Medical Staff Coordinator, UCSF Campus and Health

Posted on January 16th, 2025

JOB DESCRIPTION:

Job Summary

Initiates and cultivates partnerships with department management, medical staff and hospital leadership to ensure compliance and optimal efficiency for appropriate membership, credentialing and privileges for UCSF Health Saint Francis and St. Mary's medical staff. First responder to onboarding and revenue channel disruptions as well as performs auditing functions under facility bylaws, rules, and regulations; credentialing policy and procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.). Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/work plans. Implements policy and procedures, provides training and orientations to a variety of constituents, and supports efforts to sustain best practices.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $63,700 - $136,100 (Annual Rate)

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

The Office of Medical Affairs and Governance provides credentialing services for the UCSF Health System and is also responsible for privileging, governance, and health plan enrollment for the Health System, including the Community Hospitals division (UCSF Health St. Mary's and UCSF Health Saint. Francis Hospitals.

Required Qualifications

* Bachelor's degree in a related area and/or four years of equivalent experience/training.

* Three years relevant work experience in a similar environment (i.e.: audit, credentialing, compliance, healthcare, quality, process improvement).

* Proven ability to apply external regulatory guidelines and internal accounting and administrative policies knowledge and skills to assess and monitor compliance and effectiveness of processes.

* Solid skills to evaluate issues and identify solutions. Demonstrated ability to solve problems and suggest solutions through critical thinking processes.

* Ability to independently set and meet deadlines while multi-tasking and assigning precedence to competing priorities.

* Ability to see multiple assignments through to completion on deadline.

* Skills to work collaboratively coordinate and integrate with others throughout the department, hospital, and campus.

* Ability to communicate through all mediums and with all groups and work under pressure of constantly changing deadlines and priorities.

* Ability to perform all commonly applicable functions in Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database applications.

* Thorough knowledge of data management and documentation methods used in medical credentialing.

* Advanced competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web-based applications, tools, etc.)

* Role models and promote best practices to maintain confidentiality and discretion to preserve

* HIPAA/Peer review protections as well as attorney-client privilege, as warranted.

* The ability to work in San Francisco when reuqired.

Preferred Qualifications

* Experience working in a community hospital environment.

* Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACCME, and other applicable accreditation/regulatory requirements

License/Certification

At least one of these below Certifications must be obtained within 18 months of hire date:

* Certified Provider Credentialing Specialist (CPCS)

* Certified Professional Medical Services Management (CPMSM)

About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve, a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence � also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity, both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

To apply for this position, please copy and paste the following link into your browser address bar: https://UCSFMC.contacthr.com/144893029

PAY TYPE: Annual

LOW BASE PAY: Competitive

HIGH BASE PAY: Competitive

PAID RELOCATION: Not Specified

CITY: San Francisco

STATE/PROVINCE: CA

POSTAL CODE: 94102

COUNTRY: United States

JOB FUNCTION: Clerical

Director of Medical Staff Services, UCSF Campus and Health

Posted on January 16th, 2025

JOB DESCRIPTION:

Job Summary Responsible for the credentialing and privileging operations for UCSF Health Saint Francis and St. Mary's Hospital medical staff. Recruits, selects and develops new/existing talent to support the continued credentialing and privileging in a high volume, fast-paced environment. Oversees appropriate application processing of new and existing providers, and ongoing competency review processes for providers who render patient care at UCSF Saint Francis and St. Mary's Hospitals and clinics. Facilitates and oversees monthly approval process and appropriate follow-up of recommendations & approvals through regularly held committee review bodies. Applies functional knowledge and development of medical staff credentialing and privileging standards/policies and operations to advise and collaborate with UCSF Health Saint Francis and St. Mary's leadership in accomplishing strategic initiatives.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $94,400 - $201,800 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

The Office of Medical Affairs and Governance provides credentialing services for the UCSF Health System and is also responsible for privileging, governance, and health plan enrollment for the Health System, including the Community Hospitals division (UCSF Health St. Mary's and UCSF Health Saint Francis Hospitals).

Required Qualifications

* Bachelor's degree in a related area or four years of equivalent experience/training.

* Four years of relevant work experience in a similar work environment (i.e. Leader, Director, Manager, or Supervisory role)

* Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACCME, and other applicable accreditation/regulatory requirements.

* Strong knowledge of external regulations, credentialing best practices, and clinical operations to implement in an acute care setting. Knowledge of Human Resource policies and processes.

* Strong strategic skills to develop long-range plans, and abilities to solve complex, wide-reaching problems when no precedent exists.

* Ability to exercise professional judgment in handling sensitive and confidential issues with discretion. Demonstrated sensitivity to political situations and confidential issues.

* Knowledge of organization structure and change management skills to streamline systems and design processes to improve the efficiency of operations.

* Strong collaboration skills, and ability to build and maintain relationships with physicians, clinical department heads, and senior management.

* Strong management and conflict resolution skills to effectively lead and motivate others. Successful background working with peers, patients, multidisciplinary team members, executives, assigned staff, and representatives of regulatory agencies.

* Skills to consistently interact with all members of the organization in ways that enhance understanding, respect, cooperation, and problem-solving.

* Advanced ability to quickly evaluate complex issues and identify multiple options for resolution.

* Strong knowledge of the approaches and methods of process improvement, including planning, setting priorities, systematic performance assessment, implementation of process improvements based on such assessment, and maintaining achieved improvement.

Preferred Qualifications

* Certified Professional Medical Services Management (CPMSM) certification is preferred and required within 18 months of hire.

* Certified Provider Credentialing Specialist (CPCS) is preferred if a candidate does not hold CPMSM certification

* Experience in working in a medical staff office of a community hospital.

License/Certification
n/a

About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence, also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity, both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

To apply for this position, please copy and paste the following link into your browser address bar: https://UCSFMC.contacthr.com/144893028

PAY TYPE: Annual

LOW BASE PAY: Competitive

HIGH BASE PAY: Competitive

PAID RELOCATION: Not Specified

CITY: San Francisco

STATE/PROVINCE: CA

POSTAL CODE: 94102

COUNTRY: United States J

OB FUNCTION: General

Medical Staff Analyst, UCSF Campus and Health

Posted on January 16th, 2025

JOB DESCRIPTION: J

ob Summary

Applies extensive knowledge of credentialing regulations and internal practices in resolving complex licensure cases, performs complex analysis to assess the consistency and application of processes, and proposes improvements to department operations.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on several factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $67,000 - $143,800 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

The Office of Medical Affairs and Governance provides credentialing services for the UCSF Health System and is also responsible for privileging, governance and health plan enrollment for the Health System, including the Community Hospitals division (UCSF Health St. Mary's and UCSF Health Saint Francis Hospitals).

Required Qualifications

* Bachelor's degree in a related area or four years of equivalent experience/training.

* Four years of relevant work experience in a similar environment (i.e.: audit, credentialing, compliance, healthcare, quality, process improvement).

* Maintains a broad range of external regulatory best practices and accounting and administrative operations. Proven ability to apply knowledge to recommend improvements.

* Advanced critical and analytical thinking regarding complex and long-term projects. Ability to recognize impediments, creatively address new problems, develop alternative plans, and formulate solutions.

* Advanced organizational and project management skills, including the ability to anticipate and plan for complex situations, define objectives, and adjust plans. Ability to see multiple assignments through from inception to completion on schedule.

* Ability to maintain professional demeanor while working under pressure of constantly changing deadlines and priorities; possesses poise, diplomacy, discretion, initiative, resourcefulness, and a service orientation.

* Demonstrated advanced computer skills using Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database application.

* Advanced knowledge of data analysis, research, and reporting, particularly regarding licensure compliance. Thorough knowledge of data management and documentation methods used in medical credentialing.

* Advanced competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web-based applications and tools, etc.)

* Role models and promote best practices to maintain confidentiality and discretion to preserve

* HIPAA/Peer review protections as well as attorney-client privilege, as warranted.

* Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME, and other applicable accreditation/regulatory requirements.
 

Preferred Qualifications

Experience in working in a medical staff office of a community hospital.

License/Certification

The incumbent must obtain one of these certifications within 18 months of hire:

* Certified Provider Credentialing Specialist (CPCS)

* Certified Professional Medical Services Management (CPMSM)

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence, also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity, both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

To apply for this position, please copy and paste the following link into your browser address bar: https://UCSFMC.contacthr.com/144892987

PAY TYPE: Annual

LOW BASE PAY: Competitive

HIGH BASE PAY: Competitive

PAID RELOCATION: Not Specified

CITY: San Francisco

STATE/PROVINCE: CA

POSTAL CODE: 94102

COUNTRY: United States

JOB FUNCTION: Clerical

Medical Staff Services Supervisor 2, UCI Health

Posted on January 16th, 2025

Medical Staff Services Supervisor 2 - Medical Staff Admin - FT Days HYBRID

Req ID: 93209

Location: Irvine, California

Division: Medical Center

Department: Medical Staff Admin

Position Type: Full Time

Salary Range Minimum: USD $77,000.00/Yr.

Salary Range Maximum: USD $139,200.00/Yr.

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, https://www.ucihealth.org/locations/orange/uci-medical-center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only https://www.ucihealth.org/news/2022/04/uci-cancer-center-renewed-as-nci-comprehensive-center, https://www.ucihealth.org/medical-services/maternity/high-risk-pregnancy and American College of Surgeons-verified https://www.ucihealth.org/medical-services/trauma-critical-care-surgery, https://www.ucihealth.org/news/2023/06/geriatric-emergency-care and https://www.ucihealth.org/medical-services/burn-center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit https://www.ucihealth.org/

Your Role on the Team

Position Summary:

The Principal Credentialing Specialist is responsible for acting as the lead Credentialing Specialist and assists in the development, implementation and monitoring of the credentialing process required by State and Federal laws, hospital accreditation and NCQA standards. Specific duties include, but are not limited to: acting on behalf of the Director in his/her absence, managing the work flow of other Credentialing Specialists, preparing for and follow up on outstanding issue for the Credentialing Committee, reviewing all files for accuracy and completeness, performing credentialing analysis, reviewing physician data management, and preparing policies and procedures to meet licensing standards. Additionally, will act as the delegate for all Managed Care Audits, reviewing files and presenting files during all audits. Prepares a variety of documents using a number of databases, graphics, spreadsheets, and word processing software applications. Provides general office support services (e.g. filing, telephones, word processing, etc.) as required or directed.

What It Takes to be Successful

Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our https://www.hr.uci.edu/partnership/totalrewards/compensation.php and https://hr.uci.edu/partnership/benefits/.

Required Qualifications:

• Strong analytical and problem solving skills and the ability to plan strategically

• Strong Knowledge of Joint Commission JCAHO, NCQA, and Title 22 regulations

• Required to be the subject matter expert in the job function

• Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties

• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

• Must demonstrate customer service skills appropriate to the job

• Must be able to exercise considerable latitude in determining objectives and approach to work

• Must be able to exercise considerable independence in developing problem-solving methodologies

• Must be able to consult with all levels of management

• Excellent written and verbal communication skills in English

• Excellent working knowledge of MS Office products

• Demonstrated understanding of medical terminology

• CPCS and/or CPMSM Certified

• Bachelor Degree in related field or equivalent education and experience

• Ability to persuade or influence people to take appropriate action

• Ability to maintain a work pace appropriate to the workload

• Ability to establish and maintain effective working relationships across the Health System

• Ability to coordinate and resolve issues in a timely manner

• Ability to apply sound judgment in ambiguous situations and effectively manage change

• 5-8 years' experience in credentialing medical staff

Preferred Qualifications:

• Knowledge of University and medical center organizational structure, policies, procedures, and forms

• Dual Certification in any of the following areas: CPMSM, CPCS, CPHQ

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan

• Legal Right to Work in the United States

• Vaccination Policies

• Smoking and Tobacco Policy

• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act

• E-Verify

• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an https://policy.ucop.edu/doc/4010393/PPSM-20. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC https://policy.ucop.edu/doc/1001004/Anti-Discrimination.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at mailto:eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization

To apply, visit https://apptrkr.com/5915125

Sr Credentialing Specialist, UCI Health

Posted on January 16th, 2025

Sr Credentialing Specialist - Medical Staff Admin - F/T Days HYBRID

Req ID: 92955

Location: Irvine, California

Division: Medical Center

Department: Medical Staff Admin

Position Type: Full Time

Salary Range Minimum: USD $69,500.00/Yr.

Salary Range Maximum: USD $123,500.00/Yr.

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, https://www.ucihealth.org/locations/orange/uci-medical-center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only https://www.ucihealth.org/news/2022/04/uci-cancer-center-renewed-as-nci-comprehensive-center, https://www.ucihealth.org/medical-services/maternity/high-risk-pregnancy and American College of Surgeons-verified https://www.ucihealth.org/medical-services/trauma-critical-care-surgery, https://www.ucihealth.org/news/2023/06/geriatric-emergency-care and https://www.ucihealth.org/medical-services/burn-center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit https://www.ucihealth.org/

Your Role on the Team

Position Summary:

Incumbent is an advanced technical professional who functions with minimal supervision applying extensive knowledge and expertise in the field to problem solve, formulate strategies in unique and complex situations, and administer policies, processes, and resources. The Senior Credentialing Specialist serves as an essential link and resource between department senior management and the medical staff to coordinate the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Medical Staff Administration Department. Responsible for review, analysis and follow up, and processing credentialing and privileging applications and ensuring compliance with organizational policies and accrediting and regulatory standards. Responsible for meeting management to the Credentials Committee. Acts as mentor to other credentialing specialists, and provides other support and assistance within the department as needed or assigned.

What It Takes to be Successful

Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our https://www.hr.uci.edu/partnership/totalrewards/compensation.php and https://hr.uci.edu/partnership/benefits/.

Required Qualifications:

• Must possess the skill, knowledge and abilities essential to the successful performance of assigned duties

• Must demonstrate customer service skills appropriate to the job

• Minimum of five (5) years in the overall field with expertise in specific areas, including credentialing, privileging, formulating strategies, and administering policies and processes

• Knowledge of FPPE/proctoring processes and procedures

• Excellent verbal and written English communication skills

• Discretion and judgment in the handling of confidential and/or sensitive information

• Demonstrated skill and ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities

• Demonstrated advanced skill and proficiency in MS Office Suite (Outlook, Word, Excel, PowerPoint, SharePoint)

• Demonstrated advanced knowledge in data analysis, research and reporting, particularly with respect to licensure compliance

• Demonstrated ability to multi-task and manage time and prioritize projects efficiently and effectively

• Demonstrated ability to apply sound judgment and formulate strategies in ambiguous situations and effectively manage change

• Demonstrated ability to apply knowledge and recommend viable solutions for complex situations

• Current NAMSS certification as CPCS and/or CPMSM

• Bachelor's degree in related area and / or equivalent experience / training

• Advanced knowledge of Joint Commission, CMS Conditions of Participations, and NCQA and Title 22 accreditation standards and regulations

• Advanced knowledge and expertise in medical staff credentialing and privileging processes and procedures

• Advanced analytical, critical thinking, organizational, and project management skills

• Ability to maintain professional demeanor and poise while working under pressure, meeting deadlines, and managing changing priorities

• Ability to maintain a work pace appropriate to the workload

• Ability to complete job responsibilities with a high degree of accuracy under minimum supervision

Preferred Qualifications:

• Minimum of two (2) years meeting management experience

• Knowledge of university and medical center organizations, policies, procedures, and forms

• Experience with MD-Staff Credentialing Database Software

• Dual NAMSS certification as CPMSM and CPCS

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan

• Legal Right to Work in the United States

• Vaccination Policies

• Smoking and Tobacco Policy

• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act

• E-Verify

• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an https://policy.ucop.edu/doc/4010393/PPSM-20. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC https://policy.ucop.edu/doc/1001004/Anti-Discrimination.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at mailto:eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization

To apply, visit https://apptrkr.com/5915124

Medical Staff Service Specialist III, UCI Health

Posted on January 16th, 2025

Medical Staff Service Specialist III - Medical Staff Admin - F/T Days HYBRID

Req ID: 92963

Location: Irvine, California

Division: Medical Center

Department: Medical Staff Admin

Position Type: Full Time

Salary Range Minimum: USD $63,800.00/Yr.

Salary Range Maximum: USD $111,600.00/Yr.


Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, https://www.ucihealth.org/locations/orange/uci-medical-center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only https://www.ucihealth.org/news/2022/04/uci-cancer-center-renewed-as-nci-comprehensive-center, https://www.ucihealth.org/medical-services/maternity/high-risk-pregnancy and American College of Surgeons-verified https://www.ucihealth.org/medical-services/trauma-critical-care-surgery, https://www.ucihealth.org/news/2023/06/geriatric-emergency-care and https://www.ucihealth.org/medical-services/burn-center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit https://www.ucihealth.org/

Your Role on the Team

Position Summary:

Incumbent is an experienced professional who applies credentialing theory, knowledge, and in-depth understanding of the field to perform a full range of responsibilities within this role. This individual is responsible for assisting in the development, implementation, and monitoring of credentialing processes and procedures required by the Medical Staff bylaws, state and federal laws, hospital accreditation, and NCQA standards. Credentials practitioners, maintains accurate physician data, coordinates Medical and/or University Physicians and Surgeons (UPS) staff meetings, prepares a variety of reports and prepares policies and procedures to meet licensing requirements. Provides suggestions for improvements in department credentialing and licensure and serves as a liaison between the medical staff and all departments to provide overall continuity. Incumbent provides other general administrative support to the department as needed or assigned.

What It Takes to be Successful

Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our https://www.hr.uci.edu/partnership/totalrewards/compensation.php and https://hr.uci.edu/partnership/benefits/.

Required Qualifications:

• Thorough knowledge of data management and documentation methods used in medical credentialing

• Strong interpersonal and organizational skills

• Strong analytical and problem solving skills and the ability to think critically and provide workable solutions

• Proficient in Microsoft Office, Word, PowerPoint, Excel and Outlook

• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

• Must demonstrate customer service skills appropriate to the job

• Must become CPMSM and/or CPCS certified within 12 months of employment

• Minimum of two (2) years relevant credentialing experience

• Knowledge of the Joint Commission and NCQA standards, California Code of Regulations Title 22 and CMS regulations regarding Conditions of Participation

• Excellent written and verbal communication skills in English

• Demonstrated understanding of medical terminology

• Bachelor's degree in related area and / or equivalent experience / training

• Ability to use sound judgment in ambiguous situations and effectively manage change

• Ability to maintain a work pace appropriate to the workload

• Ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities

• Ability to establish and maintain effective working relationships across the Health System

• Ability to coordinate and resolve issues in a timely manner

• Ability to complete job responsibilities accurately with limited supervision and oversight

Preferred Qualifications:

• Knowledge of University and medical center organizations, policies, procedures and forms

• Current NAMSS certification as CPCS and/or CPMSM

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan

• Legal Right to Work in the United States

• Vaccination Policies

• Smoking and Tobacco Policy

• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act

• E-Verify

• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an https://policy.ucop.edu/doc/4010393/PPSM-20. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC https://policy.ucop.edu/doc/1001004/Anti-Discrimination.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at mailto:eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization

To apply, visit https://apptrkr.com/5915123