About the Position: This position is located in the Army Medical Center Madigan Office of Managed Care, Tacoma, Washington.
Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. Current Civilian Employees of the Defense Health Agency (DHA) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce Executive Order (E.O.) 12721 Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouses, under Executive Order (E.O.) 13473 Non-Appropriated Fund Instrumentality (NAFI) Non-Department of Defense (DoD) Transfer Office of Personnel Management (OPM) Interchange Agreement Eligible Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Reinstatement Veterans Employment Opportunity Act (VEOA) of 1998 To Qualify for the GS-07: Specialized Experience: One year of specialized experience which includes reviewing referrals for completeness, accuracy, and compliance; maintaining database tracking all external care requests; using Electronic Health Record(EHR) database or similar program. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-06).
Gather medical and personal information relevant to program eligibility and beneficiary needs in order to coordinate appropriate care.
Upload the consult report to the correct beneficiary record and associated referral within the Electronic Health Record (EHR).
Coordinate care with Medical Treatment Facility staff, external health professionals, Veterans Affairs (VA) health care systems, and the Managed Care Support Contractor.
Educate staff, healthcare professionals, and beneficiaries on consult tracking procedures.
Maintain a suspense database to contact civilian healthcare professionals and obtain consult results.
Oversee the complete consult tracking process, ensuring timely execution and continuity of care for all TRICARE beneficiaries.
Provide accurate information on Medical Treatment Facility functions in response to beneficiary and staff questions.
Review referrals for quality, completeness, and accuracy to ensure specialty care requirements are ordered and authorized correctly.
Monitor and distribute daily incoming mail using knowledge of medical specialties and Medical Treatment Facility (MTF) departments to route diverse documents and clinical correspondence.