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Credentialing Specialist

Recruitment #0922-RO4130-01

Introduction

This examination is being given to fill one vacancy in the San Joaquin County Health Centers and to establish an eligible 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.

Pre-employment Background Investigation: Potential new hires into this classification are required to successfully pass a background investigation as a condition of employment. Final appointment cannot be made unless the eligible has cleared the pre-employment process.

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 manage 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.

    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 Equal Employment Opportunity Division (sjgov.org).

    Accommodations for those covered by the Americans with Disabilities Act (ADA):

    San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.

    BENEFITS

    Employees hired into this classification are members of a bargaining unit which is represented by SEIU Local 1021

    Health Insurance:  San Joaquin County provides employees with a choice of three health plans:  a Kaiser Plan, a Select Plan, and a Premier Plan.  Employees pay a portion of the cost of the premium. Dependent coverage is also available. 

    Dental Insurance:  The County provides employees with a choice of two dental plans:  Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan.  There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense.

    Vision Insurance:  The County provides vision coverage through Vision Service Plan (VSP).  There is no cost for employee only coverage; dependent coverage is available at the employee’s expense.

    For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Employee Benefits. 

    Life Insurance:  The County provides eligible employees with life insurance coverage as follows: 

     1 but less than 3 years of continuous service:                   $1,000
    3 but less than 5 years of continuous service:                   $3,000
    5 but less than 10 years of continuous service:                 $5,000
    10 years of continuous service or more:                           $10,000
     

    Employee may purchase additional term life insurance at the group rate.

    125 Flexible Benefits Plan:  This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). 

    Retirement Plan:  Employees of the County are covered by the County Retirement Law of 1937.  Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information.  NOTE:  If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance.

    Deferred Compensation:  The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less.  Individuals age 50 or older may contribute to their plan, up to $24,000. The Roth IRA (after tax) is also now available.

    Vacation:  Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years.

    Holidays Effective July 1, 2017, all civil service status employees earn 14 paid holidays each year.  Please see the appopriate MOU for details regarding holidays, accruals, use, and cashability of accrued time.

    Sick Leave:  12 working days of sick leave annually with unlimited accumulation.  Sick leave incentive:  An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one- half of the cumulative amount that the employee is eligible to accrue.  The employee must also be on payroll during the entire calendar year.

    Bereavement Leave3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child.

    Merit Salary Increase:  New employees will receive the starting salary, which is the first step of the salary range.  After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step.

    Job Sharing:  Employees may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources.

    Educational Reimbursement Program:  Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year.  Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year.

    Parking Supplemental Downtown Stockton:  The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area.

    School Activities:  Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities.

    Selection Procedures

    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/department/hr/eeo.




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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