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Credentialing Specialist

San Joaquin General Hospital

Recruitment #0718-RO4130-TM

Introduction

This examination is being given to fill one vacancy in the Medical Staff Department at San Joaquin General Hospital and to establish a referral list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline.

NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail.

 

TYPICAL DUTIES

  • Collects, monitors and evaluates all credentialing and recredentialing documentation for applicants, medical staff members and allied health professionals in Health Care Services; ensures applications are complete in accordance with department by-laws, rules and regulations, Joint Commission on Accreditation of Health care Organizations (JCAHO) Medical Staff Standards, Department of Health Services (DHS), California Medical Association (CMA), state and federal requirements, and Standardized Procedures and Protocols for Mid-Level Practitioners.
  • Receives and processes medical staff applications for permanent and temporary privileges; reviews and analyzes applications for required criteria; performs source document verification of each application, including education, internships, residency, hospital affiliations, detailed analysis of confidential information, and all other required information according to credentialing policies and procedures; contacts various agencies to obtain verifications through written, verbal or internet communications; secures and interprets confidential reports from various medical agencies; processes applications within timeframes designated by procedures and protocols.
  • Prepares and distributes credentialing and recredentialing applications as required by JCAHO, DHS, SMA, state and federal regulations; prepares and processes release forms; processes completed applications, including all source document verifications; forwards for review and completion by medical executive committee.
  • Enters credentialing data into database; maintains and secures confidential credential files for all members of the medical and allied health professional staff; insures that files are only accessed by appropriate personnel; processes personnel action requests, as instructed.
  • Prepares documents for various committees and governing bodies; prepares reports and correspondence.
  • Gathers and researches confidential information for disciplinary proceedings.
  • Coordinates, schedules, and attends monthly committee meetings; prepares documents for oversight committees for action on credentialing, recredentialing, discipline or other actions; distributes correspondence to key staff on the outcome of meetings; attends other meetings as assigned.
  • Attends meetings, trainings and conferences as assigned; informs supervisor of any updated credentialing requirements.
  • Provides clerical support as required.
  • MINIMUM QUALIFICATIONS

    Experience: Two years experience performing medical staff credentialing functions or providing administrative clerical support to medical and/or management staff in a health care environment, preferably in an acute care hospital, health maintenance organization or managed care facility.

     

    Substitution: Possession of a valid Certified Provider Credentialing Specialist certificate issued by the National Association of Medical Staff Services (NAMSS) may substitute for the required experience.

     

    Substitution: An associate’s degree in business administration or related field may substitute for one year of the required experience.  

    AND

    License: Possession of a valid California Class C driver’s license.

    KNOWLEDGE

    California Medical Board licensing regulations covering physicians, podiatrists, psychologists, dentists, and other practitioners; physician credentialing processes and allied health care professional credentialing processes as required by the Joint Commission on the Accreditation of Healthcare Organizations and State of California regulations; medical terminology; medical staff bylaws; regulations of the California Association of Hospitals and Healthcare Systems governing physicians practicing in the State of California; principles of effective oral and written communication; public relations techniques; methods of gathering and organizing data; record keeping principles and techniques; basic statistics and graphics.

     

    ABILITY

    Coordinate a complex medical staff credentialing program; maintain confidentiality of sensitive and privileged medical staff and patient care issues; interpret and explain a wide variety of technical and medical information; establish and maintain effective and cooperative working relationships with administrators, physicians, and other staff; maintain computer databases and create reports using database; meet deadlines; read, understand and apply written regulations and other job related materials, exercise diplomacy and tact, maintain a level of objectivity while resolving credentialing issues; demonstrate good customer service practices; exercise good judgment; exercise confidentiality.

    PHYSICAL/MENTAL REQUIREMENTS

    Mobility-Frequent operation of a data entry device; repetitive motion; sitting for long periods; walking; occasional standing, pushing, pulling, bending, squatting, climbing; Lifting-Frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual-Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking-Frequent hearing of normal speech; hearing/talking on the telephone; talking in person; Emotional/Psychological-Frequent decision making, concentration, and public contact; Special Requirements-Some assignments may require working weekends, nights, and/or occasional overtime; Environmental-Occasional exposure to varied weather conditions.

    Selection Procedures

    Applicants for part-time and temporary recruitments who meet the minimum qualifications are either referred to the hiring department for further selection or they may be required to take a written examination.  If a written examination is given, the top candidates may be referred to the hiring department for further selection.

    Testing Accommodation:  Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. 

    Physical Exam:  Some classifications require physical examinations.  Final appointment cannot be made until the eligible has passed the physical examination.  The County pays for physical examinations administered in its medical facilities.

    Pre-employment Drug Screening Exam:  Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment.  Final appointment cannot be made until the eligible has passed the drug screen.  The County pays for the initial drug screen.

     

    Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grandparent, grandchild or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when:

    • They are related to the Appointing Authority, or

    • The employment would result in one of them supervising the work of the other

    Department Heads may establish additional limitations on the hiring of relatives by departmental rule.

    Proof of Eligibility:  If you are offered a job, you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S.

    HOW TO APPLY

    Apply Online:       

    www.sjgov.org/department/hr

    By mail or in person:  

    San Joaquin County Human Resources

    44 N. San Joaquin Street Suite 330

    Stockton, Ca 95202                                  

     

    Office hours:               
    Monday – Friday 8:00 am to 5:00 pm; excluding holidays.

    Phone:  (209) 468-3370 

     

    Job Line:

    For current employment opportunities please call our 24-hour job line at (209) 468-3377. 

    When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. (The County assumes no responsibility for mailed applications which are not received by the Human Resources Division).  

    San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees.

    Equal Opportunity Employer:  San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation.  For more information go to
    www.sjgov.org/eeo.



    Click on a link below to apply for this position:

    Fill out the Supplemental Questionnaire and Application NOW using the Internet.
    View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here.
    View and print the official application form as an Acrobat pdf file. scannable paper application A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in.
    Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email, or apply for a job in person at the San Joaquin County Human Resources Division.

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    San Joaquin County
    Human Resources Division  Stockton, CA 95202
    E-mail | Phone: (209) 468-3370 | 8am - 5pm M-F | Powered by JobAps