Credentialing Specialist - 6 Month Contract (58370)

CREDENTIALING SPECIALIST

DURATION: 6-month contract (W2)

LOCATION: Woodland Hills, CA

JOB NUMBER: 58370

CLIENT: One of the country's largest health care and health plan providers

PAY RATE: $18/hr

DAILY RESPONSIBILITIES:

Processing Initial and Reappointment Applications

ESSENTIAL FUNCTIONS:

- Ensure consistent documentation and complete verification of practitioner (LIP/AHP) credentials.
- Provide required documentation to Chiefs of Service, Department Administrators, Medical Center Leaders and Committee Chairs/Members, as appropriate.
- Process all applications for appointment/credentialing, reappointment/re-credentialing via the local and regional medical staff/credentialing policies and procedures.
- Partners with all necessary staff to ensure an integrated, timely, consistent product.
- Collaborates with regional professional recruitment personnel and regional credentialing personnel to ensure timely credentialing prior to employment.
- Maintains computerized database of practitioner data for use in the medical staff service program to assure data for all credentialed and privileged practitioners is consistently accurate and current.
- Implements an efficient and effective communication system for transmission of electronic practitioner data to other users in the medical center for information (ie, practitioner-specific privilege look-up for patient care units).
- Implements an efficient and effective communication/transmission system of shared data to regional or other local sites to facilitate timely approval for professional staff appointment or approval to participate within Southern California Region.
- Keeps abreast of laws, regulations, local and regional policies/procedures and Professional Staff Bylaws, Rules and Regulations.
- Maintains credentials files of all practitioners within medical center site (including satellite facilities/medical office buildings).
- Supports professional staff committees by preparing agendas, recording minutes and follow-up.
- Supports the medical staff by being a resource for accreditation, licensing and regulatory compliance related to medical staff services functions.
- Assists Director of Medical Staff Services with all survey/audit processes.

REQUIREMENTS:

- High School diploma or equivalent
- Credentialing experience in an Acute Care setting