CREDENTIALING SPECIALIST

Job Description:

CREDENTIALING SPECIALIST

Description

Position/Program Information

TYPE OF RECRUITMENT
OPEN COMPETITIVE JOB OPPORTUNITY

EXAM NUMBER
Y0927E

FILING START DATE
June 2, 2022 at 8:00 a.m. (PT)

Until the needs of the service are met and is subject to closure without notice.

ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES:

The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the juvenile justice system and inmates in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS cares for about 600,000 unique patients each year, employs over 23,000 staff, and has an annual operating budget of 6.9 billion. For additional information regarding DHS please visit www.dhs.lacounty.gov .

Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing.

THE MISSION:

“To advance the health of our patients and our communities by providing extraordinary care.”

DEFINITION :
Provides support in the process of obtaining, verifying and assessing the qualifications of physician and allied health professionals to provide patient care services.

CLASSIFICATION STANDARDS:
Under general supervision, positions allocable to this class are responsible for collecting, reviewing, monitoring, and updating credentialing documentation for existing and the appointment of new medical providers. Incumbents follow policies and procedures, established by departmental by-laws and regulatory agencies, to evaluate and verify professional licensure, education, training, experience, competencies and hospital affiliations to ensure that medical providers are appropriately qualified and privileged. Incumbents in this class are required to serve a one-year probationary period.

Positions allocated to the Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a Multi-Service Ambulatory Care Center.

Positions allocated to the Department of Mental Health typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review committee.

Essential Job Functions

Receives and processes applications for credentialing and privileging from licensed independent practitioners and allied health professionals applying for membership in the Professional Staff Association (PSA); notifies the respective department chair and the applicant of their status and time frames for completion.

Reviews applications for required documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, and Office of the Inspector General.

Ensures physicians, allied health professionals and other practitioners of a healthcare facility are properly licensed, trained, and certified as mandated by state and federal regulations.
Reviews requested privileges to ensure that appropriate criteria and training is documented for the privileges sought.

Monitors documentation of provisional applications for completion of proctoring; notifies the respective department chair and provisional members regarding their status and time frames for completion of proctoring.

Prepares summary report of each application for evaluation and review by the Credentials and Medical Executive Committees; identifies any potential adverse information.

Maintains application and credentialing files in a confidential manner; regularly enters credentialing information into the database to ensure information on credentialing, privileging, certifications, prerogatives and competencies are current; disseminates data to authorized personnel.

Prepares reports or credential files for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required tasks as necessary.

Generates letters to hospital affiliations and other agencies to obtain information of the practitioner's professional competency. Responds to inquiries from other agencies requesting employment verification and relevant information on current and past members of the PSA.

Prepares reports for various committees as requested on a periodic basis.

Participates in the development and implementation of credentialing processes and procedures.

Requirements

SELECTION REQUIREMENTS:

TRAINING AND EXPERIENCE:
Three (3) years of recent*, full time** experience in a Medical Staff Services office*** at the level of the Los Angeles County class of Intermediate Typist Clerk**** or higher.

LICENSE:
A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
CERTIFICATION:
Successful certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services will be required before final appointment.
PHYSICAL CLASS: 2 - Light
Light physical effort which may include occasional light lifting to a 10-pound limit, and some bending, stooping or squatting. Considerable walking may be involved.

SPECIAL REQUIREMENT INFORMATION :
*Recent experience is deemed to be within the last five (5) years.

**Full time experience is 40 hours per week. Part-time experience will be prorated to full-time experience.

***Definition of Medical Staff Services office is primarily accountable for the administrative and credentialing compliance structure of the medical staff organization.

****For this examination, an Intermediate Typist Clerk performs duties that include, but are not limited to, assisting in processing paperwork, initial credentialing, re-credentialing and ensuring that the database includes detailing the practitioners' education, training, licensing, experience, and other information are accurate and up to date.

Additional Information

tional Information:

EXAMINATION CONTENT :
This examination will consist of an evaluation of experience based upon application information, desirable qualifications and supplemental questionnaire, weighted 100%.

Candidates must achieve a passing score of 70% or higher on this examination to be added to the eligible register.

DESIRABLE QUALIFICATIONS :
Additional credit will be awarded for experience beyond the Selection Requirements.

ELIGIBILITY INFORMATION :
Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the eligible register accordingly. The names of candidates receiving a passing grade on the examination will be placed on the eligible register and will appear in the order of their score group for a period of twelve (12) months following the date of eligibility.

NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS.

VACANCY INFORMATION :
The eligible register resulting from this examination will be used to fill vacancies throughout the Department of Health Services as they occur.

AVAILABLE SHIFT :
Appointees may be required to work any shift, including evenings, nights, weekends and holidays.

NO OUT-OF-CLASS EXPERIENCE WILL BE ALLOWED.

APPLICATION AND FILING INFORMATION :

APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED.

Apply online by clicking on the green "Apply" button at the top right of this posting. You can also track the status of your application using this website.

All information is subject to verification. We may reject your application at any time during the examination and hiring process, including after appointment has been made. Falsification of any information may result in disqualification or rescission of appointment.

Utilizing VERBIAGE from Class Specification and Selection Requirements serving as your description of duties WILL NOT be sufficient to demonstrate that you meet the requirements. Doing so may result in an INCOMPLETE APPLICATION and you may be DISQUALIFIED.

This examination will remain open until the needs of the service are met. Application filing may be suspended at any time with or without advance notice.

Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the REQUIREMENTS. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, and description of work performed. If your application is incomplete, it will be rejected.

Applications electronically received after 4:59 p.m., PT, on the last day of filing will not be accepted.

NOTE: If you are unable to attach required documents, you must email the documents to the exam analyst, Gabriela Caudillo, at gacaudillo1@dhs.lacounty.gov within fifteen (15) calendar days of filing online. Please include the exam number and the exam title.

For the foreseeable future, all notices including invitation letters, result letters and notices of non-acceptance will be sent electronically to the email address provided on the application. It is important that applicant provide a valid email address. Please add gacaudillo1 @dhs.lacounty.gov as well as noreply@govermentjobs.com and info@governmentjobs.com to your email address and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail.

Applicants have the ability to opt out of emails from LA County. If you unsubscribe, you will not receive any email notification for any examination for which you apply with Los Angeles County. Regardless of whether you choose to unsubscribe, you can always check for notifications by logging into governmentjobs.com and viewing your profile inbox, which saves a copy of all emailed notices. It is your responsibility to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late test administration or rescheduling of a test component.

SOCIAL SECURITY NUMBER :

Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number.

NO SHARING OF USER ID AND PASSWORD : All applicants must file their application online using their own user ID and password. Using a family member's or friend's user ID and password may erase a candidate's original application record.

COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES : LA County Public Library has announced they are reopening some libraries with limited hours access throughout LA County. Refer to their website at https://lacountylibrary.org/reopening/ for more information.

For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.

FAIR CHANCE INITIATIVE : The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.

ADA COORDINATOR PHONE: (323) 914-7111

TELETYPE PHONE: (800) 899-4099

CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922

DEPARTMENT CONTACT

Gabriela Caudillo, Exam Analyst

gacaudillo1@dhs.lacounty .gov
(213) 288-7000

For detailed information, please click here

Salary:

$65,911.68 - $88,823.04 Annually