Summary
This position is located in the Community Care Service Line at the Tomah VA Medical Center. The primary purpose of the position is to serve as a Community Care Coordinator. This position works collaboratively with the patient care teams as well as a variety of specialty health care providers.
Qualifications
To qualify for this position - applicants must meet all requirements by the closing date of this announcement - 06/22/2026. You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-04 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include - but are not limited to: Generating authorizations for pre-authorized medical care - obtains requested reports - x-rays - and labs - coordinate transportation for Veterans as needed - updating and verifying demographic information - verifying insurance information - data entry - managing consultations - and notifying the patients of his/her schedule appointments. For more information on these qualification standards - please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
Duties
- Medical Appointing and Support Provides administrative support to clinicians and other administrative and professional staff throughout the medical staff office for purposes of coordinating Non-VA medical care for veterans when inpatient and outpatient - and their VA provider has deemed such care necessary
- Responsible for generating authorizations for pre-authorized medical care - while making eligibility determinations for the various programs in Community Care
- Obtains requested reports - x-rays - labs and any pertinent information required to complete the Community consult in CPRS
- Provides advisory and technical assistance to veterans and staff in answering questions
- Works to resolve issues with veterans - vendors and clinical staff to ensure appropriate care is scheduled and authorized at Non-VA facilities
- Coordinates the completion of Community Care consults assuring the corresponding report is linked to the appropriate consult - progress note title and patient
- Eligibility and Administration Reviews and determines veteran's eligibility for specialty programs in the Community Care program (CC) and appropriately processes their authorizations
- Discusses eligibility for programs or specific claims with vendors - veterans - and/or service officers
- Contributes to the revenue collection process by identifying patients with third party insurance
- Performs other duties as assigned
- Work Schedule: Monday-Friday
- 8:00am to 4:30pm Telework: This position may be authorized for Ad-hoc telework
- Virtual: This is not a virtual position
- Position Description/PD#: Program Support Assistant/PD13339A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
US
