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Quick Links to Job Listings
- Credentialing Coordinator, Clinicas del Camino Real, Ventura, CA
- Medical Staff Coordinator, Saddleback Memorial Medical Center, Laguna Hills, CA
- Director of Medical Staff, Corona Regional Medical Center, Corona, CA
- Medical Staff Coordinator, Kaiser, Woodland Hills, CA
- Medical Staff Credential Coordinator, Pacifica Hospital of the Valley, Sun Valley, CA
- Medical Staff Credentialing Consultant, Part-Time, Tarzana Treatment Centers, Tarzana, CA 91356
- Medical Staff Manager, St. Rose Hospital, Hayward, CA
- Medical Staff Coordinator, Arrowhead Regional Medical Center, Colton, CA
- Credentialing Specialist, Gemini Diversified Services, Inc., Fountain Valley, CA (Possible telecommute)
- Supervisor, Credentialing and Privileges, Kaiser Permanente, South San Francisco, CA
- Provider Relations / Enrollment Manager, MedAmerica, Emeryville, CA
- Medical Staff Manager, Los Robles Hospital & Medical Center - Thousand Oaks, CA
Current Job Listings
Posted On May 14th, 2012
Clinicas del Camino Real, Inc., a Federally Qualified Health Center in beautiful Ventura County, CA is currently seeking a Credentialing Coordinator. The Credentialing Coordinator will supervise, direct, and manage the operations of Clinicas’ credentialing process. They will be responsible to coordinate credentialing of physicians, dentists, and allied health professionals.
RESPONSIBILITIES:
Provides operational direction for credentialing staff. Pursues accurate completion of all applications to ensure timely submission and receipt. Maintains communication with each clinician until all required documentation is obtained. Updates credential files and databases to ensure timely enrollment and renewal of clinical privileges, licenses and registrations, hospital privileges and insurance network inclusion. Acts as liaison between Clinicas, insurance companies, hospitals and other facilities in credentialing matters.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
1. Education: Associates Degree required, Bachelors preferred
2. 5+ years experience in a healthcare provider credentialing setting
3. Knowledge of Joint Commission credentialing standards.
4. Certification as a Certified Professional and Medical Staff Manager (CPMSM) or Certified Provider Credentialing Specialist (CPCS) strongly preferred
5. Strong communication skills both verbal and written
6. Strong organizational and follow up skills.
7. Proficient in computer software including Microsoft Office Suite. Experience with Cactus Software or other credentialing software preferred.
Clinicas offers a competitive salary and excellent benefit package. Interested candidates should contact:
Clinicas del Camino Real, Inc.
200 S. Wells Road Suite 200
Ventura, CA 93004
Attn: Kelly Bennett
kbennett@clinicas.org
Fax: 805.659.3217
Posted On May 14th, 2012
Position Summary:
This position works under the general direction and supervision of the Medical Staff Director and with the coordinators in the office. This position is responsible for the credentialing and re-credentialing of physician members. Assists in the development and maintenance of systems that will assure appropriate credentialing and currency of files for all applicants to and members of the medical staff. Assists with processing temporary privilege requests. Coordinates, performs and organizes credentialing duties accurately and timely in accordance with the Credentials Manual/Department policies & procedures as stated in the job description. Provides assistance to the coordinators with credentials committee responsibilities. Full-time/day shift.
Job Requirements:
• High School Diploma required. Three or more years prime responsibility performing the credentialing task in the medical staff office of an acute care facility.
• CPCS Certification (preferred) or can show five or more years experience in the credentialing field in an acute care hospital.
• Ability to take/transcribe minutes for Medical Staff meetings.
• CPMSM Certification (preferred).
Interested applicants, please apply on-line at: www.memorialcare.org
Posted On May 7th, 2012
Position Summary:
Reporting to the Chief Executive Officer, this position coordinates Medical Staff functions to maintain Federal, State and other licensing regulatory standards. Coordinates meeting agendas, minutes and follow-up. Acts as liaison between administration and hospital medical staff. Supervises Medical Staff personnel.
Job Requirements:
** Minimum three (3) years experience in Medical Staff Services.
** Current CPMSM (Certified Professional Medical Staff Management) certification preferred.
** Knowledge of medical legal issues and laws and regulatory agency requirements and standards.
** Computer experience required.
If applicants are interested – please apply on-line, our website is www.coronaregional.com
Posted On April 25th, 2012
Health is our business
Make it yours. At Kaiser Permanente, we realize that it takes more than expert medical care to be one of the nation’s leading health care providers and not-for-profit health plans. It takes advanced technologies, state-of-art facilities, and the people to support them. Come impact your future, and the future of care. Join us in Woodland Hills, California.
Medical Staff Coordinator
In this role, you will initiate the appointment/credentialing and re-appointment/re-credentialing 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 be responsible for providing medical staff service support services to professional staff by supporting professional staff committee meetings, initiating the proctoring function, tracking 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 the Director of Medical Staff Services or Senior Medical Staff Coordinator.
Qualifications include:
• An AA degree or equivalent experience; a bachelor’s degree is preferred
• The Certified Provider Credentialing Specialist (CPCS) certification or three to five years experience with the ability to demonstrate knowledge of medical staff service functions related to credentialing/privileging preferred
• Proficient with IBM PC, medical staff database
• Proficient with medical terminology
• Knowledge of federal and state regulatory requirements and accreditation standards (i.e., JCAHO, NCQA, DOC, DHS, DMHC, CMS, and Title 22)
• Strong organization, communication, and written skills with attention to detail
• The ability to function independently with minimal direct supervision
For immediate consideration, please e-mail your resume to Karen.G.Gilabochian@kp.org or visit http://jobs.kp.org for complete qualifications and job submission details, referencing job number 131280. Principals only. Kaiser Permanente is an EEO/AA Employer.
If you would like to hear the Kaiser Permanente story as told by our employees, watch the videos at kp.org/jobs/video. Follow us on twitter.com/KPCareers or visit the KP Careers tab on facebook.com/KPThrive.
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.
jobs.kp.org
KAISER PERMANENTE
Posted On April 24th, 2012
The Medical Staff Credential Coordinator must be a skilled professional who can perform all activities and functions of the medical staff department. Primarily responsible for processing medical staff and AHP’s initial and re-appointment applications, monitoring proctoring of new physicians, and maintaining the MD Staff data base.
DUTIES & RESPONSIBILITIES:
Clinical/Service Responsibilities:
1. Medical Staff credential files are kept current and contain required Licensure as mandated by Federal and State regulations.
2. Oversees to assure an up-to-date computer program to record statistics for all currently approved appointees to be used for continuous credentialing purpose and statistical data needed for appropriate in-house department.
3. Processes Temporary Privileges in accordance with Medical Staff Bylaws.
4. Oversees to assure up-to-date recording of Medical Staff attendance at Medical Staff and CME conferences.
5. Responds to referral letters from other hospitals and healthcare institutions in a timely manner. Referral letters pertaining to Medical Staff members and Allied Health Professionals are completed within 10 days of receipt.
6. Oversees monitoring of Provisional members for submission of requiring proctoring; meeting attendance; activity etc. for advancement within or by the end of the Provisional period as specified in the Medical Staff bylaws. Prepares log of Provisional members for distribution to the hospital departments on a quarterly basis.
Unit/Dept. Responsibilities:
1. Will be responsible for Coordinating the monthly Credentials Committee and three Medical Staff Committees.
2. Participates in QI activities as required.
EDUCATION/EXPERIENCE REQUIREMENTS:
1. Ability to interact and communicate with Medical Staff and Department Directors
2. Experience with Microsoft Word and familiarity with other computer/physician data base and software programs.
3. Ability to use discretion and judgment in handling confidential information.
4. Ability to work independently with little or no supervision.
5. Ability to work well with others; a team player.
6. Ability to work well under pressure to meet required deadlines.
Please contact:
Joan Scott, Director of Medical Staff, Pacifica Hospital of the Valley, 9449 San Fernando Rd, Sun Valley, CA 91352
Tel: 818-252-2231, Fax: 818-252-2462, jscott@pacificahospital.com
Visit us on the Web at www.pacificahospital.com
Posted On April 21st, 2012
JOB SUMMARY
This is a part-time position under the direction of the Clinical Director. Tarzana Treatment Centers (TTC) is private nonprofit, JCAHO-accredited, integrated behavioral health organization that serves both the public and private sectors. TTC has a small professional staff of approximately 35 practitioners that include physicians, physician assistants, and psychologists.
Responsibilities include:
• Applying JCAHO and Title XXII standards for credentialing
• Overseeing FPPE and OPPE processes
• Reviewing Medical Staff Bylaws and revising, as necessary
• Reviewing Credentialing Policies and revising, as necessary
• Preparing Credentials committee agendas and keeping minutes
• Preparing Medical Staff Executive Committee and Board of Directors reports
• Reappointment credentialing
• New applicant credentialing
• Maintaining credential files
Administrative support is available to assist with many of these activities. Certification preferred as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM). Must have prior experience overseeing credentialing of a medical staff.
Please submit your resume and cover letter to Dr. Ken Bachrach, Clinical Director at kbachrach@tarzanatc.org. If you have any questions, please call Dr. Bachrach at 818-654-3806.
Posted On April 17th, 2012
St. Rose Hospital, an independent community hospital located in Hayward, CA, has been an integral part of the local community for over 48 years. The hospital has an immediate opening for an interim to possible full time position for a Medical Staff Manager.
The Medical Staff Office Manager coordinates all internal and external activities of the Medical Staff and acts as a liaison between Medical Staff and Administration.
Essential duties include
Assists Medical Staff Officers, departments and committees in the pursuit of their responsibilities as defined in the Medical Staff Bylaws, and Rules/Regulations
Maintains primary responsibilities for the direction and coordination of all medical staff support services, monitoring functions, credentialing, recredentialing, privileging, peer review, ongoing professional practice evaluations and medical education
Coordinates and maintains Medical Staff bank accounts; bills and collects dues; makes deposits; balance checkbook; pays staff bills; prepares monthly and quarterly reports for Staff Treasurer
Provides oversight of the Medical Library
Maintains knowledge of new and changing accreditation, licensing, and educational requirements and assists in their implementation. Participates in the continuous readiness program for TJC and completes the annual PPR.
Coordinates, arranges, and staffs medical staff department and committee meetings. Records and transcribes meeting minutes and performs follow-up as required
Assists legal counsel
Assumes responsibility and accountability as Custodian of Records for all files, minutes, reports, etc., relative to the activity of the Medical Staff
Composes and distributes monthly Medical Staff Newsletter
Supervises Administrative/Credentials Secretaries
Job qualifications include:
• CPMSM Certification or willing to obtain certification within one year of employment
• AA degree or two years of college preferred
• Previous experience as a Medical Staff Coordinator/Manager or three years experience in Medical Staff setting preferred
• A minimum of five year’s supervisory experience preferred
• Must be able to communicate clearly and effectively, both verbally and in writing, with a broad range of professionals and people of varying education and backgrounds.
• Ability to adapt to changing schedules, deadlines and demands, and a heavy workload.
Compensation:
St. Rose Hospital offers a full benefit package. Compensation will depend upon experience.
Please apply online at www.srhca.org
Agencies please directly contact Rachel Lewis at (510) 264-4258.
Posted On April 1st, 2012
Arrowhead Regional Medical Center (ARMC) is a state of the art acute care hospital located just 50 miles east of Los Angeles at the foot of the San Bernardino Mountains, immediately off of Interstate 10. In 2010 we expanded from 373 patient beds to 457 patient beds, and became the first Certified Stroke Center in the Inland Empire. In addition, we recently constructed a 3-story medical office building, which houses our Residents, Physicians, Hospital Administration, Primary Care Clinic, a Cardiac Rehab Clinic, and an Outpatient Dialysis Center.
Our Medical Staff Office is seeking an experienced Medical Staff Coordinator who reviews the Medical Staff organization to ensure compliance to applicable laws, regulations, policies, and regulatory standards. This position will coordinate and maintain the Continuing Medical Education (CME) program, to meet accreditation; this includes applying for accreditation and following through on all CME activities.
Position Summary:
The position is responsible for analyzing and interpreting numerous regulations to which the medical staff by-laws, rules, regulations, and policies and procedures must conform. Additionally, the position is responsible for advising all Medical Staff departments and committees of any change or standard that impacts quality of care and Medical Staff administrative operations.
Major Position Responsibilities:
Review the American Osteopathic Association (AOA) manual and all other legislation and regulations for any changes that might impact the Medical Staff.
Research rules or practices that are affected and draft conforming language to submit to the appropriate committee for discussion and approval.
Coordinate all activities for the Continuing Medical Education program to ensure regulatory compliance.
Serve as oversight to numerous Medical Staff Committees and Departments; initiates and prepares agendas and information packets, attends meetings, prepares or supervises the preparation of minutes; coordinates necessary action, including follow-up on committee decisions.
Qualifications:
Three (3) years of professional level experience working with Medical Staff departments and committees, coordinating a Continuing Medical Education (CME) program to meet internal or external regulatory requirements.
AND
Current certification in Certified Professional Medical Services Management (CPMSM).
NOTE: Two (2) years of additional qualifying experience may be substituted for the certification.
Desired Qualifications:
Associate’s degree in Medical Staff Services Management. Strong organizational skills AND Ability to communicate effectively and professionally, both written and verbally.
To apply, please go to the following county website:
Web address: http://www.sbcounty.gov/hr/EmpOpp_JobList.aspx
Job reference id: 12- 13116-01
Posted On April 4th, 2012
Credentialing Verification Organization (CVO) Seeking a F/T Credentialing Specialist
We are a fast-paced, fully automated/paperless Healthcare credentialing company seeking an experienced, knowledgeable Credentialing Specialist to process 75+ credentialing files per week for our MANAGED CARE (NCQA) clients. This position is full-time Monday through Friday, 40 hours per week. The first 90-days will require training and working in our Fountain Valley offices and upon 90-day completion, the opportunity to telecommute MAY be offered.
We utilize Cactus software and handle a high volume of files on a monthly basis. You must be a self-starter, dependable, motivated, and able to juggle many tasks and credentialing files at one time. Must have strong knowledge of NCQA Standards. A CPCS certification is a plus, and preferred. We work paperless, utilizing two monitors and Adobe Acrobat, so your experience in a paperless environment is a huge plus.
Responsibilities will include:
• Processing incoming applications for initial credentialing and recredentialing by reviewing applications for completeness with follow-up for missing information
• Data entry of all practitioner information into our credentialing database
• Performing primary source verification requests through written/faxed/ telephone requests to meet the applicable standards (licensure, education & training, etc.)
• High level of customer service and day-to-day support provided to our clients assigned to Specialist
• Additional duties, as assigned
We offer a medical/dental/vision insurance plan, paid vacation, flexible hours, and an excellent team of people to work with!
If you feel your qualifications meet our requirements and would like to apply, please fax your resume with salary requirements to 714-782-5580 Attn: Craig Rizzi, CPCS, or email crizzi@servicesbygemini.com. No phone calls please.
Posted On March 24th, 2012
Health is our business
Make it yours. At Kaiser Permanente, we realize that it takes more than expert medical care to be one of the nation’s leading health care providers and not-for-profit health plans. It takes advanced technologies, state-of-art facilities, and the people to support them. Come impact your future, and the future of care. Join us in South San Francisco, California.
In this role, you will be a member of the Quality Outcomes Management Team and will be responsible for directing the medical staff services program that includes credentialing and privileging and medical staff business affairs as well as working closely with all of the hospital-based medical services, committees, individuals, and outside regulatory agencies.
Qualifications include:
• Four years of experience in a hospital setting with at least two years of supervisory experience
• Experience in word processing, MIDAS, and data base management
• Experience with medical staff functions
• Previous experience with CALS accreditation survey process
• A bachelor’s degree in Health Science or equivalent experience preferred
• CPCS (Certified Provider Credentialing Specialist) and/or CPMSM (Certified Professional Medical Services Management) preferred
• Participation in NCQA and The Joint Commission accreditation process
• Training in principles and tools of TQM/CQI
• Knowledge of credentialing and privileging
• Excellent written and verbal communication skills, organizational skills, and strong interpersonal skills
• The ability to work in a Labor/Management Partnership environment
We offer a highly competitive salary and an exceptional benefits package. For immediate consideration, please visit http://jobs.kp.org for complete qualifications and job submission details, referencing job number 079079. You may also call Shannon Kelly at 925-229-7694. Principals only. EOE/AA Employer.
If you would like to hear the Kaiser Permanente story as told by our employees, watch the videos at kp.org/jobs/video. Follow us on twitter.com/KPCareers or visit the KP Careers tab on facebook.com/KPThrive.
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.
jobs.kp.org
Posted On January 31st, 2012
MedAmerica is a physician practice management company providing business and consulting services to several clients, including one of the premier emergency medicine groups in multiple states.
The Provider Relations / Enrollment Manager is responsible for the daily operations of the Provider Enrollment Department. The ideal candidate will have 3-5 years of experience in credentialing and/or provider enrollment in a healthcare setting. The position requires superb communication skills, a mature grasp of organizational hierarchy, ability to prioritize tasks and projects and the discretion to know when to act independently and when to ask for guidance and/or assistance. This job is vital to the success of our clients and demands flexibility, a customer-focus, organization and a passion for details. The ideal candidate will engage in teamwork functions supporting and cooperating with team members to help keep up to date on changes in the provider enrollment field.
Minimum Qualifications:
A. 3-5 years working with government payors, physicians, and direct provider enrollment experience required. Managed care or billing background preferred. College degree required.
B. 5 years management experience with supervising a department with multiple staff members.
C. Excellent writing and presentation skills.
D. Good organizational and project management ability.
E. Ability to review managed care contracts and interpret payor regulations.
F. Successfully able to navigate payor issues and facilitate issue resolution.
G. High level of discernment, autonomy, and independent decision-making.
H. Ability to understand business structures and how this impacts provider enrollment.
I. Responsible for reviewing licensing, payor enrollment and regulations for new contracts.
J. Proven ability to communicate with executives.
K. Ability to identify opportunities for automation and using systems to integrate processes.
Why work with MedAmerica?
For the sixth year in a row, MedAmerica’s employees voted us a "Best Place to Work in the Bay Area.” We are located in the beautiful Watergate Towers complex in Emeryville overlooking the San Francisco Bay and offer a friendly, stimulating, and business casual work atmosphere. We offer a benefits package that is competitive with some of the best companies in the Bay Area. Our benefits include: complimentary fitness center, dependent care plan, medical flexible spending account, 401K program (including a very generous company match), medical, dental, vision, prescription, long term disability, and life insurance.
If you are interested in this position please email your resume with a cover letter to
recruiting@medamerica.com. Please type “PE Manager – Your Name” in the subject line. Fax (510) 879-9080
MedAmerica is an Equal Opportunity Employer.
www.MedAmerica.com
Posted On April 6th, 2012
Job Summary:
The Manager, Medical Staff Services is responsible for the overall operations within the Medical Staff Services Department. Areas included in these operations are medical staff committees; credentialing; ongoing professional practice (OPPE), and other medical staff peer review functions. The Manger provides support for the Chief of Staff, and functions as a liaison between medical staff and hospital administration. This individual is responsible for overseeing the flow of information between medical staff committees and assuring information is communicated to appropriate individuals. The Manager, Medical Staff Services assures that meetings, conferences, collegial counseling and other requested meetings of medical staff are scheduled and communicated, as appropriate. The Manager participates in the continuous readiness program for TJC and completes the annual PPR. The Manager provides oversight of the Medical Library.
Shift/Status:
Full Time Day shift
Job Qualifications Include:
Business or professional college with academic background preferred.
Experience in medical staff management preferred.
Experience working with medical staff and other health care professionals.
A minimum of five year's supervisory experience.
Certification (CMSC) by the National Association of Medical Staff Services (NAMSS) is preferred. Must be willing to obtain certification within one year of employment.
Minimum of two years experience in a role serving internal and external customers.
Excellent interpersonal relations skills with and a proven track record of leading high performance teams.
Skill in financial management, human resource management and project management, required.
Excellent organizational, clerical and computer skills.
Ability to prepare well written, well planned correspondence, minutes, reports.
Must be able to communicate clearly and effectively, both verbally and in writing, with a broad range of professionals and people of varying education and backgrounds.
Ability to adapt to changing schedules, deadlines and demands, and a heavy workload.
About Los Robles Hospital and Medical Center:
Los Robles Hospital & Medical Center located in beautiful Thousand Oaks, CA is a 359-bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties and the Greater Conejo Valley and its surrounding communities.
As the only Level II Trauma Center in East Ventura County, Los Robles Hospital is known for providing excellent medical care with compassion and kindness to each of our patients. With over 500 board certified physicians representing more than 35 specialties, Los Robles offers a full array of medical services including a 24-hour emergency department, ICU/CCU, maternity, neonatal intensive care unit, medical and surgical departments, comprehensive cancer center, heart & cardiovascular center, same day surgery, transitional care unit, and rehab center, to name a few.
Originally built in 1968, Los Robles Hospital underwent a major $120 million expansion in 2007. The new 200,000 sq. ft. building features a soaring 3-story lobby and 90 additional private patient rooms offering our patients and their loved ones a winning combination of technological advancement and compassionate, comprehensive care by a team of outstanding healthcare professionals.
And we’re not done yet. Drive through our hospital campus and you’ll see the steel frame being assembled for the new fourth floor addition. When completed, this vertical expansion and build-out of our third floor will bring another 90 new private patient rooms to our community.
With our dedicated staff, modern facilities, state-of-the-art technology, and a commitment to quality care, Los Robles Hospital has earned a reputation as a healthcare leader. Whether providing specialty care to the tiniest newborns or performing complex cardiothoracic surgery, Los Robles Hospital delivers excellence in healthcare with compassion and caring.
We are proud to be the community’s most trusted resource for health and a regional destination for care.
For detailed information or to apply, please contact:
Jane Erdman, Recruiter, Far West Division
Los Robles Hospital
215 West Janss Road
Thousand Oaks, CA 91360
P: 805-370-4085
F: 805-370-4813
jane.erdman@hcahealthcare.com
http://www.linkedin.com/pub/jane-erdman/11/820/b79