Senior Credentialing Specialist
5 days ago
We are seeking a highly skilled Senior Credentialing Specialist to join our team at the University of California, Irvine. As a key member of our Medical Staff Administration Department, you will play a critical role in ensuring the credentialing and privileging processes for our medical staff are accurate, efficient, and compliant with regulatory standards.
Key Responsibilities- Develop and implement credentialing and privileging policies and procedures to ensure compliance with Joint Commission, CMS, and NCQA standards.
- Collaborate with clinical department chairs to develop and revise clinical privilege criteria.
- Supervise and train credentialing specialists to ensure accurate and timely completion of credentialing and privileging applications.
- Verify education, training, clinical experience, peer references, current licensure and certification, and malpractice history through primary sources to complete credentialing and recredentialing applications.
- Ensure that credentials meet criteria set forth in the Medical Staff Bylaws as well as accrediting standards and regulations.
- Represent the department on the Credentialing Committee and provide effective resolution and follow-up to identified issues.
- Bachelor's degree in a related field and/or equivalent experience/training.
- Current NAMSS certification as CPCS and/or CPMSM.
- Advanced knowledge of Joint Commission, CMS Conditions of Participation, and NCQA and Title 22 accreditation standards and regulations.
- Knowledge of FPPE/proctoring processes and procedures.
- Ability to complete job responsibilities with a high degree of accuracy under minimum supervision.
- Discretion and judgment in the handling of confidential and/or sensitive information.
- Minimum of five (5) years in the overall field with expertise in specific areas, including credentialing, privileging, formulating strategies, and administering policies and processes.
- Dual NAMSS certification as CPMSM and CPCS.
- Experience with MD-Staff Credentialing Database Software.
- Knowledge of university and medical center organizations, policies, procedures, and forms.
- Minimum of two (2) years meeting management experience.
- Background Check and Live Scan.
- Legal Right to Work in the United States.
- Vaccination Policies.
- Smoking and Tobacco Policy.
- Drug Free Environment.
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Senior Credentialing Specialist
3 days ago
Irvine, California, United States University of California Full timeAbout the RoleThe University of California, Irvine, is seeking a highly skilled and experienced Senior Credentialing Specialist to join its Medical Staff Administration Department. As a key member of the team, you will play a crucial role in ensuring the smooth operation of the department's credentialing, privileging, and medical staff governance...
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Senior Credentialing Specialist
3 days ago
Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly skilled and experienced Senior Credentialing Specialist to join our team at the University of California, Irvine. As a key member of our Medical Staff Administration Department, you will play a critical role in ensuring the accuracy and integrity of our credentialing and privileging processes.Key ResponsibilitiesDevelop and...
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Senior Credentialing Specialist
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Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly skilled Senior Credentialing Specialist to join our team at the University of California, Irvine. As a key member of our Medical Staff Administration Department, you will play a critical role in ensuring the accuracy and integrity of our credentialing and privileging processes.Key ResponsibilitiesDevelop and implement...
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Senior Credentialing Specialist
2 weeks ago
Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly skilled Senior Credentialing Specialist to join our team at the University of California, Irvine. As a key member of our Medical Staff Administration Department, you will play a critical role in ensuring the credentialing and privileging processes for our medical staff are accurate, efficient, and compliant with regulatory...
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Senior Credentialing Specialist
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Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly skilled Senior Credentialing Specialist to join our team at the University of California, Irvine. As a key member of our Medical Staff Administration Department, you will play a critical role in ensuring the credentialing and privileging processes for our medical staff are accurate, efficient, and compliant with regulatory...
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