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Current Job Listings

Credentialing Coordinator - Stanford Health Care - Palo Alto, CA

Posted on November 3rd, 2014

JOB SUMMARY
 
The Credentialing Coordinator (CC) is responsible for processing applications from providers for medical staff membership in the Credentialing Department.  The Credentialing Coordinator ensures that appointments and reappointments meet NCQA and TJC standards and oversees the day-to-day tasking to complete the process appropriately.  In addition, the Credentialing Coordinator interprets the Medical Staff By-Laws, Rules & Regulations, general hospital policies and procedures, and other regulations governing the Medical Staff.  This position also includes various project work.

This is a telecommute position. There will be some meetings and training held in the Medical Staff Services Department; however, the majority of the position is remote.

QUALIFICATIONS
 
1. High school graduate or equivalent required. Associates Degree preferred.
2. Two years of medical staff and/or credentialing experience required.  (ie. Experience in physician credentialing in a hospital, clinic, health maintenance organization (HMO), or insurance company is preferred.)
3. Ability to type minimum 65 wpm. required.
4. Knowledge of computer applications and word processing required. (Knowledge of Microsoft Word, Access and Excel preferred.)
5. Organizational skills and ability to communicate effectively both orally and in writing are required.
6. Ability to interact with all levels of management and able to set priorities and manage multiple demands effectively.
7. Ability to function well within a team and independently.
 
Licenses/Certifications:
 
Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional in Medical Services Management (CPMSM) required within 3 years of employment.
 
To Apply For This Position: Visit stanfordhospitalcareers.com and search for requisition 29206.

Credentials Assistant - Onrad, Inc. - Riverside, CA

Posted on November 3rd, 2014

JOB SUMMARY
This position is full-time, 40 hours per wk, M-F, with benefits. Online Radiology Medical Group is accredited by the Joint Commission (Ambulatory Care Standards), so the Medical Staff Services Department functions like a hospital MSS Dept.

The primary function of the credentials assistant is to provide support to the Medical Staff Manager and the Credentials Coordinator in the daily workflow of the Medical Staff Services office.

Under the supervision of the Medical Staff Manager, the assistant will perform technical aspects of the physician credentialing process, including accurate data management in the credentialing system, processing of physician hospital applications and reappointments, submitting and tracking new hospital applications for the group, managing the mail flow and telephone work, and other related duties as may be required. The Credentials Assistant will maintain the confidentiality of the credentials file and credentialing process at all times. 
     
QUALIFICATIONS
High school graduate with strong work ethic. Some physician credentialing experience, basic knowledge of medical terminology, experience with Word, Excel and a medical database system, ability to maintain a high level of confidentiality, excellent organizational skills, and ability to multi-task. Flexibility is a must.

To Apply For This Position: Interested parties may contact -

Kristen Guerrero
Medical Staff Services
Onrad, Inc./Online Radiology Medical Group
1770 Iowa Ave. #280
Riverside, CA 92507
Phone: 951-786-0801, Ext. 2346   Fax: 855-209-8410
Email: kguerrero@onradinc.com

Medical Staff Services Manager - Kaiser Foundation Hospital - Orange County, CA

Posted on October 5th, 2014

JOB SUMMARY

Working for an organization with the size and resources of Kaiser Permanente Southern California means having the potential to positively affect the health and well-being of entire communities. That’s because each of us from our finance, business, and IT experts to our RNs, allied health professionals, and physicians shares a commitment to providing the best possible care experience. One of the most diverse regions in the country, Southern California offers everything from quaint coastal communities to bustling urban cities, high desert plains to snowy mountain peaks. Here, you will find the cultural, lifestyle, and recreational amenities to complement your work and your life.

Come discover the resources, support, and opportunity you need to build the career you’ve always wanted. 
 
Description
Promotes quality patient care by managing the activities of the Professional Staff office in the areas of credentialing, re-credentialing, privileging and proctoring competency for Licensed Independent Practitioners (e.g., MDs, D.O.s) and Allied Health Professionals.
  
Essential Functions:
•Manages credentialing, proctoring, privileging and reappointment process for Licensed Independent Practitioners (LIPs) and Allied Health Professionals.
 •Creates operations and communications processes that support organizational strategies and business objectives.
 •Supervises Medical Staff Services office include budget management, hiring, training, and counseling staff, equipment management and quality of service.
•Acts as a liaison, technical advisor, and resource person for the professional and allied staff, administration within each site.
•Provides consulting services regarding regulatory, legal, accreditation, Program and Regional credentialing standards throughout the region.
 •Hires, trains counsels and supervises all medical staff services office personnel.
•Develops and implements mechanisms to ensure compliance to all regulatory agencies and the Professional Staff Bylaws, Rules and Regulations.
•Assists in the development of policies, procedures, protocols and privileges to support the credentialing process and makes recommendations for bylaws revision. Interprets requirements and disseminates information to all involved parties to assure necessary compliance, compatibility and continuous quality improvement of the credentialing process.
 •Partners with appropriate Program, Regional, Service Area, Medical Group individuals and groups, accrediting bodies and external consultants to develop and implement systems and processes that meet requirements and adhere to Regional Credentialing Policies and Procedures.
 •Collaborates with inter-regional peers to identify and implement best practices.
 •Supports committees as assigned.

QUALIFICATIONS

Basic Qualifications:
Experience •Minimum five (5) years of experience in health care in an administrative or managerial position related to credentialing and/or accreditation.
Education
 Bachelor's degree required, OR four (4) years of experience in a directly related field. •High School Diploma or General Education Development (GED) required.

Additional Requirements: •Significant working knowledge of federal and state regulatory requirements and accreditation standards (e.g., TJC, NCQA, DOC, DHS, Titles 22 and 16).
 •Must be able to work in a Labor/Management Partnership environment.
 
Preferred Qualifications: •Minimum three (3) years of supervisory experience preferred.
 •Certification in the area of Medical Staff Services, or Quality arena preferred.
 
To Apply For This Possition: Visit our website at http://www.kaiserpermanentejobs.org/southern-california.aspx
 

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