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Nurse Practitioner (VISN 22 Centralized Eligibility and Appeals Team)
Veterans Health Administration · Posted 2 days ago
About the Role
The Caregiver Support Program (CSP) is a clinical program that provides benefits, services, education and resources to caregivers of Veterans with complex needs. Members of the VISN 22 CSP's Centralized Eligibility and Appeals Team (CEAT) are experts in the eligibility criteria for the Program of Comprehensive Assistance for Family Caregivers (PCAFC) and conduct comprehensive record reviews for determining eligibility and level of care per statue, regulation, policy, and guidelines.
What You'll Do
- →**This is not a remote position and the selected VHA employee must be located (or willing to relocate) within 50 miles of a VA Facility within the VISN 22 catchment area and have space available for assignment--Loma Linda, Long Beach, Los Angeles, Prescott, San Diego, or Tucson.
- →Duties include, but are not limited to : Supporting the mission, policies, and procedures of the Department of Veterans Affairs, the Veterans Health Administration (VHA), the appropriate Veterans Integrated Service Network (VISN), and its associated facilities.
- →Conducting comprehensive record reviews for the purposes of determining PCAFC eligibility, level of care, and appropriateness for participation per statue, regulation, policy, and guidelines.
- →This is done from a Nurse Practitioner's perspective.
- →Sustaining expert knowledge of eligibility criteria for the PCAFC and the regulations, statutes, directives and policies that govern or impact the program and decision making.
- →Bringing a knowledge of, and ability to interpret the widest array of applicable assessments, tests, and medical records to assist CEAT with case disposition.
- →Disability claim review and decision-making, resulting in forensic-style clinical letter writing in compliance with all applicable federal laws, VA regulations, and professional practice standards.
- →This requires substantial independent clinical judgment, in-depth knowledge of complex case presentations, and the ability to expeditiously synthesize medical, psychosocial, and functional information for benefits determinations.
- →Participation in inter-professional decision-making teams regarding clinical eligibility and appropriate level of caregiving required.
- →Sensitivity to the issues and needs of Veterans and their families, when rendering clinical eligibility determinations.
- →Conducting Peer Reviews from a physician standpoint, which may occur at the regional level, to aide in achieving consistency nationally.
- →Using professional standards of care, scientific evidence, and practice to evaluate program and/or service activities and implementing broad-reaching evidence-based change.
- →Coordinating with VISN CEAT, other Regional CEATs and VACO CSP to develop and implement strategies for PCAFC determinations, appeals process, and performance improvement.
- →Demonstrating knowledge and skill in the use of software applications for drafting documents and data management as well as other computer systems in use by the VHA to track workload and outcomes.
Requirements
- ✓Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- ✓All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
- ✓Applicants who refuse to be tested will be denied employment with VA.
- ✓English Language Proficiency.
- ✓In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
- ✓Selective Service Registration is required for males born after 12/31/1959.
- ✓Subject to background/security investigation.
- ✓Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Must pass pre-employment physical examination.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- ✓You may be required to serve a probationary period.
- ✓Complete all application requirements detailed in the "Required Documents" section of this announcement.
Personality Fit
Job ID: fe69ae47-5189-4e5b-8a8c-2e4d029fba2f
Posted via USAJobs