This position is located in the Community Care Service Line at the Tomah VA Medical Center. The Tomah VAMC is a complexity level 3 facility. The primary purpose of the position is to serve as a Community Care Coordinator. This role works within the continuum of patient care, working collaboratively with the patient care teams as well as a variety of specialty health care providers.
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/29/2026. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-06 position you must have served 52 weeks at the GS-05. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. 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-05 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 include but not limited to: Medical Appointing and Support Generating authorizations for pre-authorized medical care, while making eligibility determinations for the various programs in Community Care. Acts as a liaison between the veteran and the vendors with regard to Community Care and VA clinical services and/or primary care services. Obtains requested reports, x-rays, labs and any pertinent information required to complete the Community consult in CPRS. Responsible for the coordination of all administrative information between the professional staff and the patient. Update and verify demographic information. Generate correspondence to the veterans and various providers and managing all received correspondence related to their care. Assists with getting patients scheduled with the community providers. Track and follow up on all authorizations to ensure timely scheduling. Provides necessary information to the staff and the patient, dealing with a wide range of problems including atypical and complex situations. Coordinates the completion of Community Care consults assuring the corresponding report is linked to the appropriate consult, progress note title and patient. Screen/receive phone calls in a courteous and timely manner, determine the nature of requests and provide the information desired using privacy rules and established processes. 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. Explains the VA's mandate to collect insurance information to veterans, their families, and other eligible patients. May also be required to train other new Patient Services Reps on the Community Care process. Performs other related duties as assigned. Work Schedule: Monday-Friday; 8:00am to 4:30pm Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Ad-hoc. 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