Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year.
Career Opportunities within Kern Medical include many benefits such as:
Compensation
The estimated pay for this position is $21.0382 to $25.8743. The rates shown includes a 6% premium pay (base= $19.2226-$23.6414 plus 6%). This reflects only a portion of the total compensation package for this position. Additional compensation may be available for this role through differentials, incentives, and bonuses. In addition, this position may be eligible for participation and company contributions into the Kern County Employees’ Retirement Plan.
Position: Medical Staff Services Coordinator
Job Description
Under direction, obtains information for and maintains credential files and temporary privilege applications for medical staff/practitioners in accordance with applicable state laws, Joint Commission on Accredited Hospital Organizations (JCAHO), Medical Board of California and Kern Medical Staff By-laws.
Coordinates processing of applications and appointments and provides administrative support for medical staff and health professionals. Monitors compliance with medical staff bylaws, rules, regulations, policies and procedure in addition to applicable federal, state and local regulatory and/or accrediting agencies.
DISTINGUISHING CHARACTERISTICS:
The classification is focused on the credentialing and privileging process associated with the medical staff/practitioners. Additionally it is responsible for a variety of support activities in the operation of the functions of the Chief Medical Officer.
Essential Functions:
OTHER FUNCTIONS:
Employment Standards:
Two (2) years of experience performing medical staff credentialing functions or providing administrative support to medical and/or management staff in a healthcare environment or any combination of the above. Qualifying experience would typically be gained in an acute care hospital, health maintenance organization or managed care facility. Membership in the California Association of Medical Staff Services and Medical Staff Coordinator certification are highly desirable.
Knowledge of: JCAHO, California Medical Board and other state and legal requirements and recommendations referencing the credentialing and reappointment process; medical staff by-laws, particularly with reference to the credentialing and reappointment process; business English including spelling, punctuation, grammar, capitalization and vocabulary; modern office methods and procedures, including business correspondence, filing systems, standard machines and office equipment; micro computer operation and a variety of software programs; business arithmetic including percentages and decimals; record keeping principles and practices.
Ability to: organize workload, set priorities and meet critical deadlines; use initiative and independent judgment within established guidelines; understand and follow oral and written instructions; develop and maintain communication and a professional working relationship with various agencies and institutions, medical staff and a variety of hospital personnel; meet and deal tactfully with the public and others; learn and utilize a variety of software programs such as word processing, spreadsheets, PRIV-PLUS and QPRAC on a micro computer.
SUPPLEMENTAL:
All Kern Medical employees are designated “Disaster Service Workers”. In the event of a disaster or civil disorder, all Kern Medical employees are to remain at work or to report to work in a safe and practicable manner.
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