Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.   

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Work Shift

Department

The Director is responsible for Medical Staff administrative support, Provider Credentialing  and Re-credentialing and Peer Review.  The department consists of a 5 medical Staff Coordinators, and 2 peer Review Coordinators.  Current Credentialed Staff totals in excess of 800 Physicians and APP.  The physicians are non employees as required in CA law.  Kaweah Health is a progressive organization always increasing our Services and number of physicians. We have expanded our APP employees and clinic and ambulatory care locations.  Credentialing software utilized:  MD Staff  We do not utilize a Credentialing Verification service.  

QUALIFICATIONS

License /Certification

Required:

Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)

Education

Preferred: Bachelor's degree

Experience

Required: Five years of medical staff experience and three years supervisory experience.

Knowledge/Skills/Abilities

Extensive knowledge of credentialing concepts, Joint Commission standards, Title 22, CMS and HIPPA regulations.

Ability to effectively communicate and interact with department staff, physician customers, and hospital staff.

Ability to analyze, trend, and identify issues that should be addressed.

Strong organizational skills and ability to see long range planning needs.

Flexibility and ability to function in stressful situations.

Familiar with Echo software preferred.

JOB RESPONSIBILITIES

Essential

Provides administrative assistance and support to the Medical Staff leadership.

Oversees the functions of the Medical Staff Office and is accountable for managing the credentialing and re-credentialing activities of Kaweah Health.

Responsible for maintaining accurate Medical Staff files.

Responsible for maintaining a current master copy of the Medical Staff Bylaws, Rules and Regulations and policies.

Acts as resource person for accreditation standards and other regulations governing the activities of the Medical Staff (i.e.: NCQA, Joint Commission, CMA, Title 22, HCFA, Medi-Cal and HIPPA).

Collaborates with management, physicians, clinical administrators and operational departments to facilitate Medical Staff Office service standards.

Maintains financial records of the Medical Staff, billing/collecting staff dues; prepares periodic financial report.

Supervises the scheduling and maintenance of the master Medical Staff activities calendar, Medical Staff Roster and the Emergency Department On-Call Specialty Roster.

Recommends requirements for space and other resources. Participates in selecting outside sources for needed services.

Enhances professional growth and maintains awareness of current industry trends, legislation or research which could impact the department and organization.

Oversees the functions of the Medical Staff Peer Review Activities.

Responsible for communicating to the general Medical Staff regarding hospital policies, events and changes in leadership or processes.

Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.

Pay Range

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.