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Director Regional Credentialing-Kaiser Permanente-Pasadena, CA

Posted on October 1st, 2015

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 Pasadena, California.

Director Regional Credentialing

In this role, you will be accountable for the delivery of management, consultation, and facilitation services which provide support to the medical group, region, division, MSA’s, medical centers, medical offices, and other identified sites for credentialing and privileging issues. In addition, you will be accountable for systems and quality improvement processes that ensure compliance with the Regional Credentials Policies and Procedures, the Program Office, regulatory and accrediting agencies’, as well as internal credentials requirements.

Qualifications include:

  • At least ten years of experience in health care in both administrative and/or managerial positions
  • At least two years of experience in a related clinical setting (nursing, medical records) preferred
  • A bachelor’s degree or four years of experience in a directly related field
  • A high school diploma or GED
  • Certification in a health care related field (CPHQ or CMSC) preferred
  • Demonstrated problem-solving skills and consulting skills in the area of credentialing and associated regulations
  • Expert knowledge of the credentialing process and accreditation and regulatory standards preferred
  • Experience of system and process improvements that shows forward thinking ability, initiative, and vision
  • Experience with accreditation agencies, such as: The Joint Commission, NCQA, Medicare, DMHC, and CMS preferred
  • Proficient in Medical Terminology
  • Thorough understanding of metrics and reporting out of the Medical Staff Office environment
  • Expert experience with by-laws preferred
  • The ability to lead and facilitate processes through influence and collaboration
  • Significant knowledge of Federal and State Regulatory requirements and accreditation standards
  • Strong organization and communication skills with attention to details
  • The ability to work in a Labor/Management Partnership environment

For immediate consideration, please send your resume to and visit for complete qualifications and job submission details, referencing job number 394809.

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.


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Associate Director, Medical Staff Affairs - Medical Staff Office - UCSF Medical Center - Laurel Heights Location; San Francisco, CA

Posted on September 29th, 2015

What will you discover today?
An organization as committed to your community as you are.

Our legacy of unsurpassed patient care and unceasing mission to integrate high-tech medical research with clinical operations has led to our prestigious standing as one of the top 10 hospitals in the nation according to U.S. News & World Report. As a premier health care institution dedicated to advancing health worldwide, UCSF Medical Center can also be the best place to advance and shape your career.

The medical center's employees are one of the most important reasons why we are recognized as one of the nation's best hospitals. To work at UCSF Medical Center is to be part of an institution that provides the highest caliber of care to patients; a nurturing, dynamic and team-oriented atmosphere in which to best use your skills and talents.

Associate Director, Medical Staff Affairs - Medical Staff Office
Laurel Heights Location; San Francisco, CA
Job ID # 9497

Job Summary
Within a high volume, goal driven environment (estimated target:  100 + files per week across two teams), the Medical Staff Services Manager supports the Medical Staff credentialing functions for the UCSF Medical Center, CVO contracted facilities (LPPH&C, School of Dentistry and others, as applicable), delegated health plan agreements and health plan enrollment functions. 

The manager directly supervises the medical staff credentialing staff including recruiting, hiring, orienting, training, disciplining, and terminating the credentialing staff when necessary. The manager has responsibility for monitoring productivity of credentialing and privileging processes, launching/sponsoring improvement initiatives, sustaining results for UCSF Medical Center and Langley Porter Hospitals and Clinics and maintaining compliance with external regulatory agencies.

This position actively collaborates with and provides functional expertise/knowledge to the Chair of the Credentials Committee, Committee on Interdisciplinary Practice (CIDP), the Chief Medical Officer, Department Chairs, Service Chiefs, Medical Staff Leadership on matters pertaining to privileges, credentialing and other sensitive/confidential matters.

Required Qualifications
-Master’s degree in Business Administration, Health Services Administration, Public Health, or related field, or combination of education and experience
-A minimum of seven years in healthcare environment with emphasis in medical staff operations, academic medical centers and/or provider credentialing for third party payors and health plans, with team leadership or supervisory role for at least two years 
-Advanced expertise and knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME and other applicable accreditation/regulatory requirements
-Advanced competency in a high volume, large scale enrollment paperless computer environment and mastery of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, database/reporting tools, etc.)
-Excellent ability to:  interact with all levels of management; communicate effectively, both verbally and in writing; and, function within a team and independently
-Exceptional organizational skills and ability to set priorities as well as manage multiple demands effectively and with flexibility  
-Role models and promotes best practices to maintain confidentiality and discretion to preserve
-HIPAA/Peer review protections as well as attorney-client privilege, as warranted
-Training in Performance Improvement (PI) methodologies and demonstrated ability to prevent fraud/waste/abuse while implementing organizational priorities/workplans
-CPMSM or CPCS (within one year of hire)
-The flexibility to orient and work at all UCSF Medical Center locations is required

Preferred Qualifications
-CPHQ, CPC, SQL/other database related, PI Advisor (within three years of hire)

We offer a comprehensive benefits package effective on the first day of employment and a location in the heart of San Francisco.

Apply online at
for official consideration and search using the
Job Opening ID 9497.

For more information, please contact
Cynthia Nessel at


UCSF Medical Center
UCSF Benioff Children’s Hospital San Francisco

Manager, Medical Staff Services - Kaiser Permanente - Redwood City, CA

Posted on August 13th, 2015


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, and GME.


  • At least five years of experience in a health care 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
  • High school diploma or GED
  • CPCS (Certified Provider Credentialing Specialist) and/or CPMSM (Certified Professional Medical Services Management) certificates required
  • Proficient use of computer based medical staff programs, databases, and Microsoft office programs (i.e. Word, Excel)
  • Excellent written and verbal communication, organizational, and strong interpersonal skills
  • The ability to work in a Labor/Management Partnership environment

To Apply For This Position: Please send your resume to or visit for complete qualifications and job submission details, referencing job number 371113. 

Medical Staff Coordinator - Kaiser Permanente - Woodland Hills, CA

Posted on July 20th, 2015


In this role, you will initiate the appointment/credentialing and reappointment/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. Other duties include providing medical staff service support services to professional staff by supporting professional staff committee meetings, initiating the proctoring function, tracking of 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.


• An AA degree or two years of experience in a directly related field; a bachelor’s degree is preferred
• A high school diploma or GED
• Certification as a Certified Provider Credentialing Specialist (CPCS) preferred
• CPCS or at least three years of demonstrated knowledge of medical staff service functions related to credentialing/privileging preferred
• Proficient with IBM PC, medical staff database
• Proficient with medical terminology
• Experience with Med Staff Credentialing in a hospital environment preferred
• Significant knowledge of federal and state regulatory requirements and accreditation standards (i.e., TJC, NCQA, DOC, DHS, DMHC, CMS, Title 22)
• Strong organization, communication, and written skills with attention to detail
• The demonstrated ability to function independently with minimal direct supervision
• The ability to work in a Labor/Management Partnership environment

To Apply For This Position: Please send your resume to or visit for complete qualifications and job submission details, referencing job number 368538.