The Chief, Care Management and Social Work Service has full responsibility for provision of complex social work services requiring advanced practice skills as well as administrative responsibility for numerous programs such as Community Nursing Home, Respite, Contract Adult Day Healthcare, Veteran Directed Home Care, Advance Care Planning, Caregiver Support, Intimate Partner Violence Assistance Program, and Post 9/11 Military to VA. Additional program areas with coordination responsibilities lying within Care management and Social Work include the Visual Impairment Services Team, Polytrauma/TBI, and Spinal Cord Injury and Diseases, including Multiple Sclerosis and ALS.

The Chief is responsible for defining the mission and vision of the Service, developing the scope of practice for health care system social workers, designing a service business plan, and assuring implementation of quality improvement measures. The incumbent is responsible for developing, planning, clarifying, administering and managing Care Management and Social Work Services for all areas of the Marion VA Health Care System (HCS). The incumbent designates service priorities and objectives, ensures the supervision and evaluation of all service staff, and is responsible for supervising and evaluating the performance of all direct reports, including program managers, program coordinators, and social workers. The Chief makes independent professional decisions and recommendations. The incumbent serves as the liaison to other Services or care-lines, other facilities, VISN offices and VHA Central Office. This position also serves as liaison with Veterans Benefits Administration Offices, other government agencies, and the community. The incumbent is responsible for advising management of specific clinical or administrative issues within the Care Management and Social Work Service and within the Marion VA HCS. The position serves as a consultant, mentor, and advisor to subordinates, peers and administration. The incumbent is responsible for Joint Commission, CARF, OIG and other compliance for the Care Management and Social Work services at the facility.

The Chief of Care Management and Social Work Service serves as the facility's Social Work Executive and has professional and clinical responsibility for approximately 100 facility social workers, including one GS 14, eight GS-13 and twenty GS-12 social workers. This includes provision of program specific consultation related to social work, social work hiring and human resources actions, social work productivity measurement, staffing management, risk management and coverage, management of the social work trainee program, strategic direction for social work, and professional education.

This employee travels to the various sites and to other VA facilities, Veterans Integrated Service Network (VISN), or VACO as necessary.

Work Schedule: Monday-Friday 8:00 am - 4:30 pm
Telework: Adhoc Telework only as needed.
Financial Disclosure Report: Not required

Preferred Experience: One year of experience equivalent to the GS-13 grade level. Candidate must have strong leadership skills as well as evidence of supervisory and management skills. Experience must demonstrate possession of advance skills in administration, demonstrating progressively more professional competency skills and judgment. Individual may have certification or other post-masters degree training from a nationally recognized professional organization or university that includes defined curriculum/course of study and internship, or equivalent supervised professional experience.

Starting at $135,462 Per Year (GS 14)

• Assists the QM Chief in providing leadership and guidance to develop, implement, refine and maintain a comprehensive quality management
• Improve the quality of patient care, and evaluate the appropriateness and timeliness of services provided
• Assists the Chief of QM with organizational communication with regulatory/accrediting bodies
• Employs a high level of expertise when communicating with regulatory agencies
• Providing transparency and truth in communications while mitigating risk to the organization and promoting integration of strong quality and safety practices into organizational culture
• Provide leadership in the development of ideas and provide recommendations for the establishment of standards of care, policies, and objectives for the enhancement of patient care throughout the organization
• Analyzes results and provides in-depth reports to top management and other high level meetings such as Executive Leadership Briefing
• Providing effective program management, incumbent assures high quality care
• Incumbent works closely with the Controlled Substance Coordinator, VA Police, Pharmacy, and other leadership stakeholders
• Participates in committees, boards, councils, and workgroups at both the facility and the VISN level

Work Schedule: Monday - Friday; 7:30am - 4:00pm
Telework: Available for Ad-Hoc
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Starting at $106,215 Per Year (GS 13)

This position serves as the Assistant Medical Center Director located at the Jesse Brown VA Medical Center within the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Service Network (VISN), VA Medical Center (VAMC). The Assistant Medical Center Director exercises line authority for multiple administrative and allied health services and sections and is directly responsible for facility operations.

The Assistant Director shares with the Executive Leadership Team a level of responsibility for the direction and management of the Medical Center and is directly responsible for facilities operations. The Assistant Director plans, coordinates, supervises, and directs various administrative and health related services. The Assistant Director participates on a day-to-day basis in top level Executive discussions, decisions, policy making and actions of all administrative functions and indirectly of all clinical matters impacting patient care.

Duties include, but may not be limited to the following:

• Budget and Fiscal Management for the facility services assigned such as resource management and FTEE control within the assigned services.
• Oversees the management of administrative services supporting assigned operations.
• Demonstrates a clear understanding of government and agency systems and an acute awareness of all elements of resources as they related to the cost of healthcare operations.
• Serves as fiscal advisor to the medical center Director in preparing formal budget submissions for approval.
• Exercises full line authority for multiple administrative functions (services and sections) and indirectly for all clinical matters affecting patient care.
• Delegates authority and holds managers under his/her oversight responsible and accountable for the performance of their service lines, programs, and human capital requirements.
• Hearing and resolving appropriate complaints and grievances.
• Represents the healthcare system by establishing and maintaining community partnerships, and relationships with internal and external stakeholders.
• Promoting the understanding of the health care delivery system's mission within the local community and proactively advising both of benefit and/or hospital changes and information.
• Exercises authority for establishing priorities for healthcare operations and allocating available resources accordingly.
• Works with Service Chiefs in the formulation of budgets for their respective services
• Conducts internal systematic reviews; and serves as an essential capacity for developing and coordinating internal measures to assure that both clinical and administrative operations are in within governing standards.
• Participates on a day-to-day basis in top level Executive discussions, decisions, policy making, and actions of all administrative functions and indirectly of all clinical matters impacting patient care.
• Serves as a facilitator between clinical providers and administrators to meet the medical center's goals and priorities.

Work Schedule: Full-time; Monday - Friday; 8:00am - 4:30pm
Telework: Telework may be authorized on an occasional basis with supervisor approval. Ad-hoc
Virtual: This is not a virtual position.
Position Description/PD#: Health Systems Administrator - Assistant Medical Center Director/PD99901S
Relocation Incentives: Authorized for a highly qualified candidate
PCS: Authorized for a highly qualified candidate

Starting at $136,414 Per Year (GS 14)

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

The Clinical Resource Hub (CRH) is a VISN-based repository of clinical and administrative staff that serve Veterans Affairs facilities within and outside of a Veterans Integrated System Network (VISN). Staff within the CRH are expected to provide inter-professional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand. Services provided by CRH staff are conducted via multiple modalities, including virtual and in-person care. Position is Telework Eligible.

Duties include, but not limited to:

• Develops policies and guidelines related to the practice and administration of CRH Tele-Pain Medicine.
• Oversees the administration of telehealth pain medicine and opioid safety review board electronic consultation services.
• Member of the local, regional and National Pain Management Committees.
• Reviews and reports to CRH leadership team regarding Opioid Safety Updates and collaborates with CRH Service Line Chiefs to address Opioid Safety Initiatives.
• Coordinates with the Service Line Chief to ensure that Telehealth equipment and supplies that are necessary for the efficient operation of the Tele-Pain Medicine Section are acquired and maintained per VA standards and protocols.
• Collaborate with Chiefs of Nursing Service Line, Mental Health Service Line, Rehab Services Service Line, Pharmacy Service Line and Social Work Service Line for respective Tele-Pain staff members.
• Completes performance evaluations of subordinate staff per VA standards and policies.
• Responsible for conducting professional practice evaluations with providers to assess their performance, identify when performance does not meet expectations, and initiate appropriate action to improve performance.
• Collaborates with the Service Line Chief to develop yearly Tele-Pain Medicine Section budget projections.
• Generates written responses to Tele-Pain management and opioid safety-related, veteran complaints, Congressional and White House inquiries per VHA protocols.
• Perform additional duties as assigned.

Clinical Responsibilities:

• Provides telehealth, face to face evaluations, and interventional pain medicine procedures in designated VA facilities as part of a balanced, data­ driven, multi-disciplinary treatment plan, in accordance to current licensing and standards of care.
• Works as part of an interdisciplinary team of pain management providers.
• Initiates, modifies, or discontinues medication therapies and serves as a consultant for intensive medication therapy management services.
• Orders, performs, reviews, and analyzes appropriate laboratory tests, other diagnostic studies, and registries necessary to monitor and support medication therapy.
• Performs pain management comprehensive assessments, develops treatment plans and performs interventions for complex acute and chronic pain patients.
• Manages opioid medications and performs opioid tapers and detoxification when necessary.
• Complies with current VA/DOD Long-term Opioid Therapy Guidelines, and local VA policies.
• Develops therapeutic care plans that are intended to achieve defined outcomes that improve the patient's quality of life.
• Orders, performs, reviews, and analyzes appropriate laboratory tests, other diagnostic studies, and registries necessary to monitor and support medication therapy.
• Follows up with patients regarding laboratory or other diagnostic test results to discuss care plans, changes to therapy and additional monitoring or testing requirements.
• Perform additional duties as assigned.

Travel may occur to any of these VISN 12 VA Medical Center locations:

• Chicago, IL
• North Chicago, IL
• Hines, IL
• Danville, IL
• Milwaukee, WI
• Madison, WI
• Tomah, WI
• Iron Mountain, MI

Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting
Work Schedule: Monday-Friday 8am-4:30pm CST

Starting at $200,000 Per Year (VM 15)

Major duties and responsibilities include:

- Oversees, guides, manages and integrates supply chain operations across the organization;
- Plans and coordinates fiscal, acquisition, clinical and administrative operations;
- Establishes, monitors and manages the performance and measurement of logistics functions for all aspects of the supply chain;
- Conducts logistics audits, compliance reviews and program effectiveness/efficiency reviews;
- Manages all activities involved in the supply chain management to include sourcing, procurement and logistics management activities;
- Responsible for linking major business functions and processes within the organization into a cohesive and high performing business model;
- Forecast planning and budget execution for supplies, subsistence, durable medical equipment, medical gases, expendable/non-expendable and capital equipment, inventory management, warehouse operations, transportation and distribution;
- Leads and/or participates in regular meetings, ensuring logistics needs and requirements are being met;
- Performs other related duties as assigned.

Work Schedule: Monday - Friday 8:00am - 4:30pm
Telework: Not Suitable
Virtual: This is not a virtual position.
Position Description/PD#: Logistics Management Specialist (Asst Chief) / PD19130O
Relocation/Recruitment Incentives: May be Authorized for a Highly Qualified Individual
Permanent Change of Station (PCS): Not authorized.
Financial Discloser Report: Not required

Starting at $115,439 Per Year (GS 13)

Major duties and responsibilities include:

- Oversees, guides, manages and integrates supply chain operations across the organization;
- Plans and coordinates fiscal, acquisition, clinical and administrative operations;
- Establishes, monitors and manages the performance and measurement of logistics functions for all aspects of the supply chain;
- Conducts logistics audits, compliance reviews and program effectiveness/efficiency reviews;
- Manages all activities involved in the supply chain management to include sourcing, procurement and logistics management activities;
- Responsible for linking major business functions and processes within the organization into a cohesive and high performing business model;
- Forecast planning and budget execution for supplies, subsistence, durable medical equipment, medical gases, expendable/non-expendable and capital equipment, inventory management, warehouse operations, transportation and distribution;
- Leads and/or participates in regular meetings, ensuring logistics needs and requirements are being met;
- Performs other related duties as assigned.

Work Schedule: Monday - Friday 8:00am - 4:30pm
Telework: Not Suitable
Virtual: This is not a virtual position.
Position Description/PD#: Logistics Management Specialist (Asst Chief)/ PD19130O
Relocation/Recruitment Incentives: May be Authorized for a Highly Qualified Individual
Permanent Change of Station (PCS): Not authorized.
Financial Discloser Report: Not required

Starting at $115,439 Per Year (GS 13)

The Associate Chief Nurse (ACN) provides senior leadership and oversight for daily clinical and administrative operations within nursing as directed by the Associate Director for Patient Care Services
(ADPCS.) The ACN supports the integration and collaboration of nursing with other professional
disciplines and functional areas in the mutual achievement of patient-centered and organizational goals. They champion a High Reliability Organization (HRO) with a culture of safety founded on a systems approach to developing evidence-based health care solutions based on prevention, not punishment, with collective mindfulness.

The ACN collaborates with interdisciplinary team members, including other program and service leaders at the facility and network. They work closely to establish and maintain effective relationships with all levels of Veteran Affairs (VA) staff nationwide. The ACN relates effectively with customers, families, and the community as well as program and service leaders at the local and network levels. They assist the ADPCS with healthcare operations and the functions and activities expected of them. The ACN contributes ideas and recommendations for the establishment of standards of care, policies, and objectives for the enhancement of nursing.

Work Schedule: Monday - Friday, 7:00am - 3:30pm

VA offers a comprehensive total rewards package: VA Nurse Total Rewards
Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
Telework: Ad - Hoc
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized

Starting at $161,508 Per Year (VN 4)

The Associate Chief of Staff, Geriatrics and Extended Care (ACOS/GEC) is responsible for providing a full range of geriatric services for a diverse group of aging Veterans within the Hines VA Hospital. These duties include but are not limited to referral consultation covering all issues of Geriatrics. The ACOS/GEC will perform as a consultant to our inpatient service, Emergency Medicine service, and others as appropriate. In addition, the ACOS/GEC will perform Geriatric Evaluation and Management and will develop treatment plans for our residents in the Community Living Center. In addition to excellent leadership skills, the ACOS/GEC will be knowledgeable and proficient with VA Performance Measures and the principles of System Redesign, demonstrate leadership qualities, as well as strategic planning skills, dedication to patient-centered care, and a commitment to organizational stewardship. ACOS/GEC is required to lead, give direction, provide knowledge, skills and abilities in the area of geriatric and rehabilitative, and lead professional staff in these clinical domains.The Associate Chief of Staff, Geriatrics and Extended Care is responsible to the Chief of Staff. Leadership assigns patient care management by defining objectives, priorities and deadlines; general guidance is provided, but functions and responsibilities are carried out independently. The incumbent keeps the Chief of Staff informed of progress of all clinical and administrative matters. Results are reviewed for completion and conformance with policy

Duties and Responsibilities of the Associate Chief of Staff, Geriatrics and Extended Care (ACOS GEC) will include but are not limited to

• Ensures clinical care is delivered in accordance with hospital and VHA policy, meeting or exceeding community standards and VHA national benchmarks.
• Responsible for the fiscal oversight of the Geriatrics and Extended Care Service
• Chairs the Hines Hospital GEC Committee.
• Serve as a member of the Medical Executive Board (MEB) and is responsible for advising staff members of the recommendations and implications of Medical Executive Board action as it concerns the service and Medical Center.
• Serves on hospital committees and task forces, both standing and ad hoc, as appropriate. Participates in local, VISN, and national level committees.
• Assist the Chief of Staff in the enforcement of the policies of the Medical Center Bylaws, and Rules and Regulations of the staff.
• Provides direct clinical and administrative oversight for medical students and Internal Medicine residents, and fellows from Loyola University Medical Center (LUMC).
• Develops performance metrics for all provider classification to drive performance and to direct desired behavior.
• Is in compliance with VHA Scheduling Directives to enhance the management of access.
• Is actively engaged in facility Quality Improvement activities, including compliance with the VA credentialing/privileging process and ensuring that an active Peer Review process is in place for Geriatrics and Extended Care Service providers.
• Actively engaged in Service Recovering and have knowledge of SHEP and other patient satisfaction data sources. Uses customer service data for service improvement.
• Operates a sound personnel performance management system in compliance with the Union Master Agreement and HR policies including VHA labor relations policies. Responsible for, have knowledge of and/or ensuring that the following are current.
• Has knowledge of and is in compliance with conflict of interest and ethics policies related to business practices/associations including contracting and procurement regulations.
• Actively collaborates with our academic affiliate Loyola Medical Center (LUMC).
• Other duties as assigned.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment Incentive- Approved
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact , visn12hrccoe@va.gov- the EDRP Group for questions/assistance
Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting

Work Schedule: M-F, 7:30am-4:00pm

Starting at $280,000 Per Year (VM 15)

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

This position is responsible for managing and controlling network strategies, reimbursement contract negotiations, contract drafting, contract administration and issue resolution for 200 hospitals, 65 downstate PPO hospitals, 80 Medicare hospitals and 80 Medicaid hospitals In Illinois. The position is responsible for determining reasonable cost reimbursement (MRC) and for maintaining the integrity of these contracts.

Responsibilities include but not limited to:

• Develops and annually renegotiates reimbursement contracts with hospitals in Illinois and responsible for resolution of disputes and issues arising between HCSC, Med Select, Plan, PPO downstate, and Workers Choice contacts and hospitals.
• Develops network, drafts reimbursement agreements, and negotiates reimbursement contracts for all institutional providers, Plan, and PPO downstate.
• Responsible for completion of all MRC audit settlements and MRC billing budget and related activities.
• Responsible for maintaining the quality and consistency in the MRC audit process among all contracting hospitals.
• Responsible for maintaining the integrity of the Plan Hospital Contract and audit capability.
• Handles inquiries and requests for clarification and interpretation of the Plan Hospital Contract provisions and matters relating to preparation and submission of cost reports from providers.
• Adapts concepts to cost report treatments and settles cost reports taking into consideration changes in current policies, changes in GAAP and GAAS and changes in the Hospital industry’s financial practices.
• Determines when to allow or disallow certain costs on the Blue Cross Cost Report based on Audit Guide/GAAP and/or other intangibles.
• Negotiates new MRC contracts when hospitals change ownership or new hospitals enter the market.
• Assists VP in negotiation of new network products (Medicare Select, Workers Choice, CHP, etc.)
• Negotiates contracts and renewals for downstate PPO, Med Select, and Workers Choice contracts.
• Determines whether or not to bring a provider into certain type of contract situation given a multitude of factors (for MRC, PPO, CHP, etc.)
• Interacts with the Finance Division on monthly MRC accrual calculations
• Works with internal and external auditors to accomplish specific audit of department operations or information requirements.
• Develop and implement overall provider network contracting strategies that provide better value to customers. Within the framework of the overall provider network contracting strategy, develop and implement individual provider strategies.
• Using sophisticated modeling and valuation systems make assessments and set parameters for acceptable payment level targets. Devise strategies to reach agreement with providers within acceptable payment level targets.
• Negotiations individual provider contracts.
• Oversee research on and development of payment methodologies in response to provider requests, new technologies, local and national payment trends, and contracting strategies in order to improve payment value for customers.
• Oversee the creation and maintenance of financial modeling systems to support the development of contracting strategy and individual contract negotiations including but not limited to the following:
o Predictive modeling of the expected effect on payments for contract rate and structure changes as part of individual provider contract rate proposal and overall contract strategy evaluations.
o Cost analysis and contribution to margin analysis on an overall network and individual provider basis.
o Historical payment and utilization trend analysis by provider or by type of service.
o Peer provider comparisons and analysis.
o Medicare Payment comparisons and analysis.
• Through extensive analysis provide analytical, statistical reports to internal departments regarding estimated financial impact of contract strategies and proposals/alternatives.
• Service as liaison in coordinating provider contracting strategies, explanation of contract rates, contract structure, contract language, historical payment performance and predictive modeling results.
• Communicate and interact effectively and professionally with co-workers, management, customers, etc.
• Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
• Maintain complete confidentiality of company business.
• Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

JOB REQUIREMENTS:
 

* Bachelor’s degree and 12 years of experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations or related field OR Master’s degree and 10 years of experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations or related field

* 5 years of leadership/management experience
* Verbal and written communications skills
* 5 years of contract negotiation experience either at a healthcare provider or managed care company
* 10 years of hospital experience or managed care contract/reimbursement experience
* 5 years systems management experience
* Analytical, problem solving, quantitative, communication, prioritization, organization, and training skills
* Trouble shooting experience with solving system problems
* Management skills

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HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.