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This position is located in the Department of Labor, Office of Workers Compensation Programs, Division of Energy Employees' Occupational Illness Compensation, Denver District Office Denver, CO. This is a Temporary position not to exceed 12 months.
A temporary appointment is an appointment lasting one year or less, with a specific expiration date. Click Temporary employees for more information.
- Appointment to this position may require a background investigation.
- U.S. Citizenship.
- Requires a probationary period.
- Must be at least 16 years of age.
The incumbent plans and implements assignments, projects, and/or studies in the areas of home health care, durable medical equipment, and other medical caregiver issues. The incumbent utilizes current medical and scientific knowledge available in medical journals, reference manuals and books, the DEEOIC Procedure Manual and related policy and other resources to develop rationale for the medical management of compensation cases as it relates to home health care. Plans, recommends and implements new medical guidelines, standards and procedures to adjudicate and manage occupational diseases under the DEEOIC. Monitors program medical guidelines, standards and procedures and evaluates their validity and cost-effectiveness. Provides input for regulatory language to address newly developed program requirements. Provides relevant input into the planning, development, and coordination of EEOICPA medical policy embedded in the OWCP (DFEC, EEOICPA, and Black Lung) Bill Processing System. Designs and conducts studies to analyze the results of the changes. In coordination with the DEEOIC Medical Director, develops training materials for DEEOIC staff, health care providers and beneficiaries as necessary. Provides input for the accurate application of medical guidelines to the processing of bills for medical services by serving as a resource for medical billing issues. Serves as a technical resource for the District Office in regards to claims-related medical issues (some with an exceptional degree of complexity); training; communications with medical providers; and other types of adjudicatory issues. Coordinates with and assists the CE in efforts to evaluate and interpret medical evidence; contacts physicians and others to obtain necessary medical documentation and rationale when needed. Provides expertise and prepare written assessments or recommendations in the area of medical issues regarding the claims adjudication process, including but not limited to in-home nursing assistance authorizations; monitoring of in-home nursing care; coordinating nursing services between prescribing physician and service providers; durable medical equipment needs; impairment ratings; wage loss; medical bill pay processes; and serves as a resource for resolution of issues. The incumbent must have knowledge and skill in appropriate billing coding practices, i.e. ICD9, CPT, HCPCS. Communicates and coordinates with health care providers to assess appropriate levels of in-home health care and provide recommendations for medical treatment authorizations that enhance the level of care the claimant receives and reflect the policies and procedures of DEEOIC. Works with the Medical Bill Pay Unit or other National Office staff to monitor procedures and evaluates their validity and cost-effectiveness by the utilization of models from Medicare, other federal agencies. Coordinates and conducts outreach activities to medical providers and other stakeholders, including communicating effectively before varied levels of staff in DEEOIC, other Federal Agencies, and the general public.
Basic Requirements: Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. Applicants must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. An applicant who has graduated from an approved nursing educational program within the past 12 months may be appointed pending State registration as a professional nurse within 6 months of appointment. No person appointed pending registration may be retained beyond 6 months, or promoted, if registration has not been attained
Specialized Experience Requirements: In addition to the basic requirements,
Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-11, in the Federal Service. Examples of specialized experience include: Serves as a technical resource for the District Office in regards to claims-related medical issues (some with an exceptional degree of complexity); training; communications with medical providers; and other types of adjudicatory issues. Coordinates with and assists the CE in efforts to evaluate and interpret medical evidence; contacts physicians and others to obtain necessary medical documentation and rationale when needed. Provides expertise and prepare written assessments or recommendations in the area of medical issues regarding the claims adjudication process, including but not limited to in-home nursing assistance authorizations; monitoring of in-home nursing care; coordinating nursing services between prescribing physician and service providers; durable medical equipment needs; impairment ratings; wage loss; medical bill pay processes; and serves as a resource for resolution of issues.
College Transcript and Evaluation of Foreign Education - Transcripts (in English) must be submitted if (a) a degree is required for the position, and/or (b) education is used as the basis for qualifying for this position. The Department of Labor does not recognize academic degrees from schools that are not accredited by an accrediting institution recognized by the Department of Education. 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 courses were taken at both the undergraduate and graduate levels, or from several different colleges or universities, you must submit all the necessary transcripts. 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.
Applicants must meet all legal and regulatory requirements. Reference the "Required Documents" section for additional requirements.
HOW YOU WILL BE EVALUATED:
If you meet the minimum qualifications, you will be evaluated against the evaluation factors below and will be placed into a category based on your vacancy question responses.
Category A - Meets the basic qualification requirements for the vacancy and has successful experience in the same or similar job that has demonstrated superior proficiency in applying critical competencies required by this position to work of increased levels of difficulty and complexity.
Category B - Meets the basic qualification requirements for the vacancy and demonstrates satisfactory proficiency in the critical competencies required by this position.
Category C - Meets the specialized experience described in the minimum qualifications requirements section of this announcement and demonstrates proficiency in the basic competencies.
Evaluation Factors (Competencies) - All qualified applicants will be evaluated on the following key competencies (click Evaluation Tools for information):
Technical: Understands and appropriately applies procedures, requirements, regulations and policies related to specialized expertise, e.g., nursing, physical science, law, or accounting; maintains credibility with others on technical issues. Planning/Evaluating: Determines objectives and strategies; coordinates with other parts of the organization to accomplish goals; monitors and evaluates the progress and outcomes of operational plans; anticipates potential threats or opportunities. Communication (oral and written): Expresses facts and ideas in writing in a succinct and organized manner. Expresses ideas and facts to individuals or groups effectively; makes clear and convincing oral presentations; listens to others; facilitates an open exchange of ideas. Leadership: Interacts with others to influence, motivate, and challenge them. The information you provide may be verified by a review of your work experience and/or education, by checking references and through other means (ex. interview).
The information you provide may be verified by a review of your work experience and/or education, by checking references and through other means (ex. interview). The examining Human Resources Office (HRO) makes the final determination concerning applicant ratings. Your resume MUST provide sufficient information to substantiate your responses to the vacancy questions. If not, the HRO may amend your responses to more accurately reflect the level of competency indicated by the content of your resume. Your evaluation may also include a review by a Human Resources Specialist or panel and may include other assessments (ex. interview, panel review, written test, writing sample, etc.)
INFORMATION FOR ICTAP ELIGIBLES ONLY: If you are eligible for special priority selection under ICTAP, you must be well-qualified for the position to receive consideration. ICTAP eligibles who are placed into Category 80 or higher will be considered "well-qualified".
Click Application of Veterans Preference for Category Rating Jobs for more information.
To preview questions please click here .
Temporary employees can purchase health insurance after one year of temporary service but must pay the full cost of insurance premiums. Employees who become eligible for health benefits also become eligible for the Federal Employees Dental and Vision Insurance (FEDVIP), long term care insurance (LTCFEDS) and Federal Employees Flexible Spending Account (FSAFEDS) programs. However, temporary employees are not eligible for the Federal Employees Group Life Insurance program or any other benefits programs.
The United States Government does not discriminate in employment on the basis of race, color, religion, sex, national origin, political affiliation, sexual orientation, gender identity, marital status, disability, age, membership in an employee organization, or other non-merit factor. Refer to these links for more information: GENERAL INFORMATION , ADDITIONAL DOCUMENTATION , SELECTIVE SERVICE REGISTRATION , PROBATIONARY PERIOD , FORMER FEDERAL EMPLOYEES