Total 692 Others level Maintenance / Repair job vacancies in Carmel, IN USA

Duties include but not limited to:

• GS-04:
  • Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder to develop knowledge of the organization and structure of an electronic patient record.
  • Applies knowledge of medical record content, medical terminology, anatomy and physiology, diseases processes, and official coding guidelines to assign codes to the most basic and routine inpatient services.
  • With instruction from a senior coder or supervisor learns to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions and policy.
• GS-05:
  • Maintains current knowledge of regulatory and policy requirements affecting coded information.
  • Assigns codes to documented patient care encounters (inpatient and outpatient); encounters are routine and less complex or for only one specialty or subspecialty.
  • Reviews health record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data. Patient health records may be paper or electronic.
• GS-06:
  • Assists facility staff with basic documentation requirements to reflect the patient care provided; provides support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, accepted nomenclature, and proper sequencing.
  • Uses skill and knowledge of the organization and structure of the patient health record to capture and justify code assignment.
  • Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• GS-07:
  • Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. Insures provider documentation is complete and supports the diagnoses and procedures coded.
  • Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin.
  • Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. Patient health records may be paper or electronic. The abstracted data has many purposes, for example, to profile the facility services and patient population, to determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and other agencies, and to support research programs.
• GS-8:
  • Code all inpatient stays (facility and professional fees), all write-in diagnoses and procedures for outpatient encounters and laboratory, radiology, surgical and outpatient encounters that are billed to insurance companies. Codes information from the medial records of patients to generate a clinical care patient care database for the Medical Center. Assures the maintenance and accuracy of the diagnostic and procedural statistics for the facility as well as optimum appropriate reimbursement from the third party payers, by the timely and accurate coding of diagnoses and procedures utilizing the required classification system.
  • Captures data through the Ambulatory Care Data Capture Superbill Form (both printed and electronic), electronic visit notes, the Quadramed/DSS Complaint Coding Module (CCM) and the Patient Treatment File (PTF) in Vista and in Quadramed/DSS. Converts narrative electronic visit notes to ICD, CPT and HCPCS codes.
  • Manually code from the medical record documentation and enter into the appropriate software packages. Inpatient data is captured by the Coders reading the electronic and paper medical record then converting the narrative to ICD, CPT and HCPCS codes.

Work Schedule: Monday to Friday, 7:30am - 4:00pm OR 8:00am - 4:30pm CST.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Starting at $35,879 Per Year (GS 00)

CDISs must be able to perform all duties of an MRT (Coder-Inpatient). The CDI Specialist serves as a consultant to various medical staff and ad hoc committees related to medical documentation activities, including compliance. They serve on various workgroups and teams as assigned. They are also responsible for reports preparation and presentation of data to the committee(s). Serves as a consultant in the development and updating of Medical Center policy memoranda pertaining to document function and medical record activities. Ensures that medical record documentation activities are consistent with the requirements established by VA manuals and directives and the Joint Commission standards and Scoring Guidelines.

They are responsible for facilitating improved overall quality, education, completeness, and accuracy of health record documentation through extensive interaction with clinical, coding, and other associated staff to ensure clinical documentation supports services rendered to patients, appropriate workload is captured, and resources are properly allocated. The CDI Specialist analyzes, interprets, and trends findings of quality improvement monitors and prepares monthly/quarterly reports for presentation to the medical staff and/or management. Based on these findings, makes recommendations, and persuades physicians/service chiefs to adopt proposals that result in necessary policy or procedural changes. The CDI Specialist must possess thorough knowledge of medical, terminology, anatomy and physiology and practical knowledge of medical treatment modalities, procedures, surgeries, and disease processes. They review documentation and facilitate modifications to the health record to ensure accurate severity of illness, risk of mortality, complexity of care, and utilization of resources. They identify opportunities for documentation improvement by ensuring that diagnoses and procedures are documented to the highest level of specificity, accurately address all acute and chronic conditions, and reflect the true health status of patients. Serves as Subject Matter Expert for HIMS regarding medical record documentation. Develops and maintains collaborative relationships with physicians, service chiefs, and other medical center staff at all organizational levels. Must possess effective interpersonal skills.

Responsible for determining the need for and extent of training medical staff personnel regarding medical record document and requirements. May be required to develop training materials and continuing education programs. Training programs may include legal and ethical documentation practices, Evaluation and Management Code assignment, medical record documentation requirements, etc. In cases where additional medical record documentation is necessary, incumbent advises and/or discusses the issue with the responsible physician(s) via query. Queries sent to clinical staff to clarify ambiguous, conflicting, or incomplete documentation. They review appropriateness of and responses to queries through review of query reports. Evaluates, monitors, and reports on data from a variety of sources in relation to inpatient and outpatient reimbursement. These sources include Data Validation outputs and data provided from the local VISTA and VA Central Office. Incumbent will conduct monitors, summarize data, and prepare reports in a variety of areas, including a variety of special projects for the HIMS section.

Performs other related duties and responsibilities as assigned by the Chief, HIMS or designee.

Work Schedule: Monday-Friday 8:00AM-4:30PM
Compressed/Flexible: Not Authorized
Virtual: This is a virtual position.
Functional Statement #: 554-60217-0 Medical Records Technician Clinical Document Improvement Specialist (Inpatient) GS-0675-09
Financial Disclosure Report: Not required

Starting at $59,966 Per Year (GS 9)

CDISs must be able to perform all duties of an MRT (Coder-outpatient). The CDI Specialist serves as a consultant to various medical staff and ad hoc committees related to medical documentation activities, including compliance. They serve on various workgroups and teams as assigned. They are also responsible for reports preparation and presentation of data to the committee(s). Serves as a consultant in the development and updating of Medical Center policy memoranda pertaining to document function and medical record activities. Ensures that medical record documentation activities are consistent with the requirements established by VA manuals and directives and the Joint Commission standards and Scoring Guidelines.

They are responsible for facilitating improved overall quality, education, completeness, and accuracy of health record documentation through extensive interaction with clinical, coding, and other associated staff to ensure clinical documentation supports services rendered to patients, appropriate workload is captured, and resources are properly allocated. The CDI Specialist analyzes, interprets, and trends findings of quality improvement monitors and prepares monthly/quarterly reports for presentation to the medical staff and/or management. Based on these findings, makes recommendations, and persuades physicians/service chiefs to adopt proposals that result in necessary policy or procedural changes. The CDI Specialist must possess thorough knowledge of medical, terminology, anatomy and physiology and practical knowledge of medical treatment modalities, procedures, surgeries, and disease processes. They review documentation and facilitate modifications to the health record to ensure accurate severity of illness, risk of mortality, complexity of care, and utilization of resources. They identify opportunities for documentation improvement by ensuring that diagnoses and procedures are documented to the highest level of specificity, accurately address all acute and chronic conditions, and reflect the true health status of patients. Serves as Subject Matter Expert for HIMS regarding medical record documentation. Develops and maintains collaborative relationships with physicians, service chiefs, and other medical center staff at all organizational levels. Must possess effective interpersonal skills.

Responsible for determining the need for and extent of training medical staff personnel regarding medical record document and requirements. May be required to develop training materials and continuing education programs. Training programs may include legal and ethical documentation practices, Evaluation and Management Code assignment, medical record documentation requirements, etc. In cases where additional medical record documentation is necessary, incumbent advises and/or discusses the issue with the responsible physician(s) via query. Queries sent to clinical staff to clarify ambiguous, conflicting, or incomplete documentation. They review appropriateness of and responses to queries through review of query reports. Evaluates, monitors, and reports on data from a variety of sources in relation to inpatient and outpatient reimbursement. These sources include Data Validation outputs and data provided from the local VISTA and VA Central Office. Incumbent will conduct monitors, summarize data, and prepare reports in a variety of areas, including a variety of special projects for the HIMS section.

Performs other related duties and responsibilities as assigned by the Chief, HIMS or designee.

Work Schedule: Monday-Friday 8:00AM-4:30PM
Compressed/Flexible: Not Authorized
Virtual: This is a virtual position.
Functional Statement #: 554-60096-A Medical Records Technician Clinical Document Improvement Specialist (outpatient) GS-0675-09
Financial Disclosure Report: Not required

Starting at $59,966 Per Year (GS 9)

Duties included, but are not limited to:

According to the requirements of the Commission on Cancer, the VA Ann Arbor Healthcare System's Cancer Committee, the National VA Oncology Program and the NCI SEER Programs, incumbent identifies required reportable diseases in this facility's patients through the use of the VISTA Oncology Program.

Thoroughly searches the medical record to identify and code all information pertinent to the patient's diagnosis. This includes demographics, diagnosis, site and histology, diagnostic procedures, extent of disease, and treatment.

Coding assignments may involve highly technical, complex diagnoses/procedures. The incumbent utilizes coding references to ensure that complete and accurate data is collected. In addition, uses specific codes required in a cancer registry, stage of disease, morphology and topography using International Classification of Diseases for Oncology, AJCC Staging Manual, and the FORDS manual.

Independently codes a wide variety of medical diagnostic, therapeutic and surgical procedures. These include:

• 1) Codes stages of disease using American Joint Commission on Cancer staging requirements.
• 2) Analyzes the consistency of coding of registry data, cancer diagnosis, histology, treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy).
• 3) Identifies coding discrepancies.
• 4) Facilitates resolution of coding discrepancies by discussion with providers.
• 5) Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify.
• 6) Reviews records to obtain data.
• 7) Enters data obtained from the record into the registry software.
• 8) Analyzes data retrieved and provides the results to health care staff for research, patient care, protocol studies and trends in cancer.

The incumbent submits data monthly to the VA:. Central Cancer Registry, per directives and to the American College of Surgeon's National Cancer Database annually. Data includes codes for diagnosis and procedures, topography, morphology, and stag of disease, provider information and coded data for the treatment of cancer. The incumbent ensures that data is reported accurately and in correct format.

Performs research and periodic statistical repo sand prepares correspondence by retrieving and releasing data following a standardized approach that meets the requirements of the Privacy Act and Freedom of Information Act regulations. The incumbent maintains health record indexes and compiles administrative and health statistics for physicians as well as all other health care staff at this facility and throughout the VA System.

Organizes and maintains a data system which conforms to the standards of an Approved Cancer Program and meets the needs of the users of the registry data. The incumbent must follow these patients until their death, entering the progression of their disease into the computer program. Each patient abstract is updated as recurrences develop and annual follow-up is completed.

Independently maintains a registry that is continuously prepared for a Commission on Cancer survey, to include the necessary documentation needed for the surveyor's review. This includes but is not limited to Tumor Board/Cancer Conference documentation, Cancer Committee 1minutes, and the registry procedure manual.

Coordinates, oversees, and facilitates the Cancer Committee meetings to monitor compliance with ACoC standards to ensure certification of the Cancer Program. The incumbent is obliged to verify updates to maintain compliance with Regulatory Organizations. Develops and Monitors Quality Management and Improvement, Performance Projects and Special Studies to Enhance Cancer Patient Care and to meet Requirements of the Commission on Cancer Monitors cancer committee processes and procedures implemented to improve patient care and to verify compliance of plans and requirements.

Provides administrative guidance and advice to staff regarding methods of proper use of AJCC Staging forms and other medical record documentation concerning the cancer patient. Performs the quantitative and qualitative analysis on medical records to ensure that all component parts are present, accurate, complete, timely, and will meet the established requirements and standards of JCAHO and the American College of Surgeons.

Work Schedule: Monday-Friday (7:30 a.m. to 4:00 p.m.)
Telework: This is a Remote position.
Functional Statement #: 93094A
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Starting at $54,292 Per Year (GS 8)

Duties included, but are not limited to:

According to the requirements of the Commission on Cancer, the VA Ann Arbor Healthcare System's Cancer Committee, the National VA Oncology Program and the NCI SEER Programs, incumbent identifies required reportable diseases in this facility's patients through the use of the VISTA Oncology Program.

Thoroughly searches the medical record to identify and code all information pertinent to the patient's diagnosis. This includes demographics, diagnosis, site and histology, diagnostic procedures, extent of disease, and treatment.

Coding assignments may involve highly technical, complex diagnoses/procedures. The incumbent utilizes coding references to ensure that complete and accurate data is collected. In addition, uses specific codes required in a cancer registry, stage of disease, morphology and topography using International Classification of Diseases for Oncology, AJCC Staging Manual, and the FORDS manual.

Independently codes a wide variety of medical diagnostic, therapeutic and surgical procedures. These include:

• 1) Codes stages of disease using American Joint Commission on Cancer staging requirements.
• 2) Analyzes the consistency of coding of registry data, cancer diagnosis, histology, treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy).
• 3) Identifies coding discrepancies.
• 4) Facilitates resolution of coding discrepancies by discussion with providers.
• 5) Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify.
• 6) Reviews records to obtain data.
• 7) Enters data obtained from the record into the registry software.
• 8) Analyzes data retrieved and provides the results to health care staff for research, patient care, protocol studies and trends in cancer.

The incumbent submits data monthly to the VA:. Central Cancer Registry, per directives and to the American College of Surgeon's National Cancer Database annually. Data includes codes for diagnosis and procedures, topography, morphology, and stag of disease, provider information and coded data for the treatment of cancer. The incumbent ensures that data is reported accurately and in correct format.

Performs research and periodic statistical repo sand prepares correspondence by retrieving and releasing data following a standardized approach that meets the requirements of the Privacy Act and Freedom of Information Act regulations. The incumbent maintains health record indexes and compiles administrative and health statistics for physicians as well as all other health care staff at this facility and throughout the VA System.

Organizes and maintains a data system which conforms to the standards of an Approved Cancer Program and meets the needs of the users of the registry data. The incumbent must follow these patients until their death, entering the progression of their disease into the computer program. Each patient abstract is updated as recurrences develop and annual follow-up is completed.

Independently maintains a registry that is continuously prepared for a Commission on Cancer survey, to include the necessary documentation needed for the surveyor's review. This includes but is not limited to Tumor Board/Cancer Conference documentation, Cancer Committee 1minutes, and the registry procedure manual.

Coordinates, oversees, and facilitates the Cancer Committee meetings to monitor compliance with ACoC standards to ensure certification of the Cancer Program. The incumbent is obliged to verify updates to maintain compliance with Regulatory Organizations. Develops and Monitors Quality Management and Improvement, Performance Projects and Special Studies to Enhance Cancer Patient Care and to meet Requirements of the Commission on Cancer Monitors cancer committee processes and procedures implemented to improve patient care and to verify compliance of plans and requirements.

Provides administrative guidance and advice to staff regarding methods of proper use of AJCC Staging forms and other medical record documentation concerning the cancer patient. Performs the quantitative and qualitative analysis on medical records to ensure that all component parts are present, accurate, complete, timely, and will meet the established requirements and standards of JCAHO and the American College of Surgeons.

Work Schedule: Monday-Friday (7:30 a.m. to 4:00 p.m.)
Virtual: This is a Remote position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Starting at $39,576 Per Year (GS 00)

Basic Functions:

• Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
• Selects /assigns codes from the current versions of the International Classification of Diseases, Current Procedural Terminology, and/or Healthcare Common Procedure Coding System.
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management code to ensure ethical, accurate, and complete coding. Also applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation program
• Monitors ever-changing regulatory and policy requirements affecting coded information
• Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
• Insures provider documentation is complete and supports the diagnoses and procedures coded. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes
• Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
• Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin. Corrects any identified data errors or inconsistencies to ensure acceptance in the national VA database within established timelines. Independently researches references to resolve any questionable code errors
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs
• Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
• Conducts re-reviews of codes abstracted for outpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
• Codes inpatient professional fee services for identified inpatient admissions. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter; adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Reviews and codes assigned fee service Care in the Community outpatient encounters using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Work Schedule: Mon-Fri 0800-1630 PST
Compressed/Flexible:
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 0000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Starting at $60,794 Per Year (GS 8)

Basic Functions:

• Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
• Selects /assigns codes from the current versions of the International Classification of Diseases, Current Procedural Terminology, and/or Healthcare Common Procedure Coding System.
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management code to ensure ethical, accurate, and complete coding. Also applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation program
• Monitors ever-changing regulatory and policy requirements affecting coded information
• Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
• Insures provider documentation is complete and supports the diagnoses and procedures coded. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes
• Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
• Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin. Corrects any identified data errors or inconsistencies to ensure acceptance in the national VA database within established timelines. Independently researches references to resolve any questionable code errors
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs
• Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
• Conducts re-reviews of codes abstracted for outpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
• Codes inpatient professional fee services for identified inpatient admissions. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter; adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Reviews and codes assigned fee service Care in the Community outpatient encounters using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Work Schedule: Mon-Fri 0800-1630 PST
Compressed/Flexible:Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 0000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Starting at $60,794 Per Year (GS 8)

Role: Pharmacy Technician (Community Mental Health Services)

Band: 5

Posts available: 1wte (37.5hours/week)

Location: Barrow-in-Furness (Duddon House and Dane Garth)

Due to a review of the staff skill mix and internal staff movement, we are excited to be able to offer a post for a Pharmacy Technician to work across inpatient and community mental health based in Barrow-in-Furness. The role offers the opportunity to work amongst various professionals and be a key member of the multidisciplinary team working across these sectors to support seamless transfer of care. The community team is based at Duddon House and the inpatient unit is Dane Garth in Barrow.

The successful applicant will be expected to work closely with the clinical team, which also includes a Clinical Pharmacist, to address the care needs of patients and service users. The post will also involve close liaison with, patients, carers, primary care, in-patient mental health services and local acute trusts.

There will also be a requirement to ensure safe and effective medicines management processes within the service. This will include compliance with regulatory medicines management standards and implementation of medicines safety alerts. As a valued member of the pharmacy team, you will also have the opportunity to contribute to broader Trust initiatives and priorities. Due to the location of various units, an ability and willingness to travel around Trust locations on occasion may be required.

You should be enthusiastic and self -motivated with excellent communication and interpersonal skills and an ability to prioritise own workload. You will provide a high level of pharmaceutical care as part of the wider multi-disciplinary team. In line with the rest of the trust The Bay will be implementing Clozapine One-Stop clinics and you would be instrumental in the development and delivery of this service.

Your time within the inpatient unit will enable the support and development of your role and your personal development, this will be especially useful for individuals with mental health experience.

There is no bank holiday or weekend working. We can also offer flexible working hours and are committed to improving working lives.

The Pharmacy Service within Lancashire and South Cumbria Foundation Trust is a well-established team with a wealth of expertise in both Mental Health and Community services and continues to provide high quality clinical input into all aspects of the health provision delivered by the organisation. We are a supportive team committed to the education and development of our expanding service.

Lancashire & South Cumbria NHS Foundation Trust provides a range of services including secondary mental health care across this area. Specialist provision comprises inpatient child and adolescent mental health services, perinatal mental health and forensic services including low and medium secure care.

The Trust also provides a range of physical health and well-being services in the community alongside a range of partners in the Lancashire, Cumbria and Sefton area.

Lancashire & South Cumbria Foundation Trust encourages flexible working, we believe that a positive work/life balance benefits NHS employees through improved health and wellbeing. We would consider working patterns such as; term time, part time, compressed hours, flexi-time and career breaks. We encourage applicants to state clearly on their application forms this request and discuss these options at interview.

For more information please visit our website via Lancashire & South Cumbria NHS FT.

Please see attached the job description and person specification for more information about this role.


This advert closes on Thursday 28 Nov 2024

The Pharmacy Technician, GS-0661-07, with the Clinical Contact Center is expected to strive to achieve First Contact Resolution (FCR) whenever possible. They are expected to maintain a high degree of accurate productivity and performance while being extremely sensitive to their specific contribution to the overall patient care provided. As required and assigned, the incumbent is expected to accomplish all duties normally performed by general VISN Clinical Contact Center pharmacy technicians at the lower grade level.

Specialized duties, in addition to the generalized duties include, but are not limited to the following:

Medication Management:

• Works collaboratively with VISN programs, services, and interdisciplinary team members to provide access to care and meet the need of Veterans, their family members and/or legal representatives via various available contact modalities to include, but not limited to, telephone calls, secure messaging, chat, text messaging, and video regarding a broad range of topics including medication refills and renewals, basic billing inquiries, and procedural pharmacy activities.
• Routinely reviews medication profiles for therapeutic duplication, prescription non­ compliance, allergies, and drug interactions. Seeks assistance with identified individuals from a Clinical Pharmacist or supervisor for further evaluation, if needed.
• Processes and submits patient requests for new prescription orders and renewal requests, including controlled substances, into the VISN Clinical Contact Center software and/or Electronic Health Record (EHR) accurately, thoroughly, and in a timely manner. Uses approved VISN Clinical Contact Center Pharmacy protocols when appropriate to satisfy patient medication requests.
• Consistently documents patient contact and resolution in VISN Clinical Contact Center software and/or the EHR to include, but not limited to, what was requested, what action was taken, and any other information which may be pertinent during future research. Assists in the documentation of medication variances.
• Assists in training of lower graded technicians and technician students.
• Assists in the completion of workload for other VISN Clinical Contact Center Pharmacy Services in the event of natural disasters, low staffing, or other contingency needs.
• Performs all duties of lower graded technicians, if required.

General Duties:

• Actively and diligently treats all Veterans with respect and utmost dignity. Seeks to resolve Veteran's concerns at first contact independently. When required, refers to other VA resources to assist in the resolution process. Always resolves all Veteran issues in a timely and caring manner with emphasis on providing first contact resolution (FCR).
• Seeks assistance from designated Lead Technician, Clinical Pharmacist or Supervisor when responding to unusual questions or when reasonable attempts to satisfy a caller have been unsuccessful.
• Participates in continuous daily improvement and VISN VA Health Connect initiatives.
• Completes additional duties as assigned.

**Employee is responsible for having high speed internet, that is compatible with working remotely**

Please see below for the total rewards of being a VA Employee:

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Pharmacy-Technician-Career-Flyer.pdf

Work Schedule: Full-time; Variable schedule includes weekend and holiday rotations; The Clinical Contact Center 24/7 and staffs accordingly; Subject to change to meet the needs of the Agency.
Telework: Available; This is a remote position.
Virtual: This is a virtual position.
Functional Statement #: 497-03805F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
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)

Starting at $49,025 Per Year (GS 7)

Estimator - Facilities Management - Barrow in Furness - Up to £69,860 inclusive of car allowance plus excellent benefits

This is a fantastic opportunity to join one of the largest Facilities Management companies in the UK at one of their prestigious clients' sites based in Barrow in Furness who are experiencing significant growth. An outstanding opportunity to become part of truly first-rate facilities.

Salary: Up to £69,860 inclusive of car allowance
Flex benefits (discount scheme)
25 days Holiday plus BH
Healthcare

Location: Barrow in Furness

Hours of work: 7:30am - 4:30pm, Monday to Friday

Role Responsibilities:

• Manage the bid and resource co-ordination process involving both direct and indirect staff management.
• Preparation of proposal submissions including solution and option appraisal of new methods of FM Service delivery to identify valid and viable commercial delivery options.
• Obtaining specialist subcontractor costs.
• Formulate bid based on BDM brief where required.
• Labour loading of asset information.
• Attend site visits as required across the UK as part of the bid process.
• Progressing submitted tenders and assist in formulation of tender returns.
• Identification of a broad range of cost saving initiatives in line with contractual obligations.
• Interactions with client organisations as required, providing meaningful reports.

The successful candidate:

• Educated to HNC/HND Standard (or equivalent).
• Excellent management experience.
• Must hold relevant qualification in quantity surveying (degree level preferable)
• Experience working within a QS capacity.
• Relevant experience of estimating within the FM Industry.
• Experience of working in an SFG20 environment is desirable.
• Proficient IT Skills to include, Word, Powerpoint and EXCEL.
• Ability to obtain SC Clearance.

Carbon60, Lorien & SRG - The Impellam Group STEM Portfolio are acting as an Employment Business in relation to this vacancy.

• Oversee regional preventive medicine and public health services and disease surveillance across the assigned network.
• Direct administrative and public health policy in terms of broadly defined missions and functions and determines their effect on program needs.
• Develop regional preventive medicine operational plans, orders and tasks to accomplish Defense Health Agency mission support requirements.
• subject matter expert in advanced clinical public health care, theories, concepts, principles, and methods to experimental theories and/or new advanced developments to solve complex public health problems.
• Recommend significant changes to or the creation of new public health policies and/or programs to achieve far-reaching impact on long term goals with potential impact on broad agency policy objectives.
• Strategically anticipate future requirements and development of new standards, methods, and techniques and evaluate the impact of these products.
• Serve as the Defense Health Network Public Health Emergency Officer (PHEO) for public health emergency preparedness and response across the assigned area of operations.

Starting at $121,020 Per Year (GP 14)

As a Pharmacy Technician you will work within Pharmacy Customer Care under the direct supervision of the Supervisory Contact Representative for Pharmacy Customer Care. The incumbent accepts case referrals and provides guidance and assistance to Pharmacy Customer Care Contact Representatives. The Pharmacy Technician is responsible for Tier 2 activities associated with clinical medication questions that require clinical communications with staff such as physicians, nurses, pharmacists, and other members of the health care team. The incumbent must perform pharmacy related clinical calculations associated with interpretation of physician instructions, quantities dispensed, day's supply, availability of refills, and related calculations to identify inaccuracies, oversights, and misinterpretations of medication information. The incumbent will answer escalated Veteran inquires involving a broad range of topics, related to medication refills, medication renewals, medication tracking, backordered medications, medication recalls, emergency refills, medications not received or on hold. The incumbent gathers, evaluates, analyzes data, and applies management and leadership principles in researching the accuracy of Veteran medication inquiries. The incumbent evaluates clinical information from patient records and provide written communication to providers using progress notes that become a permanent part of the Veterans patient record.

Work Schedule: This call center operates 24/7/365 and your shift will be anytime between Sunday through Saturday, including nights, weekends, and holidays. Hours are TBD.
Telework: Not Available
Virtual: This is not a virtual position.
Remote: This is a remote position. Selectee must reside within 50 miles of a VA Medical Center (does not include Outpatient Clinics (CBOC), Vet Clinics, etc.) in the continental U.S. or a Member Services location in the following cities: Topeka, Kansas; Canandaigua, New York; and Waco, Texas.
Functional Statement #: 06855-A
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not Required

Starting at $54,292 Per Year (GS 8)

• Assist in compiling and maintaining a comprehensive database utilizing the hospital’s Oncolog database of all patients diagnosed and/or treated for cancer.
• Ensure accuracy and completeness of appropriate staging, coding and inclusion of all pertinent patient data, sufficient to meet the needs and standards of tumor registry operations and to provide data for physicians and researchers.
• Review standard and electronic patient medical records to identify cases of malignant disease, abstract and code information.
• Maintain quality assurance of case-finding, abstracting, staging, and coding of data and follow-up procedures.
• Utilize the Oncolog database to create statistical and narrative reports, and graphic presentations of tumor registry data for use by staff physicians and researchers.

Starting at $61,023 Per Year (GS 7)

Landmarc Support Services is seeking an experienced Electrical Maintenance Technician to join our team at Warcop Camp.

The role will require you to be responsible for any maintenance both planned and reactive on site. The successful candidate will be a good team player working within a small but dedicated team also with the ability to work alone or with minimum supervision.

Location: Warcop Camp, Appleby in Westmorland, Cumbria, CA16 6PA

On Call Duties required: Overtime applicable

Travel required: To support at our regional sites

Package Description

Landmarc will provide you with a competitive salary; in addition to this, we also offer the following main benefits, amongst many others:

Pension

Landmarc offers all employees an opportunity to join our company stakeholder pension scheme, whereby the company will contribute up to 8% of the employee’s salary.

Holiday

Employees are entitled to 25 days’ pro rata during each year of employment plus public holidays. Three extra discretionary days added to our annual leave allowances at Christmas.

Annual leave allowance will increase in recognition of your continued service.

Holiday purchase – purchase up to 10 more days’ holiday to use throughout the year.

Other benefits

Edenred – employee savings scheme

Annual salary review, in consultation with the recognised Trade Unions

Life assurance insured for three times your annual salary, to help the loved ones

Reimbursement of professional fees and on-going training

Health Cash Plan – All employees can join. You can also add up to four children under the age of 24 to your policy

Family friendly policy

Sick pay - After 6 months of service

* Application updates may be sent to you via email, please ensure you check your emails regularly. Please note, some emails may arrive in your junk mail folder

Main Responsibilities

• Maintain and repair electrical systems per IET Wiring Regulations
• Support the team with major and minor maintenance tasks
• Ensure site safety, adhering to Health & Safety protocols
• Conduct risk assessments and follow safe work systems
• Collaborate with stakeholders to ensure smooth site operations

The Ideal Candidate

• Experience in a commercial environment focused on quality and compliance
• Good IT skills, including use of mobile devices
• Excellent communication skills
• Ability to prioritise workload
• Prepared to carry out other reasonable tasks

Essential Criteria

• Recognised electrical apprenticeship (e.g., NVQ/SVQ Level 3 in Electrical Installation)
• BS7671 18th Edition Wiring Regulations
• BS2391 or equivalent in inspection and testing
• Must hold Full UK driving licence to drive company van
• Willingness to join the on-call rota

What We Offer:

• Company Van
• Fuel card
• All tools supplied
• Opportunity to enhance your skills in electrical maintenance
• Support for career growth and development

About The Company

Landmarc provides the support services that enable Armed Forces from around the world to prepare for frontline military operations across the UK Defence Training Estate (DTE). This includes maintaining and delivering safe and sustainable infrastructure, managing and operating training areas and ranges and delivering multi-million pound projects to improve vital training assets.

By joining Landmarc you will be supporting our vision to provide the best training experience we can for our Armed Forces. We are the first and only Special Purpose Vehicle to be contracted by the Ministry of Defence (MOD) as their Industry Partner on the UK Defence Training Estate and the only company that is solely dedicated to the UK DTE, delivering essential support services since 2003.

MRTs (Coder) perform the full scope of inpatient and outpatient coding duties. These coding practitioners analyze and abstract patients' health records and assign alphanumeric codes for each diagnosis and procedure. MRT's possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRTs (Coder) select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification systems to both inpatient and outpatient records. Duties include, but are not limited to:

• Provide coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations.
• Initiate, prepare, and maintain various reports, and analyze data.
• Coordinate, assign, and monitor workflow.
• Provide input for performance evaluations and hiring.
• Orient and instruct new coding personnel and/or students on coding, abstracting, and use of the electronic health record and encoder software.
• Ensure audit findings and claim denials related to coding errors are resolved and/or daily coding rejects corrected for accurate billing and data collection.
• Monitor trends and/or changes in regulatory and policy requirements affecting coding practices and identify educational needs.
• Develop coding training materials and present a curriculum encompassing ongoing training initiatives.
• Provide assistance with coding inquiries from providers, MRTs (Coder), billers, and other facility staff.
• Select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification systems.
• Directly consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record.
• Abstract, assign, and sequence codes into encoder software to obtain correct diagnosis-related DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered.

Work Schedule: Monday through Friday, 7:00am to 3:30pm
Compressed/Flexible:Authorized
Remote: This is a remote position
Position Title/Functional Statement #:Lead Medical Records Technician (Coder)/PD000000
Relocation/Recruitment Incentives: Not authorized

Starting at $51,332 Per Year (GS 9)