Job Description

Job Description

Responsibilities

Join the UHS Southern CA Regional Office team!

The UHS Southern CA Region consists of five acute care facilities located in the Southern CA area;

* Temecula Valley Hosptial in Temecula, CA
* Southwest Healthcare System: Inland Valley Medical Center in Wildomar, CA and Rancho Springs Medical Center in Murrieta, CA
* Corona Regional Medical Center in Corona, CA
* Palmdale Regional Medical Center in Palmdale, CA

The System Medical Staff/Credentialing Coordinator is responsible for processing credentialing and re-credentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals.

POSITION SPECIFIC RESPONSIBILITIES:

* Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
* Able to independently work in the proprietary electronic system (MD Staff) to perform essential credentialing functions through the continuum of the credentialing process.
* Conducts thorough background investigation, research and primary source verification of all components of the application file, including, licensure, education, training, current competence, and qualifications to perform privileges requested.
* Actively reaches out to the applicant, references, and other hospitals to timely obtain data needed to complete the credentialing process.
* Thorough understanding of the privileging process, and ability to match requested privileges to the requirements needed to obtain that privilege.
* Provide verification of credentialing and privileging status of a member of one of our Medical Staffs to other hospitals, pharmacies, and health plans (as permitted by policy).
* Support the hospital's medical staff office with requests for information regarding the progress of the credentialing proves.
* Ability to prioritize tasks and meet expected timeframes for processing of an application.
* Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
* Ability to identify concerns in an applicant's file that require the input of the Manager or the Chief Medical Officer.
* Monitoring and advance notice of expirables, including all licenses, TB clearance, certificates, insurance certificates, etc., ensure all documents are received and entered to database.
* Ensure application fee (for each applicable hospital) is paid.
* Process Medical Student applications, provide orientation package, coordinate completion of all paperwork between school, physician, student and hospital and ensure all screenings, immunizations, etc., are documented.
* Prepares and mails Governing Board approval letters for credentialing related issues.
* Develops and maintains effective working relationships with all medical staff and allied health applicants and members, medical staff leadership, providing consultative expertise, administrative and other delegated support at a regional level as necessary for them to fulfill their obligations.
* Provides meaningful input in the building of regional CVO policies and procedures to maximize quality and efficiency.
* Ability to apply regional standards and policies to applicants and work independently to ensure compliance with these policies
* Ability to view the credentialing process as a systems process that crosses hospitals lines, and ability to independently complete files from any of the region's hospitals.
* Participates in required and voluntary continuing education to achieve professional growth and maintain knowledge base in area of responsibility, and to maintain required certification.

Qualifications

EDUCATION/TRAINING/ EXPERIENCE:

* High School Graduate or equivilent required.
* Associate's degree from an accredited College or University in related field preferred.
* Two (2) to Three (3 years of experience in credentialing required, acute care experience preferred.

CERTIFICATIONS/LICENSES:

* Certification through NAMSS (National Association of Medical Staff Services) as Certified Provider Credentialing Specialist (CPCS) and/or Certified Medical Staff Coordinator (CMSC) required within three (3) years of hire date.

COMMUNICATION SKILLS: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, regulatory or accreditation requirements Ability to effectively present information and respond to questions from managers, clients, customers, and the general public.

MATHEMATICAL SKILLS: Basic to Intermediate Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Ability to calculate figures and percentages.

REASONING ABILITY: Intermediate to High Skills: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

OTHER SKILLS AND ABILITIES:

* Demonstrates knowledge and ensures compliance with The Joint Commission and Title 22 standards and guidelines.
* Demonstrates compliance with hospital policies and procedures at all times.
* Ability to set priorities and appropriately organize workload and complete assignments in a timely manner.
* Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
* Must have knowledge of PC and applications.
* Secretarial skills, including excellent written, oral, listening, and typing skills.
* Knowledge of medical terminology.
* Knowledge of computer operations/usage (data entry and word processing).
* Knowledge of use of fax machine, digital camera, copier, calculator, telephone.
* Maintains emotional stability and calm, positive disposition.
* Possesses intelligence and willingness to improve.
* Maintains confidentiality of information.
* Has ability to prioritize and re-prioritize constantly.
* Is loyal, reliable, tactful, honest, and discreet.
* Follows direction or acts on own initiative, as required.
* Exhibits a clean, neat, and professional appearance.
* Has ability to concentrate and work quietly and efficiently.
* Handles projects in an organized and timely manner.
* Has professional communication skills, including proper telephone etiquette.

This opportunity offers the following:

* Challenging and rewarding work environment
* Growth and Development Opportunities within UHS and its Subsidiaries
* Competitive Compensation
* Excellent Medical, Dental, Vision and Prescription Drug Plan
* 401k plan with company match

One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked 276 on the Fortune 500, and listed 275 in Forbes inaugural ranking of America's Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

*UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to UHS or UHS facilities on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms we, us, our or the company in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.