Medical Staff Service Specialist - Medical Staff Administration - FT Days

UCI Health Credentialing Specialist

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

Responsibilities

Position Summary:

Incumbent is an experienced professional who applies credentialing theory, knowledge, and in-depth understanding of the field to perform a full range of responsibilities within this role. This individual is responsible for assisting in the development, implementation, and monitoring of credentialing processes and procedures required by the Medical Staff bylaws, state and federal laws, hospital accreditation, and NCQA standards. Credentials practitioners, maintains accurate physician data, coordinates Medical and/or University Physicians and Surgeons (UPS) staff meetings, prepares a variety of reports and prepares policies and procedures to meet licensing requirements. Provides suggestions for improvements in department credentialing and licensure and serves as a liaison between the medical staff and all departments to provide overall continuity. Incumbent provides other general administrative support to the department as needed or assigned.

Qualifications

Required Qualifications:

• Thorough knowledge of data management and documentation methods used in medical credentialing
• Strong interpersonal and organizational skills
• Strong analytical and problem solving skills and the ability to think critically and provide workable solutions
• Proficient in Microsoft Office, Word, PowerPoint, Excel and Outlook
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Must become CPMSM and/or CPCS certified within 12 months of employment
• Minimum of two (2) years relevant credentialing experience
• Knowledge of the Joint Commission and NCQA standards, California Code of Regulations Title 22 and CMS regulations regarding Conditions of Participation
• Excellent written and verbal communication skills in English
• Demonstrated understanding of medical terminology
• Bachelor's degree in related area and / or equivalent experience / training
• Ability to use sound judgment in ambiguous situations and effectively manage change
• Ability to maintain a work pace appropriate to the workload
• Ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities
• Ability to establish and maintain effective working relationships across the Health System
• Ability to coordinate and resolve issues in a timely manner
• Ability to complete job responsibilities accurately with limited supervision and oversight

Preferred Qualifications:

• Knowledge of University and medical center organizations, policies, procedures and forms
• Current NAMSS certification as CPCS and/or CPMSM

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page:

Closing Statement:

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at View email address on click.appcast.io or at View phone number on click.appcast.io, Monday - Friday from 8:30 a.m. - 5:00 p.m.