Job Listings

ATTENTION: Employers and recruiters can advertise their current job opening and vacancy on the CAMSS website.

The information and cost for job postings on the CAMSS website is as follows:

  • 30 Days – 100.00 (no revisions once posted)
  • 3 Months – 150.00 (savings of 50.00) (with 1 free revision if needed)
  • Revision price is 25.00 per revision/reposting
  • Please provide a detailed job description and include contact information with how/to whom applicants should apply as well as a contact person for the posting
  • Provide contact person of who will be responsible for payment

Payment options:

  • Credit Card Payment through PayPal – please await an invoice from the CAMSS Treasurer in order to pay via credit card
         ♦   Job listing will be posted within 3 business days if paying via credit card
  • Via Check :
         ♦   Payable to “CAMSS”
         ♦   Memo/note – Job posting, date and hospital name 
         ♦   Send check to – Brian Bowlin – CAMSS Treasurer – 12277 Apple Valley Rd, #292, Apple Valley CA 92308
         ♦   *Please note, job will NOT be posted until check has been received

Submission Process:

Quick Links to Job Listings

Current Job Listings

Medical Staff Coordinator, Rady Children’s Hospital, San Diego, CA

Posted on December 2nd, 2016

Rady Children’s Hospital-San Diego – innovation belongs in every moment

Medical Staff Coordinator

For over 60 years, the employees of Rady Children’s Hospital-San Diego have helped to make us San Diego’s trusted source for quality pediatric care. Rady Children's is one of only 15 children's hospitals in the country with all 10 specialties ranked by U.S. News & World Report in the top 40.

Rady Children’s Hospital-San Diego is the region’s pediatric medical center serving San Diego, Imperial and southern Riverside counties.  We are:

  • The sixth largest children’s hospital in the country
  • The only hospital in the San Diego area dedicated exclusively to pediatric healthcare
  • The region’s only Level 1 pediatric trauma center
  • Provider of care to almost 90% of the region’s children

The Medical Staff Coordinator will initiate and complete the credentialing process for initial appointment and reappointment to the medical staff. The coordinator will obtain, verify and analyze all primary source verifications and information related to medical staff (or AHP staff) applicants and re-applicants for membership and clinical privileges. S/He will facilitate the review and approval process by medical staff leadership; notify leadership of potential issues timely, initiate follow-up, and prepare all correspondence for committee review. This candidate will also Interface with medical staff leadership, hospital leadership and chairs of supported medical staff committees and departments to ensure that issues requiring action are reviewed in a timely manner and results are thoroughly documented and disseminated to the appropriate parties for further review/action appropriately. Responsible for coordination of assigned medical staff committees, and ensure information is reported and routed appropriately for approval. Lastly, this candidate will oversee the completion and adequacy of proctoring and privileging, and ensure that practitioner privileges granted are based on adequate experience, education and training, current clinical competence, and necessary documentation to support such requests.

Minimum Qualifications:

  • High School Diploma or GED
  • CPCS or CPMSM certification required. If not certified, must obtain certification within 1 year of hire date.
  • Three years of acute care experience required
  • Demonstrated knowledge of TJC and CMS accreditation principles related to credentialing and privileging, and medical staff standards related to an acute care facility
  • Two years of Medical Staff Committee coordination experience, including agendas, minutes and follow-up correspondence
  • Expert in MS Office applications

Preferred Qualifications:

  • Associate's Degree in medical staff sciences or health sciences
  • Five years of acute care experience
  • Knowledge of credentialing software to support the appointment and reappointment process (MD-Staff)

Apply online at: http://jobs.rchsd.org/medical-staff-coordinator-full-time-benefits-eligible/job/6357611

EEO/AA/Minorities/Females/Disabled/Veterans

Medical Staff Data Specialist, Huntington Hospital, Pasadena, CA

Posted on November 14th, 2016

Medical Staff Data Specialist

At Huntington Hospital, in Pasadena, CA, it is our focus on delivery of care that sets us apart as a medical center that is differentiated by the depth of our commitment to quality, service, and cutting edge care. It is evident along every step of the continuum of our care, from general medicine to our nationally recognized specialized programs, as well as our leadership as the San Gabriel Valley’s only Level II Trauma Center and Level III NICU.

We have an exceptional opportunity for a Medical Staff Data Specialist truly vested in supporting the overall success of our patients and quality of our organization.

Job Summary
The Data Specialist is involved in all aspects of the Medical Staff’s data management process, which includes gathering and inputting, reporting, analyzing, collating and distributing data results on various projects (e.g.  Dashboards, Core Measures, Quality Management, etc.). This individual also supports other departmental administrative functions (as needed). Working knowledge of Microsoft Excel, Word, Power Point and ideally Access. 

Job Requirements
The ideal candidate must have at least a High School diploma or equivalent.  College credits preferred.  Must have experience in data entry.  Must have a working knowledge of Microsoft Office suites. Must demonstrate competency in Excel at an intermediate to advanced level.  Knowledge of MDStaff and credentialing a plus. 

An Extraordinary Experience in an Extraordinary Setting

Huntington Hospital is a 625-bed non-profit regional medical center. We are renowned for our commitment to compassionate care and recognized for excellence in over 90 service areas, and continue to stand as an impressive reminder of the leading-edge care we provide to our community.

We invite you to learn more about our organization, our benefits and this exciting opportunity by visiting our website:  www.hhcareers.com

Careers at a Higher Level
We value diversity in our workforce
Equal Opportunity Employer

Manager Utilization Management, Blue Shield of California, Rancho Cordova, CA

Posted on November 4th, 2016

Manager Utilization Management

There's never been a better time to join Blue Shield!

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. 
We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.

Job Details           

 Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, IPA/MGs, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care. Provides guidance to the provider network. Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care. May provide case management to member segments with chronic or catastrophic illness. Specific licensing requirements may apply depending upon position i.e. LVN or RN responsibilities. Establishes operational objectives for department or functional area and participates with other managers to establish group objectives. Responsible for team, department or functional area results in terms of planning, cost and methods. Participates in the development and implementation of the annual budget. Ensures work flow procedures and guidelines are clearly documented and communicated. Interprets or may initiate changes in guidelines/policies/procedures. May lead special projects/committees/task forces.

Job Required Education/Experience

Supervisory Responsibilities Generally requires Bachelor's degree or equivalent work experience and thorough experience in Nursing, Health Care Administration or related field. Directs and controls the activities of one or more smaller/less complex department(s) or functional area(s) through subordinate supervisors/team leads. May manage staff directly or have managerial responsibility for a functional area without subordinate employees. Has full management responsibility for staff (i.e. salary actions, promotions, performance reviews, and disciplinary matters) in accordance with the organization's policies and applicable laws. Monitors on-going performance and communicates expectations and results. Provides developmental and training opportunities for team members. Identifies staffing needs and objectives.

Job Additional Education/Experience

Strong working knowledge of managed care operations, comfortable managing commercial, PPO populations, positive relationship and interactions with IPA's Medical Groups, Hospitals.  Strong clinical judgement and experience with Medicare and Behavioral Health.
Working knowledge of MCG, Milliman Care Guidelines, Interqual guidelines.

For immediate consideration, please apply at:  https://sjobs.brassring.com/TGnewUI/Search/Home/Home?partnerid=25386&siteid=5192

Utilization Care Management, Blue Shield of California, Rancho Cordova, CA

Posted on November 4th, 2016

Utilization Care Management

There's never been a better time to join Blue Shield!

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. 
We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.

Job Details           

Performs advanced or complicated case review and determines first level approvals for prior authorization of services, inpatient, outpatient and/or ancillary services. The review process requires interpretation and application of evidenced based criteria as established by Blue Shield of California (BSC) medical policy and other approved resources. Clinical judgment and detailed knowledge of benefit plans used to complete review decisions. Acts as liaison between the member, the provider and the health plan to utilize appropriate and cost effective resources. Ultimate goal is Discharge (DC) planning and to return patient to cognitive and physical condition prior to event that triggered treatment.

  • Performs prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinical criteria across lines of business or for a specific line of business such as Medicare and FEP.
  • Ensures diagnosis matches ICD-9 & ICD-10 codes.
  • Conduct UM/care management (CM) review activities with delegated entities as necessary. Manages member treatment in order to meet Recommended Length of Stay.
  • Ensures discharge (DC) planning at levels of care appropriate for the members’ needs and acuity.
  • Determines discharge (DC) plan by assessing cognitive and physical status.
  • Determines post-acute needs of patient, levels of care, equipment, how event is going to impact patients status.
  • Ensures quality, cost-effective DC planning.
  • Triages and prioritizes cases to meet required turn-around times.
  • Expedites access to appropriate care for members with urgent needs using expedited review process.
  • Prepares and presents cases to Medical Director (MD) as required by law for medical necessity determination.
  • Communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirements.
  • Develops and reviews member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standards.
  • Identifies potential quality of care issues, service or treatment delays and intervenes or as clinically appropriate. Provides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments as necessary.
  • Identifies potential Third Party Liability and Coordination of Benefit cases and notifies appropriate internal departments.
  • Manages multiple complex cases including lower level of care. Supports Lead UM Care manager including precepting, audits and special projects. Acts as resource and educator for colleagues.

Job Required Education/Experience

Current Active CA RN License.
Bachelors of Science Degree in Nursing preferred.

Proficient knowledge of NCQA, URAC, federal and state requirements. Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets desirable.
Demonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care.
Demonstrated and evolving competence in UM functions and understanding of BSC book of business.
Proficient in program operations and metrics.

Minimum Experience Level: Requires extensive experience in nursing, 3-4 years acute clinical experience and 3 years utilization management preferred.

Supervisory Responsibilities: Monitors Clinical Support Coordinators (non-clinical) in the performance of UM support activities Quality assurance and regular performance audits. Training and mentoring backup to Lead as needed.

For immediate consideration, please apply at:  https://sjobs.brassring.com/TGnewUI/Search/Home/Home?partnerid=25386&siteid=5192

Case Management Manager, Blue Shield of California, Rancho Cordova, CA

Posted on November 4th, 2016

Case Management Manager

There's never been a better time to join Blue Shield!

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. 
We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.

Job Details           

Working with a clinical and non-clinical team that support members with complex need cases to promote the delivery of quality services. The non-clinical team members support the care management team to outreach and engage members that may be in need of support. Additionally oversight includes clinical case managers supporting members with complex conditions.

Responsibilities:

Establishes operational objectives for department or functional area and participates with other managers to establish group objectives. Leads team through effective change management process for successful completion of goals.  Responsible for team, department or functional area results in terms of planning, cost and methods. Ensures work flow procedures and guidelines are clearly documented and communicated. Interprets or may initiate changes in guidelines/policies/procedures. May lead special projects/committees/task forces.

Job Required Education/Experience

Generally requires Bachelor's degree or equivalent work experience and thorough experience in Nursing, Health Care Administration or related field (5+ years).

Active California RN license. 

Directs and controls the activities of one or more smaller/less complex department(s) or functional area(s) through subordinate supervisors/team leads. Has full management responsibility for staff (i.e. salary actions, promotions, performance reviews, and disciplinary matters) in accordance with the organization's policies and applicable laws. Monitors on-going performance and communicates expectations and results. Provides developmental and training opportunities for team members. Identifies staffing needs and objectives. Strong supervisory/management, communication and negotiation skills and experience required. Comprehensive knowledge of case management, discharge planning, utilization management and community resources. Transplant and call center experience a plus. Able to operate PC-based software programs including proficiency in Word and Excel.

Job Additional Education/Experience

1.)  Position oversees complex needs CM area as well as initial member outreach & engagement staff in a call center-type setting.
2.)  Health Plan/Case Management managed care experience required.

For immediate consideration, please apply at:  https://sjobs.brassring.com/TGnewUI/Search/Home/Home?partnerid=25386&siteid=5192

Medical Staff Coordinator, Desert Regional Medical Center, Palm Springs, CA

Posted on September 26th, 2016

Medical Staff Coordinator
Desert Regional Medical Center, The Hospital You Trust To Care For Those You Love, seeks a qualified Medical Staff Coordinator dedicated to providing outstanding quality work! Consider joining us in the beautiful city of Palm Springs where you can enjoy a variety of activities year round, dine at the many outstanding local restaurants, and surround yourself with incredible mountain views wherever you look!

Position Summary
The selected candidate will perform credentialing activities and other Medical Staff functions in accordance with Joint Commission accreditation standards, state and federal regulatory requirements, and medical staff bylaws, rules and regulations.

Responsibilities

  • Perform initial credentialing, reappointment, ED call schedule, and CME functions.
  • Support committee/department meetings.
  • Monitor and update expirables.
  • Carry out other administrative tasks as needed. 

Qualifications

  • Certification by the National Association of Medical Staff Services (either CPMSM or CPCS) with at least two years’ Medical Staff Services experience required; five years’ Medical Staff Services experience preferred.
  • Knowledge of Joint Commission, Title 22, federal, state, and other related regulatory requirements.
  • A minimum of three years’ experience working in a healthcare facility as a CME Coordinator with positive experience in obtaining outside grants for CME programs is a plus.
  • Knowledge of Institute for Medical Quality and California Medical Association standards for accreditation of CME programs desirable.
  • Knowledge of the Accreditation Council for Continuing Medical Education Essentials and Standards for Commercial Support of CME preferred.
  • Excellent verbal and written communication skills.
  • Knowledge of medical terminology and extensive experience with Word, Excel, PowerPoint, and credential software programs.
  • Ability to function autonomously, set priorities and work well under pressure.
  • Ability to work in a multi-faceted, fast paced, highly productive office prone to many interruptions.
  • Detail oriented with exceptional organizational skills and the ability to work efficiently and accurately with minimal supervision.
  • Flexibility in order to accommodate meeting schedules.
  • Ability to work with and maintain confidential information.
  • Ability to work professionally, cooperatively and courteously with co-workers, physicians, administration, and all other hospital staff/departments.

As part of Tenet Healthcare, Desert Regional Medical Center offers a competitive benefits package, including 401(k), income replacement, medical/vision/dental/life insurance after 31st day of employment, paid time off, online educational program, tuition reimbursement, student loan repayment program, and employee stock purchase plan.

For immediate consideration, apply at: https://jobs.tenethealth.com/job/palm-springs/medical-staff-coordinator-full-time-days/1127/2837629

EOE

Provider Services Credentialing Specialist, Central California Alliance for Health, Scotts Valley, CA

Posted on September 6th, 2016

Under supervision, this position coordinates the provider credentialing function; ensures ongoing monitoring of contracted and non-contracted providers; provides backup support to the Credentialing Manager, as needed, in the oversight of the delegated credentialing process for appropriate subcontractors; maintains knowledge of current credentialing related regulations, industry standards and best practices; and performs other duties as assigned.

This position requires a high school diploma or equivalent and two (2) years of experience in managed care, hospital credentialing, or license verification and/or auditing, in a health services or government assistance program, or any combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying. Experience with credentialing software (eVips specifically), data entry and reporting strongly preferred. Certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred.

This is a non-exempt position. The hourly rate ranges from $24.18 (min) to $36.79 (max).  Compensation is based on experience, education, and qualifications.  No telephone calls please.

Applicants, apply via our careers website at http://www.ccah-alliance.org/careers.html.  If you would like to send an email with questions, you may email careers@ccah-alliance.org.  Please note, we do not accept resumes/applications through this email, you must apply via our careers website. 

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