Medical Staff Credentials Coordinator, Centinela Hospital Medical Center, Inglewood, CA

Posted on October 23rd, 2020

Under the direction and supervision of the Director of Medical Staff Services, ensures the review and timely processing of the MSO credentialing function.  Responsible for initial and reappointment application processing of physicians and allied health professionals in accordance with the Medical Staff Bylaws, R&Rs and Joint Commission Standards.  Minimum 3-years medical staff credentialing experience and credentialing software experience (MDSTAFF preferred).  Maintains and updates credentialing software data base.  Prepares monthly credentials reports for committee review.  Works collaboratively with the Credentials/IPC, Dept. Chairs and Administration to secure credentials pre-review, analysis and approval.   CPCS certification preferred, but not required.  This is a f/t position with benefits.

To apply, contact:
Leticia Caldera, CPMSM
Director, Medical Staff Services - Centinela Hospital Medical Center
555 East Hardy Street, Inglewood, CA 90301
Ph: 310.680-1492 / Fax: 310.673.0400
lcaldera@Primehealthcare.com

Director Credentialing, Sharp HealthCare, San Diego, CA

Posted on October 20th, 2020

Apply: https://careers.sharp.com/job/san-diego/director-credentialing/1031/17390218

Summary:
The Sharp HealthCare Credentialing Director is responsible for overseeing all aspects of credentialing and re-credentialing of health care professionals for the hospitals, medical groups and health plan. This position ensures all health care professionals are credentialed accurately and timely, which includes the responsibility of maintaining current and archive information on file and within the credentialing database. The Director is responsible for system-wide compliance with applicable credentialing standards (e.g. Joint Commission, NCQA, AAAHC).

Skills and Qualifications:

• Minimum of three (3) years of supervisory or management level experience in credentialing required.
• Minimum of five (5) years credentialing experience required.
• Expert knowledge of credentialing accreditation regulations and standards required.
• Experience managing medical staff software implementation and upgrades (especially CACTUS) preferred. 
• Medical group and health plan experience preferred
• Must be able to operate applicable technology, including computer, Microsoft software, fax, copier, scanner and telephone, etc.
• Must demonstrate exceptional communication skills, listening effectively and asking questions when clarification is needed. 
• Ability to plan, assign, supervise and evaluate the work of others, and to monitor goals, objectives, deadlines and priorities. 
• Demonstrate accuracy, organizational and problem-solving skills. Ability to monitor work unit performance, identify opportunities, and improve processes to promote quality and safety. 
• Maintain confidentiality. 
• Ability to assume responsibility and exercise good judgement in making decisions within the scope of authority of the position. 
• Must demonstrate and promote a positive team-oriented environment. 
• Must be able to stay focused and concentrate under reasonable levels of stress and distraction. 
• Must possess ability to manage change, delays, or unexpected events appropriately.

Education:   Bachelor’s Degree required; Master’s Degree preferred

Licensure: Certified Professional Medical Services Management (CPMSM) and Certified Professional Credentialing Specialist (CPCS) certification required.

Key Responsibilities:

Leadership:

• Manages the recruitment, training, scheduling, assignments and ongoing
• performance of Credentialing Coordinators, Data Management and other department staff
• Serves as the system-wide expert on all applicable credentialing standards (Joint Commission, NCQA, AAAHC) and State and Federal regulations 
• Provides credentialing related education and training to staff and others as needed
• Maintains current knowledge of regulations and standards, and establishes department policies and procedures compliant with all requirements
• Assists in successful accreditation/regulatory surveys and delegated credentialing audits, including presentation of requested evidence of compliance and corrective action plans
• Ensure departmental compliance with HIPAA and Sharp HealthCare policies, especially those related to privacy and confidentiality 
• Represents the department at entity credentials committee and other requested leadership meetings.
• Serves as liaison to entity Medical Staff Offices, Medical Executive Committees, Chiefs of Staff, health plan, medical groups, Chief Medical Officers and other physician leadership
• Provides support and service recovery to physicians, providers and other stakeholders
• Represents Share HealthCare at California Association of Medical Staff Services (CAMSS) meetings and other applicable professional forums

Credentialing & Verification Functions:

• Directs the timely and accurate completion of health care professionals credentialing and re-credentialing applications
• Directs primary source verification and collection of documentation for licensing, board certifications, proof of professional liability insurance, National Practitioner Data Bank (NPDB) and/or other sources as required based on Joint Commission and NCQA standards, health plan requirements and credentialing policies
• Ensures the accurate collection and documentation of all required renewal certifications (expirables) within the required time frame
• Cross trains within department to support credentialing operations and provide back-up support for key functions as needed
• Ensures appropriate notification to hospitals, health plans and medical groups of provider demographic changes as well as required documentation in the credentialing database
• Directs the processing of provider network terminations
• Collects/receives/audits disciplinary, OIG, and other reports as required (i.e. State Licensing Board, NPDB and other sanctioning bodies); takes appropriate action 
• Provides consistent and timely follow-up on all outstanding credentialing/re-credentialing files, escalating issues to appropriate leadership when necessary

Data Management & Performance Improvement:

• Establishes reliable file collection, scanning, data capture and data entry procedures into the credentialing database
• Monitors the timeliness, completeness and accuracy of data collection and entry processes
• Prepares and presents reports on key performance measures to accountable leadership and committees
• Prepares credential committee reports, adverse action documentation and other required reports as requested
• Applies performance improvement and lean principles to continually evaluate and improve department performance

Compensation and Benefits:
The position provides a very competitive compensation, including opportunity to participate in a management bonus incentive program along with a generous benefit package.

Apply at https://careers.sharp.com/job/san-diego/director-credentialing/1031/17390218

About Sharp HealthCare ~

Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, California. Sharp includes four acute care hospitals, three specialty hospitals, two affiliated medical groups, a health plan, plus a full spectrum of other facilities and services. Serving a population of approximately 3 million in San Diego County, Sharp has more than 19,000 employees and 3,000 affiliated physicians on medical staffs, and operates 1,850 beds. 

Sharp HealthCare has been named to Forbes magazine’s second annual list of America’s Best Employers for Women. Sharp was ranked number 58 overall, and was the only San Diego health system included in the list of 300 American companies with at least 1,000 employees. Sharp HealthCare was ranked one of the best employers for diversity on Forbes America's Best Employers for Diversity 2019 list. 
In addition to the workplace honors, Sharp was named a 2018 World’s Most Ethical Company by the Ethisphere Institute for the fifth time in six years.

The Sharp Experience is our unique, system wide commitment to transforming the health care experience in San Diego by becoming the best place to work, practice medicine and receive care.

Sharp HealthCare Awards and Recognitions
Sharp HealthCare Benefits

Questions contact: Connie Chovan at connie.chovan@sharp.com

“Sharp HealthCare is an Equal Opportunity/Affirmative Action Employer, we celebrate our employees’ differences.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender, gender identity, transgender status, sexual orientation, protected veteran status, among other things, or status as a qualified individual with disability. Different makes us better.”

Medical Staff Coordinator, Kaiser Permanente, Los Angeles, CA

Posted on September 23rd, 2020

Provide Critical Support
Our company doesn’t run without our administrative professionals. Come join a team where you will utilize your strengths and have the opportunity for personal growth, empowering you to realize your potential. 

In this role, you will initiate the appointment/credentialing and reappointment/recredentialing process, compiling and processing data in compliance with local, regional, state, and federal accreditation requirements. You will ensure thorough and timely verification of Licensed Independent Practitioner’s (LIP) and Allied Health Professional Staff (AHP) credentials and privileges according to local and regional medical staff services policies and procedures for practitioners in both the hospital and/or ambulatory settings. You will also provide medical staff service support services to professional staff by supporting professional staff committee meetings, initiating the proctoring function, tracking of residents/medical students, and acting as a resource for physicians, allied health professionals, medical center leadership and patients. In addition, you will complete specific time limited project assignments as delegated by Director of Medical Staff Services or Senior Medical Staff Coordinator. 

Qualifications Include: 

• An AA degree or two years of experience in a directly related field 
• A high school diploma or GED 
• Proficient with IBM PC, medical staff database 
• Proficient with medical terminology 
• Significant knowledge of federal and state regulatory requirements and accreditation standards (i.e., TJC, NCQA, DOC, DHS, DMHC, CMS, Title 22)
• Strong organization, communication, and written skills with attention to detail 
• The demonstrated ability to function independently with minimal direct supervision 
• The ability to work in a Labor/Management Partnership environment

Preferred Qualifications Include: 

• CPCS or at least three years of demonstrated knowledge of medical staff service functions related to credentialing/privileging preferred 
• A bachelor’s degree is preferred 
• Two – Four years of prior experience, TJC, NCQA, CDPH, Title 22 knowledge, critical thinking and time management skills
• Excellent written and verbal communication skills
• The ability to multitask projects

For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 894706. For additional information, please contact Michele.Austin@kp.org. 

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. 

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

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.

kp.org/careers

KAISER PERMANENTE

Discover what it’s like to be part of an industry-leading organization driving innovative care and technology. Get social with us and see what people are saying!

Glassdoor and LinkedIn: Kaiser Permanente
Facebook: Kaiser Permanente Thrive
Twitter: @KPCareers 
YouTube: Kaiser Permanente Careers

Credentials Coordinator II, Cedars-Sinai, Los Angeles, CA

Posted on August 26th, 2020

You’ll work under the direction of the Centralized Credentialing Services Manager, and cooperatively with the Credentials Coordinator I and Credentials Analysts to ensure the seamless and timely flow of credentialing information. Helping our team meet appointment and reappointment deadlines and qualitative requirements. In this roll, you would make recommendations to enhance productivity and meet targeted service levels, turnaround times, and satisfaction/quality levels. Additionally, you will help conduct research and analysis of credentials files to complete SBARs for use by senior management and leadership for the Credentials Analysts. As a Credentials Coordinator II you will also maintain the integrity of the provider database for accurate display of information, accurate reports regarding credentialed providers, and provide input for process design and other implementation activities.

From working with a team of premier healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others at Cedars-Sinai. We offer an outstanding benefit package and competitive salaries. Discover why U.S. News & World Report has named us one of America’s Best Hospitals!

Learn more about the job requirements and apply today: https://jobs.cedars-sinai.edu/job/los-angeles/credentials-coordinator-ii/252/17165151?utm_source=CAMMS&utm_medium=Job%20Board&utm_campaign=CAMMS

Credentialing Specialist, Tarzana Treatment Centers, Tarzana CA

Posted on August 26th, 2020

Responsible for credentialing functions for medical and behavioral health staff in accordance with internal policies, managed care, and Joint Commission standards. Experience with credentialing software, preferably with MD-Staff. Job duties include credentialing and re-credentialing physicians, Psychologists, and mid-level providers, and producing credentialing reports for the Medical Staff Executive Committee and Board of Directors. Reports to the Clinical Director. AA required and BA preferred. Must have prior Medical Staff credentialing experience and prefer CPCS or CPMSM certification. Full time position with benefits.

Apply Online: https://www.tarzanatc.org/careers/
Search for Job REQ# 1068 (Admin Manger)

Contact Information
Dr. Ken Bachrach
Clinical Director
18646 Oxnard Street
Tarzana, CA 91356
Ph: 818-996-1051 x 3806
kbachrach@tarzanatc.org

Director of Medical Staff Services, Adventist Health Clear Lake, Clearlake, CA

Posted on August 5th, 2020

The Director of Medical Staff Services is responsible for the overall management of Medical Staff Services functions at Adventist Health Clearlake.  Responsibilities include staffing, budgets, database administration, credentialing, privileging, bylaws, rules & regulations, policies, practitioner competence, Medical Staff committee management and communication.  This position serves as an important liaison between Administration, CMO, Medical Staff Officers, the General Medical Staff and Hospital Departments.  The Director works closely with Administration, the Quality Department and Medical Staff leadership to effect performance improvement within the organization.  The Director is responsible for continuous compliance to state and federal regulations, TJC standards and CMA guidelines as they relate to the Organized Medical Staff and the Medical Staff Services Department.

Live and work in the heart of gorgeous Lake County, conveniently located just 2 hours by car from the San Francisco Bay Area, the Sacramento Valley or the Pacific Coast. Lake County is home to Clear Lake, California's largest natural freshwater lake. It boasts the cleanest air in the entire nation, according to data compiled by the American Lung Association and is known for its Mediterranean climate. For outdoor enthusiasts, Lake County is home to some of the best bass fishing, rural trails for hiking and biking, and breathtaking views overlooking Clear Lake.

Job Requirements
Education:  Bachelor’s Degree or equivalent combination of education/related experience required; Master’s degree, preferred.
Work Experience:  7 years management-related training and experience in an acute care hospital setting:  preferred
Certification:  Certified Professional in Medical Services Management by the National Association Medical Staff Services (NAMSS) or CPCS:  Required

Learn more and apply online:  https://careers.adventisthealth.org/jobs/search/10694429