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Form of workDignity Health one of the nations largest health care systems is a 22-state network of more than 9000 physicians 63000 employees and 400 care centers including hospitals urgent and occupational care imaging and surgery centers home health and primary care clinics. Headquartered in San Francisco Dignity Health is dedicated to providing compassionate high-quality and affordable patient-centered care with special attention to the poor and underserved. For more information please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.
GENERAL DESCRIPTION:
Under the direction of the Director of the GSSA Regional Central Verifications Unit and in adherence to the mission and philosophy of CHW is responsible for coordination monitoring and maintaining the credentialing and re-credentialing process for the Greater Sacramento Service Area. Facilitates all aspects of credentialing which includes but is not limited to initial applications re-applications site transfers maintenance of MSOW database and expirables. Ensures compliance with the accrediting and regulatory agencies (e.g. The Joint Commission Title 22 CMS NCQA) Medical Staff Bylaws Rules and Regulations in regards to credentialing while developing and maintaining a working knowledge of the statutes and laws. Responsible for the accuracy and integrity of the credentialing and clinical privileging database system for ensuring the timeliness of credentialing/re-credentialing verification processes. Duties include the gathering verification and evaluation of source documents for education/training professional liability licensure/certifications hospital affiliations work history professional references and all other primary source verifications as required by the hospital(s) the medical staff(s) and regulatory agencies.
QUALIFICATIONS
Education/Experience:
- High School graduation or equivalent some college preferred AA or BA degree
- Three to five years of credentialing experience in an acute care setting or five years credentialing experience in an ambulatory or other health care setting preferred.
- CPCS certification preferred.
Skills
- Advanced skill level required in computers and various software programs. Good typing ability to communicate in English English composition spelling and grammar Knowledge and understanding of medical terminology.
- Knowledge of TJC/CMS/Title 22 /NCQA standards and requirements.
- Ability to interact in a courteous manner with tact patience and cooperation. Ability to organize and manage time effectively as well as functioning in a team atmosphere.
- Ability to maintain confidentiality is essential to this job. Compliance with HIPAA requirements.
- Computer software: Microsoft Office products to include MSO/MSOW Excel Word Outlook Access Internet software.
- Office equipment: copy machine fax and scanner.
Physical Effort:
- Must be able to stand walk stoop and lift 15 pounds.
- Visual and auditory acuity.
- Ability to sit for extended periods of time.
JOB DUTIES
1. Processes initial appointments re-appointments (within the required two year period); site transfers of medical staff/allied health professionals in a timely manner and in accordance with the medical staff bylaws.
2. Ongoing Medical staff/allied health professional database maintenance of MSOW and MS4.
3. Ensures that all expirables (licensure DEA Professional Liability Fluroscopy and Board Certification) are reviewed obtained and managed on a monthly basis.
4. Interfaces effectively with the regional medical staff office(s) and quality management department(s) to facilitate the credentialing process in a timely manner.
5. Performs other related duties as required.
JOB RELATIONSHIPS
SUPERVISED BY: Lead Credentials Coordinator if applicable or Director/ of GSSA Regional Credential Verification Unit..
CORE EXPECTATIONS
1. MISSION: Behaviors demonstrate the Mission Philosophy and Vision.
- Demonstrates concerns and empathy for the spiritual and emotional needs of patients co-workers and other customers.
- Treats patients co-workers and other customers with courtesy dignity and respect independent of economic or social status.
- Demonstrates behaviors necessary to provide a healing environment.
2. TEAMWORK: Behaviors proactively contribute to reaching team goals.
- Works with others toward a common purpose.
- Supports the teams decision even though the individuals views differ.
- Reinforces the efforts and goals of the work group.
- Has a positive can-do attitude and encourages a strong team spirit.
- Shares information advice and ideas with others.
- Demonstrates flexibility in meeting the needs of the patient and hospital in daily performance.
3. CONTINUOUS PERFORMANCE IMPROVEMENT:
Behaviors proactively support quality efforts within the organization.
- Analyzes work processes and identifies areas where processes/quality could be improved.
- Utilizes knowledge of customer and supplier process in assessing customer needs and expectations.
4. UTILIZATION OF RESOURCES/STEWARDSHIP:
Behaviors demonstrate understanding and appropriate utilization of resources (material human financial time etc.)
- Utilizes time efficiently through time management.
- Utilizes maintains and allocates equipment and supplies so that time energy and/or funds are expended in a cost-effective and efficient manner.
- Identifies areas of improvement and makes suggestions to maintain and improve productivity and cost containment.
- Supports and articulates the strategic plan and performance reflects attainment of these goals.
5. FACILITY
Meets the facility performance expectations for achieving a safe efficient and effective work environment (employee behaves in a manner which exemplified and promotes the Mission and Philosophy of the Sisters of Mercy of Auburn)
- Is aware of and complies with facility and departmental safety and security policies procedures and practices
- Is aware of and complies with facility and departmental quality assurance practices and protocols
- Is aware of and complies with Mercy GSSA Personnel Policies & Procedures
- Is aware of and complies with Mercy GSSA Administrative procedures
- Actively participates in Safety Fairs on an annual basis
- Responds to fire/disaster drills according to established policy
We offer the following benefits to support you and your family:
- Health/Dental/Vision Insurance
- Flexible spending accounts
- Voluntary Protection: Group Accident Critical Illness and Identity Theft
- Adoption Assistance
- Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
- Employee Assistance Program (EAP) for you and your family
- Paid Time Off (PTO)
- Tuition Assistance for career growth and development
- Retirement Programs
- Wellness Programs
