NURSE (CASE MANAGER)

Full Job Description

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The primary purpose of this position is: To provide primary oversight and clinical management of the installation Exceptional Family Member Program (EFMP) and the Family Member Travel Screening (FMTS) process.

CONDITIONS OF EMPLOYMENT: Nurse (Case Manager): At a minimum, qualification requirements stipulated by the US Office of Personnel Management (OPM) for the 0610 occupational series must be met.

Must maintain a valid, unrestricted, and current registered nurse license (with no limitations, stipulations, or pending adverse actions) in a state or territory of the United States or the District of Columbia.

Twelve months of recent experience in nursing/health care management for adults, children, families, seniors, or groups is desired.

Certification in Clinical Case Management for registered nurses from Commission for Case Manager Certification and/or American Nurse Credentialing Center is highly desirable.

In order to qualify, you must meet the SPECIALIZED experience requirements described in the Office of Personnel Management (OPM) Qualification Standards for General Schedule Positions, Nursing Series 0610 + IOR.

BASIC REQUIREMENT OR INDIVIDUAL OCCUPATIONAL REQUIREMENT: EDUCATION: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required.

This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S.

Department of Education at the time the degree was obtained. NOTE: You must submit a copy of your transcripts.

Degrees from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.

NOTE: You must submit a copy of your transcripts. LICENSURE: Applicants must have passed the National Council Licensure Examination.

In addition, you must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

NOTE: You must submit a copy of transcripts and nursing licensure.

Note: Employees currently assigned to positions in this occupational series as of September 2017 will be considered to have met the basic requirements for the position occupied.

In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: SPECIALIZED EXPERIENCE: Applicants must have at least one (1) year of specialized experience at the next lower grade GS-09, or equivalent in other pay systems.

Examples of specialized experience includes extensive professional knowledge and skills of advanced concepts, principles, and practices to provide clinical case management, care coordination, EFMP enrollment services, and Family Member Travel Program advisories; provide professional advice/recommendations to medical clinics and physicians in providing the best possible care to families with special needs in the most economical manner; and exercise independent professional judgment to help resolve administrative issues; Knowledge of medical facility organization, mission, purpose, philosophy, and objectives as well as those of the Case Management Society of America (CMSA), American Nursing Association (ANA) for nurses, National Association of Social Workers (NASW) for social workers, The Joint Commission (TJC), Accreditation Association for Ambulatory Health Care(AAAHC), Health Service Inspection (HSI) and appropriate agencies not listed to provide professional consultation to others in the MTF; Professional knowledge of a wide range of medical conditions and disabilities, utilization of insurance programs including, but not limited to, TRICARE, special education, rehabilitation programs and treatment plans.

Note: Resume must show supporting details. OR EDUCATION: Successfully completed a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.

NOTE: You must submit a copy of your transcripts and nursing licensure.

OR COMBINATION OF EXPERIENCE AND EDUCATION: I have at least one full year of professional nursing experience (equivalent to the GS-9 grade level) and possession of a diploma, associate degree, bachelor's degree, or master's degree from a professional nursing educational program.

NOTE: You must submit a copy of your transcripts and nursing licensure.

FEDERAL TIME-IN-GRADE (TIG) REQUIREMENT FOR GENERAL SCHEDULE (GS) POSITIONS: Merit promotion applicants must meet applicable time-in-grade requirements to be considered eligible.

One year at the GS-09 level is required to meet the time-in-grade requirements for the GS-11 level. TIG applies if you are in a current GS position or held a GS position within the previous 52 weeks.

NOTE: Applicants applying as VEOA candidates who are current GS civil service employees or are prior GS civil service employees within the past 52 weeks must also meet time-in-grade requirements.

KNOWLEDGE, SKILLS AND ABILITIES (KSAs): Your qualifications will be evaluated on the basis of your level of knowledge, skills, abilities and/or competencies in the following areas: Knowledge of professional clinical case management functions: a) Assessment: Identification of patients for clinical case management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider, and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; and d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.

Knowledge of medical facility organization, mission, purpose, philosophy, and objectives as well as those of the Case Management Society of America (CMSA), American Nursing Association (ANA) for nurses, National Association of Social Workers (NASW) for social workers, The Joint Commission (TJC), Accreditation Association for Ambulatory Health Care (AAAHC), Health Service Inspection (HSI) and Health Insurance Portability and Accountability Act (HIPPA).

Knowledge of Department of Defense (DoD), Federal, State, non-profit Healthcare systems, and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare, Medicaid, and the Department of Veterans Affairs, along with basic knowledge of coding principals and practices.

Skill in analyzing data defining health care needs of a defined population using standardized assessment tools and operating computer programs and databases such as Excel, Access, Word, etc.

Ability to apply critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations.

Ability to effectively communicate orally and in writing with a diverse group of individuals. PART-TIME OR UNPAID EXPERIENCE: Credit will be given for appropriate unpaid and or part-time work.

You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

VOLUNTEER WORK EXPERIENCE: Refers to paid and unpaid experience, including volunteer work done through National Service Programs (i.e., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student and social).

Volunteer work helps build critical competencies, knowledge and skills that can provide valuable training and experience that translates directly to paid employment.

You will receive credit for all qualifying experience, including volunteer experience. Major Duties:

Plans, organizes, and directs the clinical and administrative activities of the EFMP and FMTS, ensuring compliance with legal and regulatory requirements and patient needs.

Coordinates, processes, reviews, and manages information pertaining to the FMTS process between the MTF and Military Personnel Flight (MPF).

Serves as a direct clinical representative to special needs family members.

Designs and establishes patient communication programs to ensure target patient population is informed of clinical services and programs.