Credentialing Specialist jobs in Los Angeles, CA

Under general supervision, positions allocable to this class are responsible for collecting, reviewing, monitoring, and updating credentialing documentation for existing and the appointment of new medical providers.  Incumbents follow policies and procedures, established by departmental by-laws and regulatory agencies, to evaluate and verify professional licensure, education, training, experience, competencies and hospital affiliations to ensure that medical providers are appropriately qualified and privileged. Incumbents in this class are required to serve a one-year probationary period.  

Positions allocated to the Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a Multi-Service Ambulatory Care Center.

Positions allocated to the Department of Mental Health typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review committee.

Receives and processes applications for credentialing and privileging from licensed independent practitioners and allied health professionals applying for membership in the Professional Staff Association (PSA); notifies the respective department chair and the applicant of their status and time frames for completion. 

Ensures physicians, allied health professionals and other practitioners of a healthcare facility are properly licensed, trained, and certified as mandated by state and federal regulations.

Participates in the development and implementation of credentialing processes and procedures. 

CERTIFICATION: 
Successful certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services will be required before final appointment.