Role Description
GovCIO is currently hiring for a Clinical Subject Matter Expert to serve as the clinical authority on a team that designs and delivers health IT capabilities for Veteran community care. This role documents how community care works day-to-day, translates it into clear, testable requirements our technical team can build to, and validates that what we deliver holds up under a real clinic workload. This position is fully remote within the United States.
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Serves as the clinical and operational authority for community care referral and care coordination workflows on a health IT delivery team.
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Documents current-state clinical and administrative processes, converts them into user stories, acceptance criteria, business rules, and process diagrams.
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Validates delivered functionality through clinical user acceptance testing.
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Ensures system behavior reflects governing VHA policy and field standard operating procedures.
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Acts as the translator between frontline clinical practice, program leadership, and engineering.
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Documents community care workflows end to end, including:
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Consult receipt and team assignment
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Eligibility verification and authorization
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Standardized episode of care (SEOC) selection
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Administrative screening and clinical triage
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Care coordination planning
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Referral and medical documentation exchange with community providers
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Appointment scheduling and follow-up
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Episode of care closeout
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Surfaces the operational reality behind written procedures, including manual workarounds and undocumented service levels.
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Translates clinical and operational knowledge into build-ready artifacts.
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Ensures system behavior reflects governing policy, including VHA Directives 1230, 1231, and 1232.
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Participates in requirements refinement, design reviews, and sprint demonstrations as the clinical reviewer.
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Defines and executes clinical user acceptance testing using scenarios drawn from actual case types.
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Defines reporting and dashboard requirements from the coordinator and supervisor point of view.
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Convenes and translates for a broader subject matter expert group covering adjacent functions.
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Supports training and field readiness by identifying what staff need to use delivered functionality effectively.
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Serves as the bridge between clinical intent and the data and analytics team.
Qualifications
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Bachelor's degree with 8+ years of experience or commensurate experience.
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Registered Nurse with 5+ years of clinical healthcare experience or commensurate experience.
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Active, unrestricted Registered Nurse license in a United States state or territory.
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Two or more years of direct, hands-on work in VA community care referral coordination, consult management, community care scheduling, or community care eligibility and authorization.
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Daily working use of the VA referral management system (HSRM) and of VistA/CPRS, or of Millennium/PowerChart Referral Management.
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Working knowledge of the Consult Toolbox, standardized episodes of care (SEOCs), and the Request for Services process.
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Applied working knowledge of VHA Directives 1230, 1231, and 1232 and the Community Care Field Guidebook.
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Demonstrated ability to write clearly for an audience outside your own discipline.
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Ability to work remotely with reliable connectivity during core Eastern Time business hours.
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Clearance Required: Ability to obtain and maintain a favorably adjudicated VA Public Trust background investigation.
Preferred Skills and Experience
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Bachelor of Science in Nursing, or a graduate degree in nursing, health informatics, healthcare administration, or public health.
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Experience contributing to system design, requirements definition, user story writing, user acceptance testing, or agile ceremonies.
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Experience across more than one community care function.
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Experience working in more than one VA electronic health record environment.
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Experience with community care reporting and dashboards.
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Experience as a super user, preceptor, trainer, or site champion during a system rollout or upgrade.
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Nursing informatics certification, Certified Scrum Product Owner or ScrumMaster, SAFe, Lean or Six Sigma, or Project Management Professional.
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Prior experience supporting a federal health program as a contractor.
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Existing VA Public Trust adjudication, which may shorten onboarding.
Posted Salary Range
USD $110,000.00 - USD $130,000.00 /Yr.