Credentialing Specialist

4 days ago

Ventura, California, United States Ventura County Full time
Job Summary

We 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 Responsibilities
  • Maintain knowledge and compliance with all regulatory and accrediting requirements, including The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) standards.
  • Process initial and reappointment applications, checking for completeness and accuracy, including primary source verification of confidential and sensitive practitioner information.
  • Ensure that all credentials files are current and complete, including medical licenses, board certification, professional-liability insurance coverage, DEA, and other pertinent information.
  • Maintain credentialing database with current practitioner information and audit files based on internal standards and regulatory requirements.
  • Monitor and report application status and provide appropriate correspondence as necessary.
  • Assist with development and maintenance of Medical Staff delineation of privilege forms and coordinate and record assigned medical staff committee meetings.
  • Protect all credentialing information and files with strict confidence and limited access according to regulatory standards.
  • Participate in preparation for health plan annual audits and reports and maintain professional working relationships with Medical Staff, organization departments, clinics, and outside facilities.
  • Work independently with minimal supervision to meet specified timeframes and adhere to organization policies and procedures.
Requirements
  • Current National Association of Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) or actively pursuing certification and certification obtained within two (2) years of eligibility to sit for the exam.
  • Intermediate computer skills using Microsoft products and web-based queries.
  • Previous hospital medical staff or managed care credentialing experience, experience with credentialing software, and experience preparing agendas and taking minutes are desired.
Knowledge, Skills, and Abilities
  • Working knowledge of TJC, NCQA, and CMS credentialing and privileging standards and experience with provider and/or health plan credentialing and delegated health plan credentialing audits.
  • Ability to manage and meet multiple priorities and competing deadlines, read and interpret complex documents, reports, and data, and effectively and professionally communicate with providers, outside organizations, and staff, both verbally and in writing.
  • Problem-solving and organization skills with attention to detail.

  • 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

    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 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...