Posted on October 20th, 2021
We have a Medical Staff Services Specialist position immediately available at our Mission Viejo location, The successful hire will report to the Director/Manager of Medical Staff Services and will perform activities as assigned including meeting management and credentialing and privileging functions to comply with contractual, internal hospital / health system requirements, and external accreditation standards, state laws and Centers for Medicare and Medicaid (CMS) Conditions of Participation for Hospitals.
Essential job functions:
Practitioner credentialing, privileging, and performance evaluation
Assist with application management and verification activities, preliminary analysis of application and verification information, flagging potentially adverse information for medical staff services leadership review, preliminary identification of areas where practitioners may not meet privileging or membership criteria.
- The Specialist shall monitor expiring information such as but not limited to DEA, license, professional liability insurance, and specialty board certification status; maintain and update credentials file(s) (paper and/or electronic as applicable)
- Preparation of practitioner information for review and evaluation by medical staff leaders and support of follow-up on actions taken by the organized medical staff with regard to practitioner competency management
- Support of other competency management functions such as proctoring, performance evaluations, etc. in accordance with bylaws, rules and regulations and policies and procedures
- Assures that data entry of required source verification data elements and practitioner credentials files are managed accurately in accordance with procedures as outlined in the MSSD Operations Manual
- Effectively communicates issues and ongoing status of assigned work to Director/Manager, MSSD
Meeting Management and/or Agenda Support (as assigned):
- Agenda preparation in cooperation with the Chair and/or designee
- Attend and participate in meetings; coordinate, complete follow-up tasks and provide support as needed for meeting preparation(s)
- Assure that all minutes accurately reflect actions taken, the names of those present, appropriate follow up, and the responsible party
- Effectively communicates relevant information, issues, follow up, and ongoing status accordingly.
Policies, Procedures and Documents
- In conjunction with the Director and/or Manager, assist in the maintenance and protection of medical staff policies, procedures, credentials files and departmental documents.
Miscellaneous and Other Tasks:
- Maintains a working knowledge of all computer applications needed for position including facility specific credentialing software database, Word, Excel and PowerPoint (as applicable)
- The Specialist may be assigned various tasks such as reception, filing, correspondence or other activities required to support the general operations of the Medical Staff Services Department.
- Continually strives to achieve individual team and departmental goals.
Applicants apply here: https://jobs.jobvite.com/chartis/job/oau0gfwE/apply
Posted on October 20th, 2021
Under general supervision, is responsible for coordinating all aspects of the privileging and credentialing process of the licensed independent practitioners (LIPs) in accordance with the Medical Staff Bylaws, Rules & Regulations, Policies & Procedures, The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) accrediting standards and regulatory requirements.
These classifications are allocated to the Ventura County Medical Center and are characterized by responsibility for analyzing and interpreting numerous regulations to which the medical staff bylaws, rules, regulations, policies, and procedures must conform. These positions are also responsible for advising all Medical Staff departments and Committees of any change or standard that impacts quality of care and Medical Staff administrative operations.
- Credentialing Coordinator I: $24.86 - $34.87 per hour
- Credentialing Coordinator II: $2,188.38 - $3,069.14 biweekly
- $4,310.80 - $6,649.07 Monthly
- $51,729.60 - $79,788.80 Annually
Health Care Agency - Ventura County Medical Center
Some positions may be eligible for an educational incentive of 2.5%, 3.5%, or 5% based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification.
Incumbents may also be eligible for bilingual incentive pay depending upon operational needs and certification of skills.
Credentialing Coordinator I/II is represented by the Service Employees International Union (SEIU). The I level is eligible for overtime compensation; the II level is exempt from overtime compensation.
EXAMPLES OF DUTIES
Duties may include but are not limited to the following:
- Maintain knowledge and compliance with all regulatory and accrediting requirements;
- Process initial and reappointment applications, checking for completeness and accuracy, including primary source verification of confidential and sensitive practitioner information;
- Ensure that all credentials files are current and complete pursuant to expiration date of medical licenses, board certification, professional-liability insurance coverage, DEA and other pertinent information, per bylaws, rules and regulations, and policies and procedures;
- Maintain credentialing database (MD Staff) with current practitioner information;
- Audit files based on internal standards and regulatory requirements;
- Monitor and report application status and provide appropriate correspondence as appropriate;
- Assist with maintenance of Medical Staff delineation of privilege forms;
- Coordinate and record assigned medical staff committee meetings;
- Protect all credentialing information and files with strict confidence and limited access according to regulatory standards;
- Participates in preparation for health plan annual audits and reports;
- Maintain professional working relationship with Medical Staff, organization departments, clinics, and outside facilities;
- Work independently with minimal supervision to meet specified timeframes;
- Adhere to organization policies and procedures; and
- Perform other related duties as required and assigned.
At the higher level, duties also include but are not limited to the following:
- Assist with development of Medical Staff delineation of privilege forms;
- Serve as lead worker in preparing for health plan annual audits and completing periodic health plan reports.
- Perform other related duties as required and assigned.
EDUCATION, TRAINING, and EXPERIENCE
Credentialing Coordinator I:
- Current National Association of Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) or actively pursuing certification and certification obtained within two (2) years of eligibility to sit for the exam.
- Intermediate computer skills using Microsoft products and web-based queries.
Credentialing Coordinator II:
- In addition to the above-listed requirements for the I level, the II level requires previous hospital medical staff and/or managed care credentialing experience.
- Previous hospital medical staff or managed care credentialing experience.
- Experience with credentialing software.
Knowledge, Skills, and Abilities
Working knowledge of TJC, NCQA, and CMS credentialing and privileging standards and experience with provider and/or health plan credentialing and, for level II, delegated health plan credentialing agreements.
Ability to manage and meet multiple priorities and competing deadlines; read and interpret complex documents, reports, and data; effectively and professionally communicate with providers, outside organizations, and staff, both verbally and in writing; and exercise sound spelling, grammar, and clear written communication.
Problem solving and organization skills with attention to detail.
FINAL FILING DATE:
Applications must be received by County of Ventura Human Resources no later than 5:00 p.m. on Friday, October 29, 2021.
To apply online, please refer to our web site at www.ventura.org/jobs. If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura, CA 93009.
Sufficient information must be provided under the Education/Work experience portion of the application and supplemental questionnaire to thoroughly and accurately demonstrate your qualifications in order to determine eligibility. A resume may be attached to supplement your responses in the above-referenced sections; however, it may not be substituted in lieu of the application.
NOTE TO LATERAL TRANSFER CANDIDATES:
If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.
SUPPLEMENTAL QUESTIONNAIRE - qualifying:
All applicants are required to complete and submit the questionnaire for this exam AT THE TIME OF FILING. The supplemental questionnaire may be used throughout the exam process to assist in determining qualifications for the position. Failure to complete and submit the questionnaire may result in removal of the application from further consideration.
APPLICATION EVALUATION - qualifying:
All applications will be reviewed to determine whether the stated requirements are met. Applicants meeting the stated requirements will be invited to continue to the next step in the examination process.
TRAINING & EXPERIENCE EVALUATION - 100%:
The selection process will consist of a Training and Experience Evaluation (T&E) exam. A T&E is a structured evaluation of the job application materials submitted by an applicant, including the written responses to supplemental questions. The T&E is a method for determining the better qualified applicants among those shown to meet the stated requirements. Using a T&E, applicants may be scored or ranked according to criteria that most closely meet the business needs of the department. Applicants are typically scored or ranked in relation to one another; consequently, when the pool of applicants is exceptionally strong, some qualified applicants may receive a score or rank which is moderate or even lower resulting in them not being advanced in the process. Applicants must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.
In a typical T&E, your training and experience are evaluated in relation to the background, experience, and factors identified during a job analysis as needed at the time of hire for successful job performance. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questionnaire is completed with care and diligence. Be clear and thorough in your responses to demonstrate the scope of your knowledge and experience in each area. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation.
If there are three (3) or fewer qualified applicants, a T&E exam may not be conducted. Instead, a score of seventy percent (70%) will be assigned and the qualified applicants will be placed on the eligible list.
Applicants successfully completing the examination process may be placed on an eligible list for a period of one (1) year. The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-Term), Intermittent, Per Diem Pool, and Extra-Help vacancies. There is currently one (1) anticipated Regular vacancy.
If appointed at the lower level, incumbent may be promoted to the higher level without further exam upon meeting the minimum requirements, demonstrating satisfactory performance, and in accordance with the business needs of the department.
A thorough pre-employment, post-offer background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.
For further information about this recruitment, please contact Laura Carlson by email at firstname.lastname@example.org or by telephone at (805) 477-5497.
An Equal Opportunity Employer
Posted on October 14th, 2021
**Immediate Position - On-site Interim Director of Medical Staff Office**
Seeking a Director of Medical Staff Office for a hospital located in Southern California. Experience running multiple Medical Staff Offices as a Regional Director is preferred.
Director of Medical Staff Office administers medical staff credentialing, privileging, appointment and reappointment process, and assists the medical staff in supporting the organization’s mission, vision, and goals.
Director of Medical Staff Office will be responsible for maintaining compliance with applicable regulatory agencies, i.e., Centers for Medicare/Medicaid Services (CMS), The Joint Commission (TJC), California Department of Public Health (CDPH), DHS; federal and state regulations; bylaws, rules and regulations of medical staff and hospitals and policies and procedures related to medical staff. Oversees management of administrative duties including employee hiring, training, development, evaluation, job description development, policy development and new employee orientation. Exhibits responsibility and accountability for departmental services. Serves as a liaison to ensure Medical Staff applications, appointments, privileges, credentialing, and administrative support services for the medical staff, and appropriate health professionals are coordinated in a thorough, accurate and timely manner. Ensure timely and efficient process by coordinating the credentialing and privileging of new physicians through the maintenance of credentialing database system. Ensures Medical Staff Office and credentialing program is in compliance with Medical Staff standards, of The Joint Commission, legal and all regulatory and accrediting agency standards. Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.
- Current Certified Professional Medical Staff Management (CPMSM) with the National Association Medical Staff Services
- Minimum five years of experience in the capacity of a Director of Medical Staff Office
- Knowledge of State, Federal, and Joint Commission regulations
- Working knowledge of accreditation process and standards, health care and credentialing industry, regulatory and legal requirements and other national standards
- Demonstrates success and experience in medical staff services
- Experience working with governance processes essential
- Significant experience and knowledge in working with other healthcare organizations such as hospitals, managed care, credentialing verification organizations and ambulatory care
- Knowledge of Medical Terminology
- Ability to maintain a high degree of confidentiality and diplomacy
- Effective written and verbal communication skills; able to communicate with various individuals both inside and outside the organization
- Proficient with computer systems including but not limited to Microsoft Office Suite
Applicants apply here: https://www.linkedin.com/jobs/view/2738196787/
Posted on October 14th, 2021
Employee Assistance Program (EAP) for you and yo We invite you to join our team of highly skilled professionals at Northridge Hospital. We are looking for an experienced Medical Staff Credentialing Coordinator. The ideal candidate will be a self-starter who is detailed oriented, proactive, and professional. In this position, you are responsible for maintaining, verifying all aspects of the credentialing process. You can interact with staff (at all levels) in a fast pace environment. In this role, you need to demonstrate a high level of professionalism and confidentiality is crucial. You will be the trusted partner.
IN THIS ROLE, YOU WILL:
- Medical Staff Credentials Coordinator will be responsible for performing the credentialing of new applicants/ re-applicants which would include such tasks as processing the applications, identification of problem issues, as requested.
- Must be highly organized and detail-oriented with excellent oral and written communication skills.
- Strong computer skills required.
- All employees are expected to perform their duties in alignment with the vision and values of the organization.
- The Medical Staff Credentials Coordinator is responsible for a variety of tasks that lead to a high level of customer satisfaction in the most cost-effective manner with respect and dignity.
Ideal candidate criteria
- Comfortable with Google Suite and Google Calendar
- Extremely strong time management and organization skills
- Sound judgment, maturity, and the ability to handle sensitive and confidential information with discretion
- A strong work ethic and positive attitude, with an independent disposition and a willingness to do what it takes to get the job done
- Professional and positive customer service-driven approach
- Superb interpersonal, written, and verbal communication skills
- Ability to work well in a small team
- The qualified candidate will have a minimum of two years of medical staff experience, including credentialing functions, in either a hospital or managed care environment.
- High School Diploma
- CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical Service Management) is preferred.
We offer the following benefits to support you and your family:
- Free membership to our Care@Work program helping employees with childcare, pet care, or dependent adults
- Health/Dental/Vision Insurance
- Flexible spending accounts
- Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
- Adoption Assistance
- ur family
- Paid Time Off (PTO)
- Tuition Assistance for career growth and development
- Matching Retirement Programs
- Wellness Program
If you are dedicated, hardworking, and have a positive attitude, we invite you to apply to join our team.
If you are ready to experience a culture driven by talent, technology, innovation, and humankindness, connect with us today! Applicants apply directly on our website: https://www.commonspirit.careers/job/los-angeles/medical-staff-credentials-coordinator/35300/1275093318
Posted on September 23rd, 2021
Full Time, 8 Hour Days
(Exempt / Non-Union)
Keck Medicine of USC is one of only two university-based medical systems in the Los Angeles area. Ranked number 16 on U.S. News & World Report’s 2019-2020 Best Hospital Honor Roll, we offer the opportunity to provide world-class care, while working with an internationally renowned team of colleagues. If you’ve been searching for your next opportunity, we invite you to apply today!
The successful applicant will manage credentialing programs and projects across Keck Medicine of USC, which provides system-wide primary source verification information to hospitals for USC clients Medical Staff practitioners, including initial applications, reinstatements and reappointments.
This position requires a Bachelor’s degree in healthcare administration or related field (or equivalent) and 5+ years of experience with Medical Staff services/credentialing. A background including heal plan audit and Health System/CVO experience preferred.
Keck Medicine of USC offers a wide array of benefits, including substantial tuition discounts for employees and their families; exceptional healthcare, retirement and quality of life programs; and the prestige that comes with working with a leader like Keck Medicine of USC.
For a full list of position requirements and responsibilities, or to apply, we encourage you to contact our hiring manager Briggette Jones at Briggette.Jones@med.usc.edu or visit: https://usccareers.usc.edu/job/los-angeles/program-manager-integrated-credentialing-full-time-8-hour-days-exempt-non-union/1209/8827935920
Posted on September 1st, 2021
When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.
In this role, you will be responsible for the overall management of the medical staff services functions, including staffing, confidential practitioner database administration, survey preparation/coordination, credentialing, privileging, bylaws, rules and regulations, policies, procedures, focused and ongoing professional practice evaluation, committees, and communications, CME, GME.
- At least five years of experience in health care in an administrative or managerial position related to credentialing and/or accreditation
- At least two years of supervisory experience
- A bachelor’s degree or four years of experience in a directly related field with a high school diploma or GED
- CPCS (Certified Provider Credentialing Specialist) and/or CPMSM (Certified Professional Medical Services Management) certificates preferred
- Proficient use of computer based medical staff programs, databases, and Microsoft Office programs (i.e. Word, Excel)
- Excellent written and verbal communication skills, organization skills, and strong interpersonal skills
- The ability to work in a Labor/Management Partnership environment
For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 949676.
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.
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
YouTube: Kaiser Permanente Careers