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The health and safety of our patients and employees is our highest priority. We have mobilized a swift, efficient, and comprehensive response to the current situation related to COVID-19 so that our staff can stay on the front lines, giving care safely. We welcome your application and will connect with you as soon as we can, possibly virtually. Please note that many positions will not be progressing as fast as they normally would, as we prioritize our current needs. Although some positions will be on hold while we focus on providing support for our staff, trust that your application will be reviewed and considered for future openings.

MPF Credentialing Specialist

San Diego, California
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Job ID 4238 Date posted 07/29/2020 Schedule Full-Time Shift Day Department PFS - RCSSD

JOB SUMMARY:

In accordance with The Joint Commission, State, Medical Staff, Hospital Standards, and legal requirements, obtains, verifies and analyzes all information on medical staff applicants for membership and privileges, and for reappointment. Facilitates review by medical staff and hospital leadership.  Facilitates review and approval of Ongoing Professional Practice Evaluation for practitioners with privileges. Interfaces with medical staff officers and leaders, hospital leadership and chairs of supported hospital and medical staff committees and departments to ensure that issues requiring action are reviewed in a timely manner and results are documented and disseminated to the appropriate parties for further review/action, information, education, and/or completion. Schedules and supports medical staff committee and department meetings as assigned. Oversees the completion and adequacy of proctoring and privileging, and ensures that physician privileges granted are based on adequate documentation of background and training, experience, and current clinical competence.

RCSSD: In accordance with NCQA standards, obtains, verifies and analyzes provider information for health plan credentialing. Submits applications to health plans and monitors for re-credentialing.

MINIMUM QUALIFICATIONS:

High School Diploma

3 years of experience

PREFERRED QUALIFCATIONS:

Associate's Degree

4 years of experience

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  • PFS - RCSSD, San Diego, California, United StatesRemove