Providence

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Providence Health & Services Credentials Coordinator in Santa Monica, California

Description:

Providence is calling a Credentials Coordinator for a Full-Time/Day Shift at Saint John's Health Center in Santa Monica, CA

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We are seeking a Credentials Coordinator who will be reporting to the Sr. Manager, Medical Staff Services, this position is responsible for coordinating credentialing and recredentialing for the medical and advanced practice provider staffs.

In this position you will:

  • SERVICE:

  • Promote patient, physician, customer and employee satisfaction by personal example, treating all contacts with respect.

  • Support and participate in activities that foster customer service.

  • Communicate and follow the organizational chain of command for notification of patient care/service issues, when appropriate.

  • PEOPLE:

  • Maintain required applicable licensure, certification and education.

  • Attend and successfully complete general and department orientation, in-service programs and the annual key competencies and mandatory update requirements.

  • Participate actively in department staff meetings

  • Demonstrate effective verbal and written communications.

  • Communicate effectively in a clear, concise, understandable manner. Applicable for the populations: Adult and Geriatric.

  • Coordinate the processing of medical staff and allied health professional reapplications.

  • Assure completeness of reapplications for allied health professionals and medical staff and verifies training and experience with primary source in a timely manner as specified by the Medical Staff Bylaws, Rules and Regulations and Medical Staff Policies and Procedures.

  • Verify licensure, DEA, and Malpractice coverage with the primary source as required by the Medical Staff Bylaws, assuring that all members of the staff hold current licensure, DEA, malpractice coverage, as required by the Medical Staff Bylaws when primary verifier is not available or needs assistance.

  • Assure compliance with Medical Staff Policies and Procedures and Expectations for Medical Staff and Allied Health reappointment processing.

  • Attend Credentials Committee and Interdisciplinary Practice Committee meetings and maintains attendance records, prepares agendas, accurately takes and transcribes minutes for permanent record in accordance with Medical Staff Policies and Procedures.

  • Assure follow-up from Credentials Committee and Interdisciplinary Practice Committee to appropriate Medical Staff Departments and Committees in accordance with Policies and Procedures.

  • Institute necessary changes in the credentialing of medical staff and allied health professionals in order to assure appropriate documentation to meet JCAHO and Title 22 Standards and requirements.

  • Maintain knowledge of requirements impacting position such as Medical Staff Bylaws, Rules and Regulations, JCAHO, CMA, and Title 22 and Departmental Policy. Makes effort to ensure compliance with these parameters.

  • Assure appropriate documentation to support privileges requested at the time of reappointment.

  • Process temporary privileges for physicians when requested and obtains appropriate approval after verification of primary sources including the medical board and National Practitioner Data Bank.

  • Assist in processing of new applicants to the medical and allied health professional staff. Assures that all aspects of the credentialing are complete prior to submission to the Medical Staff for approval.

  • Coordinate the communication of information between the medical staff services department and other departments throughout the hospital including the maintenance of hospital-wide physician demographics information in the computer system.

  • Maintain current physician information using a computer filing system and notifies appropriate departments and individuals of changes.

  • Provide updates and education to staff on credentialing computer system in order to maximize use of the system in keeping with upgrades provided.

  • Answer telephones, routes callers, takes messages and reports messages, and provides routine information to callers.

  • Open and route incoming mail; distributes correspondence and other material to department staff.

  • Maintain confidentiality of departmental and committee minutes and physician credential files as well as overall confidentiality of information in accordance with bylaws, rules and regulations, policies and procedures and all regulatory standards.

  • Demonstrate willingness & ability to float to areas within the scope of practice as necessary.

Qualifications:

Required qualifications for this position include:

  • Current LA City Fire Card within 90 days of hire.

  • Three (3) years experience in Medical Staff Services specifically related to Credentialing.

  • Familiarity with other facets of Medical Staff Services Function.

  • Knowledge of operation of word processing equipment including Word Perfect/Microsoft Word, Credentialing Systems and Internet Use.

Preferred qualifications for this position include:

  • Bachelor's Degree

  • Certification by the National Association of Medical Staff Services Professionals (CMSC) Or National Certification for Credentialing (CPCS)

About the hospital you will serve:

Providence Saint John’s Health Center in Santa Monica, California, is part of Providence Health & Services, an integrated, not-for-profit network of hospitals, care centers, medical clinics, home health services, affiliated services and educational facilities in the western United States. Founded in 1942, Providence Saint John’s Health Center enjoys a reputation for clinical excellence across many disciplines.

The 266-bed health center has a medical staff of more than 900 physicians, 1,800 employees and a host of volunteers who share a commitment to providing quality care for all.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Administrative (Clinical)

Location: California-Santa Monica

Req ID: 293105

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