Credentialing Operations Manager
3 days ago
We are looking for a highly qualified and experienced Senior Credentialing Specialist to join our team at the University of California, Irvine.
The estimated annual salary for this position is $**120,000**-**$160,000**, depending on experience.
About the Company:
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. We provide tertiary and quaternary care and are home to Orange County's only National Cancer Institute-designated comprehensive cancer center.
Job Description:
This role will be responsible for coordinating the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Medical Staff Administration Department.
Duties and Responsibilities:
- Develop and revise clinical privilege criteria with clinical department chairs.
- Evaluate staff performance, providing effective training and serving as a resource person.
- Responsible for all aspects of the credentialing, recredentialing, and privileging processes for assigned practitioners.
- Verify education, training, clinical experience, peer references, current licensure and certification, and malpractice history through primary sources.
- Maintain up-to-date data for each practitioner in credentialing databases and online systems.
Requirements:
- Bachelor's degree in a related field or equivalent experience/training.
- Excellent verbal and written English communication skills.
- Current NAMSS certification as CPCS and/or CPMSM.
- Advanced knowledge of Joint Commission, CMS Conditions of Participations, and NCQA and Title 22 accreditation standards and regulations.
- Minimum of five (5) years in the overall field with expertise in specific areas, including credentialing, privileging, formulating strategies, and administering policies and processes.
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