MANAGER, CLINICAL PRIVILEGING - Los Angeles, CA (posted 07/24/2010)
MEDICAL STAFF COORDINATOR - Sacramento, CA (posted 07/23/2010)
CREDENTIALING COORDINATOR - San Diego, CA (posted 07/22/2010)
MEDICAL STAFF COORDINATOR - Van Nuys, CA (posted 07/14/2010)
MEDICAL STAFFING COORDINATOR - Sacramento, CA (posted 07/08/2010)
CREDENTIALING SPECIALIST - Huntington Beach, CA (posted 06/29/2010)
MEDICAL STAFF COORDINATOR - Mission Viejo, CA (posted 06/28/2010)
REGIONAL CREDENTIALING SUPERVISOR - Oakland, CA (posted 06/24/2010)
MEDICAL STAFF COORDINATOR - Denver, CO (posted 06/17/2010)
ADMINISTRATIVE ANALYST - Irvine, CA (posted 06/10/2010)
QRM PRINCIPAL CONSULTANT-CREDENTIALING AND PRIVILEGING - Oakland, CA (posted 05/31/2010)
CREDENTIALS COORDINATOR - San Francisco, CA (posted 04/18/2010)

MANAGER, CLINICAL PRIVILEGING
Cedars-Sinai - Los Angeles, CA

In the 2010 U.S. News & World Report  rankings, Cedars-Sinai was named one of America's best hospitals. Of the 4,852 U.S. hospitals, only 152 were ranked in at least one specialty. This year Cedars-Sinai Medical Center was ranked in 9 adult specialty areas which places us in exceptional company. If you consider yourself among the leaders in your field, we invite you to contribute to a healthcare provider who shares your passion for quality and excellence.

This position is responsible for the day-to-day management of the Clinical Privileging Evaluation function and acts as an expert resource regarding clinical aspects of the function. Ensures that employees and other decision makers are provided with all internal and external information required to evaluate clinical competence and that they are provided expert facilitation and support for credentialing and privileging recommendations and decision making. Supervision of Evaluation Coordinators and Meeting Management Coordinators who have direct responsibility in meeting Medical Staff organizational objectives consistent with the CSHS philosophy, mission, vision and strategic plan. Key customers are clinical practitioners/applicants, physician leaders, and the CSHS senior administrative management team.

Requirements:

• Bachelor's degree in Nursing or any other related clinical credential.
• Current certification as Certified Medical Staff Coordinator (CMSC) and/or Certified Provider Credentialing Specialist (CPCS) preferred at initial hiring or must be attained within two years of hire date.
• Five years recent experience and proven track record in supervising or managing a department where accuracy and timeliness of data is central to the performance of the function.
• Proven ability to lead and motivate people to meet department objectives.
• Masters degree preferred.

For consideration, please submit a cover letter and your resume to:
https://www.cedars-sinaimedicalcenter.apply2jobs.com/
(Requisition #4514). 

Cedars-Sinai is an Equal Opportunity Employer that welcomes and encourages diversity in the workplace.

MEDICAL STAFF COORDINATOR
Sutter Medical Center - Sacramento, CA

Celebrate the spirit of strength

CREDENTIALING COORDINATOR
Physician Management Group/Children's Specialists - San Diego, CA

A physician management services organization in San Diego is seeking a Credentialing Coordinator.  We want to hear from you if you are passionate about helping an organization that serves the pediatric community, have the desire to work for an organization that values our clients and employees and strives for excellence in all areas of service.  

JOB PURPOSE:  Under the general supervision of the Sr. Vice President, Human Resources, the incumbent will assume responsibility for ensuring that all Foundation physicians and mid-level practitioners are credentialed/recredentialed in accordance with NCQA standards.  Responsible for ensuring Foundation physicians/practitioners have appropriate credentials (including malpractice insurance and hospital privileges) to begin and continue employment and are promptly added to the Payors/Plans panels to ensure timely reimbursement. 

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

1. For Foundation Credentialing Committee:  Conducts credentialing/recredentialing of all  Foundation physicians/practitioners to include reviewing applications from physicians and primary source documents from Credentialing Solutions; advises the Medical Director regarding applicants, findings and credentialing status of physicians/practitioners, submitting Rosters, applications/profiles to Payors/ Plans and tracking when physicians/practitioners are added by the  Payors/Plans.

2. Staffs the Foundation Quality Improvement (QI)/Risk Management (RM) Committee; prepares agenda and materials in conjunction with the Medical Director and presents materials and information as appropriate.

3. Request the identified Quality of Service (QOS) and Quality of Care (QOC) information from variety of sources.

4. Prepares and conducts delegation annual audits with Plans/Payors and completes corrective action plans as necessary. 

5. Provides ongoing monitoring and review of the Medical Board of California Hot Sheet and Medicare/Medicaid Sanction Reports and presents to Committee. Monitors expiring documents.

6. Maintains (real time) and modifies database which stores credentialing data such as additions/terminations, credentialing documents, name/address changes etc.  Runs queries and creates reports for distribution and provides statistical data on request.

7. Maintains all Norcal practitioners applications and Professional Liability Insurance.

8. Work directly with our Broker to produce Professional Liability Insurance Certificates.

9. Conducts recruitment meetings with RCHSD/UCSD Medical Staff to track practitioners coming and leaving.

10. Write and update Policies and Procedures (as necessary)

11. Work on projects as requested by the Health Plans, Broker, and Contracts Staff.

12. Prepare presentations for Medical Director's semi-annual shareholder meeting

NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Participates in meetings regarding Professional Liability insurance to enhance understanding of issues. 

2. Attends meetings as appropriate

3. Performs other duties as assigned.

MINIMUM QUALIFICATION REQUIREMENTS;

KNOWLEDGE/SKILLS/ABILITIES:

Decision Making:  Knowledge of NCQA guidelines and industry timeframes.  Makes decisions based on company policy, practice and previous assessments of similar situations under normal circumstances.  Must alert management and make recommendations for resolution when extenuating circumstances arise that are complex in nature and outside of normal parameters. 

Business relationships/communication: Communicates regularly, usually via telephone and email, with physicians/physician staff, plan/payors, co-workers and management, in a professional cooperative manner to obtain necessary materials, identify issues, solve problems and make appropriate decisions.   Possesses strong communication skills. 
 
EDUCATION: 

• Some college required.
• College degree preferred.

WORK EXPERIENCE:  

• Prior experience as a Credentialing Coordinator/Provider Relations Representative preferred.
• Previous experience in a detail oriented fast paced environment required. 

We are a mid-sized, stable but growing company that has been in business over 25 years.  We currently employ over 180 employees and provide medical billing, claims processing and other financial services, as well as IT, administration, legal and HR services to a group of specialist physicians in 25 specialty areas.

We offer an exciting work environment that values employee feedback, provides opportunities for growth and learning, competitive wages, excellent benefits and bonus potential.

Come join our team and help us grow!

Relocation not provided.

Equal Opportunity Employer

Please submit resumes to; pmghr@rchsd.org   EOE/AAP

MEDICAL STAFF COORDINATOR
Valley Presbyterian Hospital, - Van Nuys, CA

TEMPORARY POSITION FOR MEDICAL STAFF COORDINATOR
Valley Presbyterian Hospital, 15107 Vanowen Street, Van Nuys, CA  91405

Valley Presbyterian Hospital is seeking a Medical Staff Coordinator on a temporary basis.  The candidate must have 2 - 3 years hospital based experience in Medical Staff Services; knowledge of regulatory standards (TJC, Title 22, and CMS); and excellent communication/customer service skills.  CPCS or CPMSM certification is a plus.  The candidate will provide support for medical staff committee and department meetings, which includes agenda and minute preparation, and follow-up; tracking the proctoring process, assisting with OPPE data preparation; and various other medical staff functions.

The position will be full time on a temporary basis to cover for an employee on a three month leave of absence.   There is a possibility that the position could grow into full time employment.

Requirements:
Knowledge of TJC, Title 22, HIPAA, and CMS Standards/Requirements
Knowledge of medical terminology
Ability to type 65 wpm
Shorthand or speedwriting skills
Familiarity with Word, Outlook, Excel, Physician Databases

Please send resume to:
Leigh Phillips, CPMSM, CPHQ
leigh.phillips@valleypres.org
Fax: 818 904/3957

MEDICAL STAFFING COORDINATOR
Mercy General Hospital - Sacramento, CA

Choose to work and live in Sacramento...where you can ski in Tahoe one day and go to the coast the next. Drive to the wine country in the afternoon and dine on the riverfront in the evening. Sacramento offers some of the finest restaurants, outdoor activities, and cultural and sporting events throughout the year. All of this is located in one of the most historic places in California.

If you already live in Sacramento, a move to one of our 4 CHW facilities could make your life even better. We offer some of the best benefits in the industry, along with great career choices, training, and leadership development. This makes for an atmosphere where our people share their enthusiasm for life, as well as for helping others. As you balance your work life with your other passions, we're there for you every step of the way.

For more than 100 years, Mercy General Hospital, Sacramento, has carried on its founding Sisters' Tradition of healing with compassion. Our vital statistics-343 beds, 1900 employees, 360 active medical staff, and 17,250 patients admitted annually-speak to our strength and presence in the community. We're proud to be regarded as one of the area's most comprehensive and accomplished medical centers.

We're also proud of the recognition our teams have received in the wider world. Since 1997, we've earned a spot on three prestigious 100 Top Hospitals lists: Top 100 Hospitals, National Benchmarks for Success; 100 Top Cardiovascular Hospitals; 100 Top Hospitals: Regional Benchmarks for Success. And the 2004 HealthGrades annual hospital report card ranked Mercy General Hospital as the best place in California for cardiac surgery.

If you're interested in joining teams that meld quality care and compassion to create an environment of excellence, please take a moment to discover more about what it's like to work here.

REQUIREMENTS:
Coordinate meeting arrangements, preparing agendas, accurately recording meeting minutes and composing related correspondence, as well as initiating follow up on meeting actions. Coordinating new appointments/reappointment credentialing activities and performing related work and special projects as assigned.

Experience with MSO/MSOW preferred.
 
Apply online at:  www.mercygeneral.org  or contact Stephanie Rake  at Stephanie.russell@chw.edu

CREDENTIALING SPECIALIST
Gemini Diversified Services, Inc. - Huntington Beach, CA

Gemini Diversified Services, Inc. a national CVO is seeking an experienced, knowledgeable Credentialing Specialist to process credentialing files (hospital/surgery center level) to meet The Joint Commission and/or AAAHC requirements. A CPCS or CPMSM certification is preferred. We utilize Cactus credentialing software and handle a high volume of files on a monthly basis. We are located in Huntington Beach, CA and while this position will require the Specialist to work in our HB offices, there is potential for telecommuting in the future.

Responsibilities will include:

• Processing incoming applications for initial appointment and reappointment reviewing
  applications for completeness with follow-up to the practitioner or client for missing information
• Data entry of all practitioner information into our credentialing database
• Performing primary source verifications through online verification sites, and through
  written/faxed/ telephone requests to meet the applicable standards
• Thorough review of files prior to completion to ensure all requirements are met
• Completing files for clients - running of reports, organizing of file for client
• Day-to-day assistance to those clients assigned to Specialist
• Additional duties, as assigned

If you feel this position is compatible with your skills, and you are a positive and motivated worker, please apply with us. You may fax your resume to 714-782-5580 Attn: Tammy White, or email twhite@servicesbygemini.com

MEDICAL STAFF COORDINATOR
Mission Hospital - Mission Viejo, CA

Reporting to the Manager Medical Staff Affairs the Coordinator is responsible for supporting medical staff departments/committees, credentialing (appointment and reappointment), and maintaining departmental files of medical staff members within assigned departments.

Minimum Requirements

High School diploma or GED.  Three years secretarial training or equivalent experience and experience in taking and transcribing minutes.

Preferred Requirements

AA degree in Medical Staff Science; Previous training and/or experience in Medical Staff services; Certified Professional Medical Staff Management (CPMSM) and Certified Professional Credentialing Specialist (CPCS).

Ministry Marketing Statement

Mission Hospital Mission Viejo and Mission Hospital Laguna Beach are both a part of the St. Joseph Health System, where our core values of Dignity, Service, Excellence and Justice translate into an environment where the welfare of our patients always comes before the bottom line.  As non-profit acute care facilities serving all of south Orange County, our Level II Trauma Center, in Mission Viejo, is the designated Regional Trauma Center for south Orange County.  Our Laguna Beach ministry, formerly South Coast Medical Center, serves south Orange County's coastal communities with services that include 24-hour emergency, intensive and medical-surgical care as well as behavioral health and chemical dependency. 

We offer a complete array of top-quality healthcare services including trauma, heart, maternity, orthopedics, rehabilitation, cancer, stroke, spine, vascular and wellness services and a collegial work environment with competitive salaries and benefits.

Apply online at:  www.mission4health.com  or contact Gretchen Waltzman at 949-499-7129

REGIONAL CREDENTIALING SUPERVISOR
Kaiser Permanente - Oakland, CA

Health is our business
Make it yours. At Kaiser Permanente, we realize that it takes more than expert medical care to be the nation's leading nonprofit integrated health plan. It takes advanced technologies, state-of-the-art facilities, and the people to support them. Come impact your future, and the future of care. Consider this full-time opportunity to join us in Oakland, California.

Regional Credentialing Supervisor
As a member of the Regional Credentialing Team, you will supervise the centralized credentialing operations for the Northern California region. In this role, you will work closely with medical staff services, clinical practice leadership, credentials and privileges leadership, and accreditation/ regulatory leads and surveyors. You will also be responsible for ensuring that the centralized operations meet all regulatory requirements while meeting the needs of internal and external customers.

Qualifications for this position include the following:

• Four or more years' experience in a multi-hospital healthcare system or a centralized verification service with experience with medical staff functions
• Minimum of two years' supervisory experience
• Knowledge of credentialing and privileging, NCQA, The Joint Commission, Centers for Medicare and Medicaid Credentialing, and privileging standards for health plans and hospitals
• Bachelor's degree in health science or equivalent experience preferred
• Certified medical staff services coordinator (CMSC), or professional medical services management (CPMSM) certification preferred
• MSOC, e-Delineate and MIDAS experience preferred
• Training in principles and tools of TQM/CQI preferred
• Experience in word processing, and data base management
• Excellent customer service, written and verbal communication, strong interpersonal, organization and time management skills
• Must be able to work in a Labor Management Partnership environment.

For immediate consideration, please e-mail your resume to Jermaine.B.Jenkins@kp.org. Please reference job number 015991 when responding. Visit jobs.kp.org for complete qualifications and job submission details. Principals only. EOE/Affirmative Action Employer.

If you would like to hear the Kaiser Permanente story as told by our employees, watch the videos on our Careers Home Page at kp.org/jobs/video. Follow us on twitter.com/kpcareers.

This position supports Kaiser Permanente's code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures. Principals only. EOE/AA Employer.

jobs.kp.org

KAISER PERMANENTE

MEDICAL STAFF COORDINATOR
St. Anthony Hospital - Denver, CO

Bring your career to Colorado! Centura Health/St. Anthony Central Hospital in Denver seeks an experienced Medical Staff Coordinator to analyze, design and implement medical staff processes, ensuring the integrity of the physician database and department.  Will also be responsible for credentialing and privileging approximately one-third of the Medical Staff.  Assumes operational responsibility for the Medical Staff Services Department in the absence of the director with the exception of signature authority.

MINIMUM EDUCATION/CREDENTIALS/LICENSE/DEGREE REQUIRED:

• High School Graduate and Certified Medical Staff Coordinator or equivalent training and experience

MINIMUM EXPERIENCE REQUIRED:

• Five years as a Medical Staff Professional

St. Anthony Central Hospital is part of Centura Health, a faith-based hospital system sponsored by Catholic Health Initiatives and the Adventist Health System. As a Level I trauma center, St. Anthony Central can handle the most critically injured patients but the care we provide extends beyond just trauma. The hospital is regarded nationally for expertise in heart care, trauma, orthopedics and more. Our facility is also home to exceptional health resources like the Family Medicine clinics, the wellness center, Yaffee House and the Linnea Basey Community Resource Center.

Colorado's Centura Health includes 12 hospitals spanning the state, 7 senior living communities, home care and hospice services. As Colorado's largest health care provider and fourth largest private employer, Centura Health's 13,000 associates promote our faith-based mission by caring for or than a half million people annually. 

Enjoy phenomenal benefits, Colorado's outstanding lifestyle, relocation assistance, competitive salaries and a work environment that honors you. To apply, please submit your qualifications online referencing Job Req# 39729

www.centuracareers.org

For questions, please email ginaseverino@centura.org. Visit stanthonycentral.org to learn more about this hospital, its 100 year history and exciting expansion. EOE/No agencies please.

ADMINISTRATIVE ANALYST
UC Irvine - Irvine, CA

Reporting to the Director of Medical Staff Administration, the Medical Staff Coordinator/ Administrative Analyst is responsible for assisting in the development, implementation and monitoring of credentialing procedures required by the Medical Staff Bylaws, State and federal laws, and hospital accreditation and NCQA standards. Specific duties include, but are not limited to: credentialing and re-credentialing practitioners, physician data management, and preparation of policies and procedures to meet licensing standards. In addition, the Medical Staff Coordinator/ Administrative Analyst is responsible for coordination of administrative functions to support the Medical Staff department, including coordination of medical staff meetings. The Medical Staff Coordinator/ Administrative Analyst prepares a variety of documents using a number of databases, graphics, spreadsheets, and word processing software applications.
 
Required:

• Ability to establish and maintain effective working relationships across the Health System
• Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
• Ability to maintain a work pace appropriate to the workload 
• Must demonstrate customer service skills appropriate to the job
• Ability to coordinate and resolve issues in a timely manner
• Demonstrated understanding of medical terminology
• Knowledge of JCAHO, Title 22 and CMA regulations
• Working knowledge of MS Office products
• Strong verbal and written communication skills
• Strong analytical skills
• CPMSM and/or CPCS certification eligible
• Must become CPMSM and/or CPCS certified within 12 months of employment

 
** All applications must be submitted online at www.ucihealth.com/jobs.
This job is placed under "Professional & Support Staff" category and the job number is # MU07210Y.  

AA/EOE

QRM PRINCIPAL CONSULTANT-CREDENTIALING AND PRIVILEGING
Kaiser Permanente - Oakland, CA

The position supports the KFHP Board of Directors in their fiduciary role of health plan oversight and the KFH Board of Directors in the appointment and reappointment to professional staff process.  This position exists to provide leadership and facilitation in the resolution of highly strategic credentialing and privileging projects of national, regional, and statewide scope.  The role interacts with the Quality and Health Improvement Committee (QHIC) and its supporting committees, Sr. Management, Regions, and Program Offices.
 
Essential Functions:

• Assist KFH hospitals and Ambulatory Surgery Centers with Professional Staff matters
• Design and conduct audits to validate that Credentialing and Privileging processes are sounds and vigorous
• Develop and track corrective action plans to address audit findings
• Prepare reports for KFH/P Boards of Directors for example, annual credentialing report, twice yearly complaints report
• Project manage annual interregional C&P Workshop, including curriculum development, securing speakers, negotiating with hotel for rooms and food service
• Develop educational materials for members of the Professional Staff
• Assist Ambulatory Surgery Centers owned and operated by KFHP to meet regulatory requirements related to governance and Medical Staff matters
• Assist with preparing documents for 6 QHIC meetings, 4 face-to-face and 2 Webex meetings

Basic Qualifications:

• 5 years of experience with hospital privileging process
• Recent experience with The Joint Commission accreditation process, with emphasis on Medical Staff standards
• Experience working with Professional Staff Bylaws and Rules and Regulations
• Able to manage multiple assignments with time sensitive deliverables
• Innovative thinker who is able to work autonomously as a member of a high functioning professional team
• Excellent written and verbal communication skills
• Thorough knowledge of policies, practices and systems
• Regularly contributes to the development of new concepts, techniques, and standards
• Frequently contributes to the development of new theories and methods
• Employs expertise as a generalist or specialist
• 4-year degree in related field or 4 years added equivalent experience 

Preferred Qualifications:

• Registered Nurse preferred
• Considered functional expert in field within KP

To apply please visit our careers website at  http://kaiserpermanentejobs.org/default.aspx

CREDENTIALS COORDINATOR
St. Mary's Medical Center - San Francisco, CA

Job Summary
Experienced credentialer who is self-directed, well organized, good judgment, work independently, able to get along with diverse personalities. Ability to work autonomously and bring multiple complex projects to completion in a timely manner.

Requirements:
Previous experience in a hospital/ medical environment with direct responsibilities related to credentialing. Strong and effective oral and written communication skills. Experience using computer systems, word processing and database programs. Accurate data entry.   Must be NAMSS certified or become certified within 1 year of eligibility.

Contact
Robert Andersen
St. Mary's Medical Center San Francisco
415-750-4932
robert.andersen@chw.edu
 
To Apply Online:
https://chw.recruitmax.com/ENG/candidates/default.cfm?szCategory=jobprofile&szOrderID=90396