Nurse

Summary This position is located in the Office of Worker's Compensation Programs (OWCP), Division of Energy Employees Occupational Illness Compensation Programs (DEEOICP), Branch of Technical Procedures, Medical and Health Sciences Unit (MHSU). The mission of DEEOIC is to administer the benefits provisions of the Energy Employees Occupational Illness Compensation Act (EEOICPA). Responsibilities For Nurse Consultant, GS-0610-12: Communicates and coordinates with health care providers to assess appropriate levels of home health care to ensure the care the claimant receives reflects the policies and procedures of DEEOIC. Coordinates and conducts outreach and training to medical providers and other stakeholders, program staff, other Federal Agencies, and the general public. Under the direction and leadership of the Lead Nurse and Unit Manager, the employee plans and implements assignments, projects, and/or studies in the areas of home health care, durable medical equipment, and other medical issues. Utilizes current medical and scientific knowledge, medical journals, reference manuals, books, the DEEOIC Procedure Manual and related policy, and other resources to develop rationale for his/her opinions. Provides input for accurate application of medical guidelines to the processing of medical services by serving as a resource for medical billing issues. The employee develops training materials for DEEOIC staff, health care providers, and beneficiaries. Works with the Medical Bill Pay staff or other National Office staff to monitor procedures and evaluate their validity and cost-effectiveness by the utilization of models from Medicare and other federal agencies. Within the assigned area, determines medical appropriateness of requested ancillary procedures and/or services that require authorization by senior management. Requirements Conditions of Employment Qualifications IN DESCRIBING YOUR EXPERIENCE PLEASE BE CLEAR AND SPECIFIC, PLEASE USE THIS FORMAT MM/DD/YYYY WHEN DATING YOUR EXPERIENCE. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR SPECIALIZED EXPERIENCE, DATES OF EMPLOYMENT OR SALARY. This position has an Individual Operation Requirement (IOR) that must be met. You must meet all requirements at the time of your application. Basic Requirements: 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. Education - Transcripts must be submitted with your application package. 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 (external link), Council on Accreditation of Nurse Anesthesia Educational Programs (external link), Accreditation Commission for Midwifery Education (external link), or an accrediting body recognized by the U.S. Department of Education (external link) at the time the degree was obtained. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools (external link) is required for individuals who graduated from foreign nursing schools. Licensure - A copy of your license must be submitted with your application package. If you have recently renewed your license, please submit renewal documentation. For all grade levels and positions, applicants must have passed the National Council Licensure Examination (external link). In addition, they 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. Additional License Requirements for Advanced Practice Nurse Positions: Applicants for Advanced Practice Nurse positions must be licensed or registered by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in the clinical specialty required by the position. *** In addition to the mandatory license and education described above under Basic Requirements applicants must have at least one or more full years of professional nursing experience that is equivalent to the next lower grade level. *** Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-11 in the Federal Service. Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level. Qualifying specialized experience for GS-12 includes: Experience reviewing and evaluating complex medical evidence, including medical records, physician reports, treatment plans, and medical/scientific literature, to determine medical necessity or appropriateness of health-care services and prepare clinically supported assessments or recommendations. Experience applying medical policies, health-care guidelines, and claims or medical-billing requirements to resolve medical issues associated with claims adjudication, authorization of medical services, home health care, durable medical equipment, or other health-care benefits. Experience developing, analyzing, or evaluating medical policies, guidelines, standards, or procedures, including assessing their clinical validity, effectiveness, utilization or cost-effectiveness, and recommending or implementing program improvements. Experience providing professional medical consultation and technical assistance to internal and external stakeholders, including coordinating with health-care providers, advising claims or program staff on complex medical matters, and developing or delivering medical-policy training and outreach. Education No educational substitution for the GS-12. But must meet the Individual Occupational Requirement above. Any applicant falsely claiming an academic degree from an accredited school will be subject to actions ranging from disqualification from federal employment to removal from federal service. If your education was completed at a foreign college or university, you must show comparability to education received in accredited educational institutions in the United States and comparability to applicable minimum course work requirements for this position. Click Evaluation of Foreign Education for more information. Additional Information This position is being filled through the Direct Hire Authority. Traditional rating and ranking of applications does NOT apply. Veterans' preference does not apply. The mission of the Department of Labor (DOL) is to protect the welfare of workers and job seekers, improve working conditions, expand high-quality employment opportunities, and assure work-related benefits and rights for all workers. Refer to these links for more information: GENERAL INFORMATION, REASONABLE ACCOMMODATION, ADDITIONAL DOCUMENTATION, FORMER FEDERAL EMPLOYEES As a condition of employment, all personnel must undergo a background investigation for access to DOL facilities, systems, information and/or classified materials before they can enter on duty: BACKGROUND INVESTIGATION This position is inside the bargaining unit. If the duty location is within the Washington, D.C. metropolitan area, the position will be included in the Local 12, AFGE bargaining unit. If the duty location is outside the Washington, D.C. metropolitan area, the position will be included in the NCFLL bargaining unit. Click here for Telework Position Information. This is not a remote work position. The selectee will report to an assigned DOL office location on a regular basis and is eligible for participation in telework as determined by management in accordance with DOL policy. Based on agency needs, additional positions may be filled using this vacancy. The Department of Labor may use certain incentives and hiring flexibilities, currently offered by the Federal government to attract highly qualified candidates. Click here for Additional Information. The Fair Chance Act (FCA) prohibits Federal agencies from requesting an applicant's criminal history information before the agency makes a conditional offer of employment. If you believe a DOL employee has violated your rights under the FCA, you may file a complaint of the alleged violation following our agency's complaint process Guidelines for Reporting Violations of the Fair Chance Act. Note: The FCA does not apply to some positions specified under the Act, such as law enforcement or national security positions. Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments.