Credentialing Specialist

1 week ago

Ventura, California, United States Ventura Full time
Salary: $57, $81,187.67 Annually

Location: Ventura, CA

Job Type: Full-Time Regular

Department: Health Care Agency

Description

COMPENSATION AND BENEFITS
  • Salary Increase: A general salary increase of 3.5% effective December 22, 2024.
  • Educational Incentive: An educational incentive of 2.5% for completion of an associate's degree, 3.5% for a bachelor's degree, or 5% for a graduate's degree.
  • Bilingual Incentive: Proficiency levels by exam are $0.69 per hour (Level I), $1.00 per hour (Level II), or $1.32 per hour (Level III).
  • Vacation Accrual: New full-time employees shall accrue approximately 14 days of vacation a year for the first 10,400 hours or 5 years of service; accruals increase with years of service.
  • Sick Leave: Full-time regular employees accrue 3.08 hours of sick leave per pay period.
  • Deferred Compensation: Eligible to participate in the County's 401(k) Shared Savings Plan and/or the Section 457 Plan.
  • Health Plans: Full-time employees have a flexible credit allowance for purchasing medical, dental, and/or vision insurance.
  • Pension Plan: Contributions are made to the County's Retirement Plan and Social Security.
  • Holidays: 12 paid holidays per year.
POSITION OVERVIEW:
Under general supervision, responsible for overseeing all facets of the credentialing and privileging process for licensed independent practitioners (LIPs) in compliance with relevant bylaws, regulations, and accrediting standards.

KEY RESPONSIBILITIES:
  • Maintain knowledge and compliance with all regulatory and accrediting requirements.
  • Process initial and reappointment applications, ensuring completeness and accuracy.
  • Ensure that all credential files are current and complete.
  • Maintain the credentialing database with up-to-date practitioner information.
  • Conduct audits based on internal standards and regulatory requirements.
  • Monitor and report application status, providing appropriate correspondence.
  • Assist in the development and maintenance of Medical Staff privilege forms.
  • Coordinate and record assigned medical staff committee meetings.
  • Protect all credentialing information with strict confidentiality.
  • Participate in preparation for health plan audits and reports.
  • Maintain professional relationships with Medical Staff and organization departments.
  • Work independently to meet specified deadlines.
  • Adhere to organizational policies and procedures.
QUALIFICATIONS:
EDUCATION AND EXPERIENCE:
  • Current NAMSS Certified Provider Credentialing Specialist (CPCS) certification or actively pursuing certification.
  • Intermediate computer skills in Microsoft products and web-based queries.
DESIRED SKILLS:
  • Previous experience in hospital medical staff or managed care credentialing.
  • Experience with credentialing software.
  • Experience in preparing agendas and taking minutes.
KNOWLEDGE, SKILLS, AND ABILITIES:
Working knowledge of TJC, NCQA, and CMS credentialing standards. Ability to manage multiple priorities, read and interpret complex documents, and communicate effectively with providers and staff. Strong problem-solving and organizational skills with attention to detail.

RECRUITMENT PROCESS:
Applications will be reviewed to determine if requirements are met. Candidates meeting the requirements will be invited to continue in the selection process.

  • Credentialing Specialist

    4 days ago

    Ventura, California, United States Ventura County Full time

    Job SummaryWe are seeking a highly skilled Credentialing Specialist to join our team at Ventura County. The successful candidate will be responsible for coordinating all aspects of the privileging and credentialing process of licensed independent practitioners (LIPs) in accordance with regulatory requirements.Key ResponsibilitiesMaintain knowledge and...

  • Credentialing Specialist

    2 weeks ago

    Ventura, California, United States Ventura Full time

    Salary: $57, $81,187.67 Annually Location: Ventura, CA Job Type: Full-Time Regular Department: Health Care Agency DescriptionCOMPENSATION AND BENEFITS Salary Increase: A general salary increase of 3.5% is anticipated.Educational Incentive: Additional compensation for educational achievements: 2.5% for an associate's degree, 3.5% for a bachelor's degree, or...

  • Credentialing Specialist

    2 weeks ago

    Ventura, California, United States Ventura Full time

    Salary: $57, $81,187.67 Annually Location: Ventura, CA Job Type: Full-Time Regular Department: Health Care Agency DescriptionCOMPENSATION AND BENEFITS Salary Increase: A general salary increase of 3.5% effective December 22, 2024.Educational Incentive: An educational incentive of 2.5% for completion of an associate's degree, 3.5% for a bachelor's degree, or...

  • Credentialing Specialist

    2 weeks ago

    Ventura, California, United States County of Ventura CA Full time

    Position OverviewThe Credentialing Coordinator plays a vital role in ensuring that healthcare professionals meet the necessary qualifications and standards required for their positions. This position is essential for maintaining the integrity and efficiency of our medical staff operations.Key ResponsibilitiesConduct thorough verification of credentials for...

  • Credentialing Specialist

    4 days ago

    Ventura, California, United States County of Ventura CA Full time

    What We OfferAt the County of Ventura CA, we are committed to providing our employees with a competitive compensation package. As a valued member of our team, you can expect a 3.5% general salary increase effective immediately. In addition, we offer an educational incentive of:2.5% for completion of an associate's degree3.5% for completion of a bachelor's...

  • Credentialing Specialist

    1 week ago

    Ventura, California, United States County of Ventura CA Full time

    Position OverviewThe Credentialing Coordinator plays a vital role in ensuring that all medical staff members meet the necessary qualifications and standards required for their positions. This position is essential for maintaining the integrity and quality of healthcare services.Key ResponsibilitiesOversee the credentialing process for healthcare...

  • Credentialing Specialist

    1 week ago

    Ventura, California, United States County of Ventura CA Full time

    Position OverviewThe Credentialing Coordinator plays a vital role in ensuring that healthcare professionals meet the necessary qualifications and standards. This position is essential for maintaining the integrity and quality of medical services provided.Key ResponsibilitiesConduct thorough background checks and verification of credentials for medical...

  • Special Education Resource Specialist

    6 days ago

    Ventura, California, United States Ventura Unified School District Full time

    About Ventura Unified School DistrictVentura Unified School District is a renowned educational institution dedicated to providing a well-rounded education to its students. Our mission is to empower every student to reach their full potential and achieve academic excellence.Job SummaryWe are seeking a highly skilled Special Education Resource/SAI Specialist...

  • Special Education Resource Specialist

    4 days ago

    Ventura, California, United States Ventura Unified School District Full time

    About Ventura Unified School DistrictVentura Unified School District is a renowned educational institution dedicated to providing a well-rounded education to its students. Our mission is to foster a nurturing environment that encourages academic and personal growth, empowering each student to reach their full potential.Job SummaryWe are seeking a highly...

  • Special Education Teacher

    4 days ago

    Ventura, California, United States Ventura Unified School District Full time

    About Ventura Unified School DistrictVentura Unified School District is a renowned educational institution dedicated to providing a well-rounded education to its students. Our mission is to foster a nurturing environment where students can thrive academically and personally.Job SummaryWe are seeking a highly qualified Special Education Teacher to join our...

  • Diagnostic Imaging Specialist

    7 days ago

    Ventura, California, United States Community Memorial Health System Full time

    Job SummaryWe are seeking a highly skilled Diagnostic Imaging Specialist to join our team at Community Memorial Health System. As a Diagnostic Imaging Specialist, you will be responsible for providing high-quality diagnostic imaging exams while delivering exceptional patient care and education.Key ResponsibilitiesConduct diagnostic imaging exams of high...

  • Special Education Teacher

    4 days ago

    Ventura, California, United States LIFELONG LEARNING ADMINISTRATION CO Full time

    Job SummaryWe are seeking a highly skilled and dedicated Special Education Teacher to join our team at LIFELONG LEARNING ADMINISTRATION CO. As a Special Education Teacher, you will play a critical role in providing high-quality educational services to students with mild to moderate special needs.Key ResponsibilitiesDevelop and implement personalized...

  • Radiology Technologist

    6 days ago

    Ventura, California, United States Community Memorial Health System Full time

    Job SummaryWe are seeking a skilled Diagnostic Imaging Specialist to join our team at Community Memorial Health System. As a Diagnostic Imaging Specialist, you will be responsible for providing high-quality diagnostic imaging exams while delivering exceptional patient care and education.Key ResponsibilitiesConduct diagnostic imaging exams of high quality,...

  • Hourly Elementary Intervention Specialist

    7 days ago

    Ventura, California, United States Ventura Unified School District Full time

    About Ventura Unified School DistrictVentura Unified School District has a long-standing reputation as a premier educational institution, dedicated to providing a safe and nurturing environment for students to thrive. Our passion is to empower every student to reach their full potential, academically and personally, and to believe in their brilliant...

  • K-12 Special Needs Educator

    2 weeks ago

    Ventura, California, United States Oxford Consulting Services, Inc. Full time

    Job OverviewOxford Consulting Services is seeking a dedicated K-12 Special Needs Educator to deliver tailored educational services. The educator will work individually with students, collaborating with fellow staff and specialists to create personalized programs and interventions that address each student's unique goals and requirements.About Oxford...

  • Child Development Specialists at KinderCare Learning Companies

    6 days ago

    Ventura, California, United States KinderCare Education Full time

    About KinderCare EducationKinderCare Education is a leading provider of early childhood education and child care services, with a mission to provide high-quality, research-backed programs that support the development of young learners.Job SummaryWe are seeking experienced and passionate Early Childhood Educators to join our team as Teachers at KinderCare...

  • Marine Biology Specialist

    1 week ago

    Ventura, California, United States U.S. Department of the Interior Full time

    Clarification from the agency U.S. Citizens, Interagency Career Transition Assistance Program (ICTAP), Career Transition Assistance Program (CTAP) in the local commuting area. Responsibilities Key responsibilities include, but are not limited to the following: Applies principles of sampling design to formulate enduring ecological monitoring...

  • Cultural Resource Management Field Supervisor

    2 weeks ago

    Ventura, California, United States Stantec Consulting International Ltd. Full time

    Cultural Resource Management Field SupervisorOverview:At Stantec Consulting International Ltd., we are dedicated to safety, quality, and ethical practices. Our specialists are leaders in their respective fields, combining creativity with a vision for sustainable growth.We leverage over 20 technical disciplines worldwide and are committed to nurturing an...

  • Cultural Resource Specialist

    1 week ago

    Ventura, California, United States U.S. Department of the Interior Full time

    Clarification from the agency U.S. Citizens, Interagency Career Transition Assistance Program (ICTAP), Career Transition Assistance Program (CTAP) in the local commuting area. Responsibilities This is a term position (more than 1 year) with an initial appointment expecting to last at least 13 months but may be extended up to a total of 4 years, or...

  • Cultural Resource Management Field Supervisor

    2 weeks ago

    Ventura, California, United States Stantec Consulting International Ltd. Full time

    Cultural Resource Management Field SupervisorOverviewAt Stantec Consulting International Ltd., we prioritize safety, quality, and ethical practices in our operations. Our team comprises specialists across various disciplines, united by a commitment to excellence and innovation. We strive to create an inclusive environment that values diverse talents and...