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, Kaiser Permanente - Los Angeles, California

Posted on January 10th, 2017

Take a stand

For your career. And for health. When you join Kaiser Permanente, you not only build a rewarding career—you impact the future of health care. The nation’s leading nonprofit integrated health plan, Kaiser Permanente is supported by the professionals who build our systems, strengthen our facilities, and shape our future. Join us and take a stand for your future in Los Angeles, California.

Medical Staff Coordinator

In this role, you will initiate the credentialing process, compile, and process data in compliance with Federal State, Program, and regional requirements. You will ensure thorough and timely verification of physician’s credentials according to regional Credentialing Policies and Procedures.

Qualifications include:

  • At least three years of experience with credentialing in a hospital or ambulatory setting
  • Experience with Med Staff or Medical Information Data Analysis System preferred
  • An associate’s degree or two years of experience in a directly related field with a high school diploma or GED
  • A bachelor’s degree is preferred
  • Certification as a Certified Provider Credentialing Specialist (CPCS) preferred
  • Proficiency with IBM PC, Database, WordPerfect, Lotus 1-2-3
  • Proficiency with medical terminology
  • Significant knowledge of Federal and State regulatory requirements and accreditation standards, e.g., TJC, TITLE 22, NCQA, NPDP, and certifying agencies
  • Strong organization and communication skills with attention to details
  • The proven ability to function independently with minimal direct supervision
  • The ability to work in a Labor/Management Partnership environment

For immediate consideration, please visit http://jobs.kp.org for complete qualifications and job submission details, referencing job number 549649.

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, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

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

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

Medical Staff Coordinator/Specialist, Zuckerberg San Francisco General Hospital, San Francisco, CA

Posted on December 7th, 2016

Medical Staff Coordinator/Specialist

Zuckerberg San Francisco General Hospital

San Francisco Bay Area

Job Description:

As the Medical Staff Services Credentialing Coordinator/Specialist, you will provide direct support, coordination and preparation to the Medical Staff department for supporting all Medical Staff credentialing functions. You will prepare for committee meetings and will also assist with the development, planning and implementation of the credentialing and privileging process as well as assist in the compliance as mandated by accrediting and regulatory agencies (i.e., TJC, NCQA, and URAC) in regards to credentialing while maintaining a working knowledge of regulations, statutes and laws. The Coordinator/Specialist verifies interim information such as current licensure; obtains peer review/professional competence documentation; prepares updated credentials files for Committee review; responds to verification requests from other facilities, state and federal agencies on a monthly basis according to the rules and policies of the hospital . In addition, you will maintain confidentiality of medical staff information and perform related duties as required.


Qualifications:

  • Education: A Bachelor's degree or equivalent experience preferred.
  • Minimum Experience: Three years’ combination of Medical Staff Services and/or Health Plan credentialing experience
  • Minimum Experience: Credentialing certification by NAMSS (CPCS) or equivalent training, proven experience and proficiency in the credentialing process for The Joint Commission and NCQA accreditation, preferred.

Contact:

Dan Schwager, JD, M.Ed., CPMSM
Director, Medical Staff Services
Zuckerberg San Francisco General Hospital and Trauma Center

Email: Dan.Schwager@sfdph.org
Phone: (415) 206-2365

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

Upcoming Events »