The Advanced Medical Support Assistant can serve in one of the many areas listed below:

Consult Management

Interdisciplinary Coordinated Care Delivery Models

Patient Aligned Care Team (PACT)

PACT Teamlets

Patient Systems


Medicine Specialty Clinics


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This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until April 13, 2023. The initial cut-off date for referral of eligible applications will be January 17. 2023. After this date, qualified applicants will be considered and referred as vacancies become available. Eligible applications received after the initial cut-off date will be referred as additional vacancies occur on an as-needed basis until positions are filled.

Please see below definitions for all positions this announcement covers:

Consult Management. Includes the basic review and scheduling of patient consult appointments and further review of a specific clinics consults, (i.e., care in the Community consults, primary care provider entered consults and specific clinic consult listings). This review includes identification of status issues, (i.e. scheduled but not linked; scheduled to past appointment; significant findings, etc.) and taking appropriate action to fix such issues or referring to lead/supervisor for further action.

Interdisciplinary Coordinated Care Delivery Models. Coordination of care across all elements of the broader health care system, which may include primary care, mental health, specialty care, Call Center, and community care services and support.

Patient Aligned Care Team (PACT). Team of health care professionals that provides comprehensive primary care in partnership with the patient, and the patient’s personal support person(s), and manages and coordinates health care services consistent with agreed upon goals of care.

PACT Teamlets. A typical teamlet consists of staff designated in a PACT to each of the following roles: a Primary Care Provider, Registered Nurse Case Manager (RNCM), Clinical Associate, and Administrative Associate. These roles can be occupied by varies occupations. For example, a provider can be a physician, Nurse Practitioner or a Physician Assistant. Special population PACTs may designate additional or other positions to the teamlet. Teamlet members collectively take responsibility for ongoing care of all patients assigned to a single patient panel.

Patient Systems. Various software, hardware system products, and data portals used to transfer and capture information electronically used in the support of the daily operation of the unit. These systems include, but are not limited to: Veterans Integrated System Technology Architecture (Vista), Computerized Patient Record System (CPRS), Vetlink, VistA Scheduling Graphical User Interface (VS GUI), Insurance Capture Buffer (ICB), VHA Support Service Center (VSSC), Fee Basis Claim System (FBCS), Bed Management Systems (BMS), Compensation and Pension Record Interchange (CAPRI), Veterans Benefit Management System (VBMS), Strategic Analytics for Improvement and Learning (SAIL), Patient Centered Management Model (PCMM), Picture Archiving and Communication System (PACS), Telecare Record Manager (TRM), Automated Call Delivery (ACD), Audio Care (AC), Business Intelligence Service Line (BISL), Scheduling Audit Tool (SAT), and Veterans Affairs Portal to view external medical records. Patient systems names may vary from institutions and change over time.

Radiology/Imaging/Nuclear Medicine. Units which provide diagnostic testing to patients as a result of a request from a clinician in a patient care setting.

Specialty Clinics. A variety of specialized medical, surgical, and mental health outpatient clinics. Services performed in the Specialty Care Clinics include, but are not limited to: Arthritis Clinic, Cardiology Clinic, Cardio-Thoracic Clinic, Chest/Pulmonary Clinic, Colorectal Clinic, Dermatology Clinic, Diabetes Education, Ears, Nose and Throat Clinic, Eye Clinic, Gastroenterology Clinic, General Surgery Clinic, Hand and Plastics Reconstruction Clinic, Liver Clinic, Metabolic/Endocrine Clinic, Neurology and Memory Disorder Clinic, Neurosurgery Clinic, Orthopedics Clinic, PM&R, Podiatry Clinic, Proctology Clinic, Renal Clinic, Traumatic Brain Injury Clinic, Urology Clinic, and Vascular Clinic. Specialty clinic names may vary from institutions and change over time.

Ward. Inpatient units including, but not limited to: Community Living Center (CLC), Medical Unit, Surgical Unit, Intensive Care Unit (ICU), Domiciliary, Mental Health Units (Acute, Geriatric Psych, and Substance Abuse).

Work Schedule: Will vary, depending on position location

Position Title/Functional Statement #: Advanced Medical Support Assistant/PD0000000

Financial Disclosure Report: Not required



Conditions of Employment

  • You must be a U.S. Citizen to apply for this job.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) – See “Additional Information” below for details.


Basic Requirements:

  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

  • Experience and Education.
  • Experience. Six months experience of clerical, office, [customer service], or other [administrative] work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position;


  • Education. One year above high school;


  • Experience/Education Combination. Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable.
  • Certification. None required.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Requirements

  • Creditable Experience
  • Knowledge of MSA Practices. To be creditable, the experience must have demonstrated the knowledge, skills, and abilities (KSAs) associated with current MSA responsibilities or an equivalent administrative patient support role in a non-VA medical inpatient or outpatient setting. Experience satisfying this requirement may be paid/non-paid employment as an MSA or [an equivalent position in a non-VA hospital or clinic setting.
  • Quality of Experience. Qualifying experience must be at a level comparable to MSA experience or equivalent administrative clinical support role in a non-VA medical inpatient or outpatient setting at the next lower grade level. For all assignments above the full performance level, the higher-level duties must consist of significant scope, administrative independence, complexity (difficulty), and a range of varieties as described in this standard, at the specified grade level and be performed by the incumbent at least 25% of the time.
  • Part-Time Experience. Part-time experience as an MSA or equivalent administrative patient support in a non-VA medical inpatient or outpatient setting is creditable according to its relationship to the full-time workweek. For example, an MSA employed 20 hours a week, or on a 1/2-time basis, would receive one full-time workweek of credit for each two weeks of service.

Grade Determinations: In addition to the basic requirements for employment listed in

paragraph 3 above, the following education and experience criteria must be met when determining the grade of candidates:

Medical Support Assistant (Advanced), GS-6

  • Experience. One year of experience equivalent to the [GS-5] grade level.
  • Assignment. The Advanced MSA provides specialized and expert administrative patient support while working collaboratively in an interdisciplinary coordinated care delivery model. Work involves specialized administrative judgment and the flexible use of a wide range of clinical flow processes relating to access to care across multiple clinics, specialties, and/or care in the community resources. Recommends changes to existing clinic procedures based on current administrative guidelines. Expertise in utilizing numerous advanced patient systems in support of multiple clinics involved in an interdisciplinary coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively support the needs of the clinics, and makes adjustments as necessary. MSAs at this level develop and/or maintain effective and efficient communication with the patient, interdisciplinary coordinated care delivery model teams, VA medical centers, and other agencies (e.g., assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities; prepare correspondence to notify patients of normal lab results; manage a system for follow-up care such as consults, tests, etc.).

Other assignments at this level include, but are not limited to: processes incoming patient secure messaging through MyHealthyVet and coordinates with care team as appropriate; participates in team huddles and team meetings to manage, plan, problem solve, and follow-up with patient care by sharing information and collaborating with the interdisciplinary team; setting priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs; identifies incomplete encounters and communicates findings to providers; as needed; assists the team to reinforce the plan of care and self-help solutions; enters appropriate information into the electronic record; monitors pre-appointment information and/or requirements to assure readiness for patient visit/procedure; manages patient systems to verify and validate accuracy and resolve issues; evaluates patient information and clinic schedule lists to determine whether the patient requires an immediate appointment; informs team members about shared patients (i.e., those who receive their care at multiple VA centers or those who receive care in the community). For all assignments above the full performance level, the higher-level duties must consist of significant scope, administrative independence, complexity (difficulty), and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time.

  • Demonstrated Knowledge, Skills, and Abilities. Candidates must demonstrate ALL of the KSAs below:
  • Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g. medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting to ensure medical care to patients is met.

ii. Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations.

iii. Ability to communicate tactfully and effectively, electronically, by phone, in person, and in writing, [with internal and external customers. This may include preparing reports in various formats and presenting data to various organizational levels, as well as resolving patient concerns.

iv. Advanced knowledge of the technical health care process (including, but not limited to, scheduling across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals) as it relates to access to care.

  • Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc.

vi. Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians.

References: VA Handbook 5005/117, PART II, Appendix G45 – dated August 1, 2019.

The full performance level of this vacancy is GS-6.

Physical Requirements: The work is sedentary. Occasionally requires carrying of light objects such as files, books and papers; some walking, standing and bending. No special physical qualifications required.


There is NO Education substitution for the position of Advance Medical Support Assistant. You MUST have the Specialized Experience.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

NOTE: This is an Open and Continuous Announcement. This means we will be collecting applications for the open period of the announcement. Every 2 weeks we will qualify those applicants who have applied. When a vacancy becomes available, we will send the qualified applicants (up to that point) to the hiring manager. We have listed all of our locations where Advanced Medical Support Positions exist. This does not mean we have a vacancy at the time this announcement was posted. We are collecting applications, if a vacancy becomes available at any of the locations listed we will have a list of qualified applicants ready for review and/or interviews. It is possible that the locations you have chosen will not have an opening during the announcement period.

  • Please select all locations of interest – If a candidate is not selected from a list, they will remain active for the next review.

Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

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Harry S Truman Memorial Veterans Hospital

800 Hospital Drive

Columbia, MO 65201