When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.
Credentials Administrator II
Roseville, California
Under supervision, initiates the credentialing process, compiles, and processes data in compliance with Federal, State, Program, and regional requirements. Ensures thorough and timely verification of physicians’ credentials according to regional Credentialing Policies and Procedures. Acts as liaison between medical centers and medical offices credentials and privileges coordinators and the regional office.
Essential Functions:
Ensures consistent documentation and complete verification of physicians’ credentials. Provides required documentation to appropriate physicians’ managers and committees in the practice sites.
Processes all credentials applications and/or applications for employment with TPMG.
Initiates extensive investigation into the applicants’ background, education and experience through the use of on-line systems, written correspondence, telephone inquiries and printed reference guides and reports.
Partners with the practice site Credentials & Privileges Coordinators to ensure an integrated, timely, consistent product.
Collaborates with professional physician recruiters to monitor recruitment status of candidates to ensure timely credentialing prior to employment.
Develops and maintains a computerized database of physician data for use in the credentialling and appointment process. Prepares reports as requested.
Maintains files of current Scopes of Practice for all specialties, Professional Staff by-laws for all medical centers and current Federal, State, Program and Regional requirements.
Implements efficient and effective combinations systems for transmission of credentials information to practice sites to facilitate timely approval to participate and professional staff appointment.
Keeps abreast of changes in laws and regulatory requirements. Writes and implements new procedures as necessary to remain in compliance.
Works with practice site Credentials and Privileges Coordinators to share and implement best practices whenever feasible.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications:
Minimum three (3) years of experience with credentialing in a hospital setting.
Associate's degree required, OR two (2) years of experience in a directly related field.
High School diploma or General Education Development (GED) required.
Proficient with IBM PC, dBase, WordPerfect, and Lotus 1-2-3.
Proficient with Medical Terminology.
Significant knowledge of Federal and State regulatory requirements and accreditation standards e.g., The Joint Commission, TITLE22, NCQA, NPDB, and certifying agencies.
Strong organization and communication skills and attention to details required.
Proven ability to function independently with minimal direct supervision.
Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
Experience with Med Staff or Medical Information Data Analysis System preferred.
Bachelor's degree preferred.
Certification as Certified Provider Credentialing Specialist (CPCS) preferred.
For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 1177342.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.
kp.org/careers
KAISER PERMANENTE
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As America's largest nonprofit health plan, serving over 8.6 million members in nine states and the District of Columbia, we're driven by the needs of our patients and our responsibility to the communities we serve. We recruit high-caliber individuals and provide them with a positive work environment, outstanding facilities and resources, competitive wages, and exceptional benefits. If you believe quality of care and quality of life go hand in hand, this is the place to put your beliefs into practice.
