Job Details: Medical Staff SVC Manager

Company: Kaiser Permanente - Southern California – Today, we are the largest nonprofit health care organization in the United States, serving approximately 8.2 million people in nine states and the District of Columbia.

Description: Qualifications: Relevant Bachelor's Degree or equivalent experience required. Three (3) - five (5) years supervisory experience preferred.
Five (5)+ years' experience in health care in an administrative or managerial position related to credentialing and/or accreditation. Significant working knowledge of federal and state regulatory requirements and accreditation standards (e.g., JCAHO, NCQA, DOC, DHS, Titles 22 and 16). Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.

Preferred Qualifications: Certification in the area of Medical Staff Services, or Quality Arena preferred. Ability to work closely with Medical Staff in an integrated healthcare system. Knowledge of Word, Excel, PowerPoint and Access programs. Type 50 wpm. Data entry skills.

Duties: Manages credentialing, proctoring, privileging and reappointment process for Licensed Independent Practitioners (LIPs) and Allied Health Professionals. Creates operations and communications processes that support organizational strategies and business objectives. Supervises Medical Staff Services office include budget management, hiring, training, and counseling staff, equipment management and quality of service. Acts as a liaison, technical advisor, and resource person for the professional and allied staff, administration within each site. Provides consulting services regarding regulatory, legal, accreditation, Program and Regional credentialing standards throughout the region. Hires, trains counsels and supervises all medical staff services office personnel. Develops and implements mechanisms to ensure compliance to all regulatory agencies and the Professional Staff Bylaws, Rules and Regulations. Assists in the development of policies, procedures, protocols and privileges to support the credentialing process and makes recommendations for bylaws revision. Interprets requirements and disseminates information to all involved parties to assure necessary compliance, compatibility and continuous quality improvement of the credentialing process. Partners with appropriate Program, Regional, Service Area, Medical Group individuals and groups, accrediting bodies and external consultants to develop and implement systems and processes that meet requirements and adhere to Regional Credentialing Policies and Procedures. Collaborates with inter regional peers to identify and implement best practices. Supports committees as assigned. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures.

This is a repost of WH.0701068.

Posting Date: Jul 18 08