this cover page: ****using the following Vacancy ID number: 660193
2. ****.
Please allow 48 hours for your faxed documents to upload in to the system. Application Manager will notify you once the faxed documents have been uploaded.
REQUIRED DOCUMENTS: Use this checklist
to ensure you've submitted all required documents:
(1) A current VA Form 10-2850a Application for Nurses and Nurse Anesthetics ****and resume.
(2) Transcripts from school of nursing (must be legible and contain graduation date or date degree was conferred).
(3) Photocopy of current nursing license.
(4) OF-306 ****(5) Please provide a valid email address
AGENCY ****
****
TDD:
Email: ****
Agency Information:
VHA CBO WFM HR Office
CBO -- Workforce Management
Townsite Plaza II
120 SE 6th St - Suite 102
Topeka, KS
66603
USA
****
WHAT TO EXPECT NEXT: After we receive your complete application package (including all required documents), your qualifications will be reviewed and assigned an initial rating. We will also review your application to make sure that your résumé supports the answers given in the questionnaire. If your résumé does not support your questionnaire answers, we will adjust your rating accordingly. Based on your ranking or numerical score, you may be referred to the hiring manager for further consideration and possible interview. You will be notified when your rating is determined
Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.
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Company info

U.S. Department Of Veterans Affairs Veterans Health Administration
Website : http://www1.va.gov/health/