Referral Management Coordinator

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. 30 Percent or More Disabled Veterans Current Civilian Employees of the Defense Health Agency (DHA) Current Department of Army Civilian Employees Current Department of Defense (DOD) Civilian Employee (non-Army) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce 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 People with Disabilities, Schedule A 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 In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. To Qualify for the GS-07: Specialized Experience: One year of specialized experience which includes 1) Maintaining electronic database 2) Coordinating specialty care referrals 3) Reviewing medical referrals for accuracy 4) Resolving insurance enrollment issues. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). OR Education: One full year of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Healthcare Administration or Healthcare Management. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 18. Add the two percentages. Time in Grade Requirement for the GS-07: 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). To Qualify for the GS-06: Specialized Experience: One year of specialized experience which includes 1) Maintaining electronic database 2) Coordinating specialty care referrals 3) Reviewing medical referrals for accuracy. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05). OR Education: A half year (i.e., 9 semester hours) of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Healthcare Administration or Healthcare Management. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 9. Add the two percentages. Time in Grade Requirement for the GS-06: 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-05). Position will be filled at the GS-7 level with noncompetitive promotion to the full performance level of GS-08 is authorized; pending time in grade requirements and demonstrated ability to perform the next higher/target level grade duties You will be evaluated on the basis of your level of competency in the following areas: Customer Service Database Management Systems Insurance Technical Competence
About the Position: This position is located within the Ireland Army Health Clinic, Fort Knox, Kentucky. The incumbent will serve as a Referral Management Coordinator who will work under general supervision of the Supervisory Nurse (Admin), Managed Care Division, Referral Coordination Center, who outlines assignments according to objectives, priorities, and deadlines. The employee independently carries out with work. Work is reviewed to ensure conformance with policy.