Looking for a job in the state of Washington? See what opportunities are available below. Have a job that needs to be filled? Contact Sally Rowland. Postings cost $35 per announcement ($50 for non-WAMSS members) and are active on the site for 30 days. Postings will be automatically removed after 30 days unless renewed for another month. Please let us know if you fill your position earlier so we can remove it from the page.
RADIA, Lynnwood, WA
SENIOR CREDENTIALING SPECIALIST
Kadlec Regional Medical Center has an exciting opportunity for a Medical Staff Services Manager to lead our growing team located in Richland, Washington!
Shift Details: Regular Full time, Clerical
Patients are our number one priority and we are committed to hiring staff who deliver excellence: in patient care, in customer service, in technology support and in operations. Radia is a place where you can make a real difference for our patients and for yourself.
Radia is currently seeking a Credentialing Specialist to join our credentialing team! The ideal candidate will be service oriented, have exceptional organizational skills and attention to detail.
The primary purpose of the credentialing specialist is to provide consistent, accurate, and timely credentialing support for the professional services corporation, which enhances the company’s ability to provide professional services to patients at multiple hospital and clinic locations
Responsibilities:
- Credentialing: Completes accurate and detailed professional applications for hospitals and/or payers. Follows for review and signature in a timely manner, with a goal of having applications completed within 120 day maximum timeline. Ensures that approval for hospital and payer privileges and effective dates are documented in detail.
- Interdepartmental Collaboration: Upholds a high level of understanding of credentialing and privileging and how it relates to other facets within (such as teleRadia, physician scheduling, quality and risk management) and outside of the organization. Recognizes opportunities for improving processes and can communicate effectively with physicians and hospital partners.
- License Renewals: Ensures that physician licenses are renewed prior to expiration 100% of the time. Documents payments and follows any outstanding items. Communicates completion to key customers.
- Primary Source Verification: Completes primary source verification as requested by management for new and existing physicians to ensure due diligence.
- Proctoring: Coordinates and documents proctoring process per hospital requests and internal needs based on current approved policy and guidelines.
- Continuing Medical Education: Works with team members to maintain current CME documentation for all medical professionals. Ensures that current information is provided to the clinical manager on a quarterly basis for MQSA accreditation and that totals yearly satisfy WA licensure requirements. Alerts physicians falling behind requirements.
- Records Management: Maintains assigned physician files, updating each item/action as processed. Utilizes database status/alert and other report functions, software tools and links to scanned documentation. Ensures that information is current and accurate. Archives documents based on retention schedules.
- Credentialing Standards: credentialing standards as prescribed and actively participates in credentialing standards development contributing to standards and consistency in database entry to ensure accurate and consistent processes. Provides updates on outstanding items.
- Medical Staff Dues: Processes check requests for Medical Staff dues based on invoices provided by various hospitals. Ensure that invoices are accurate prior to submitting payment.
- Back-up Coverage: Provides hospital and payer credentialing back-up coverage for other members of the Credentialing group.
Education and Experience:
- CPCS or CPMSM Certification by NAMASS Preferred
- AA or BA Preferred; work experience may substitute for education
- Credentialing certification preferred; ongoing education encouraged
- Knowledge of medical terminology preferred
- Minimum of 4 years of experience in hospital credentialing and managed care credentialing
We offer market-competitive compensation and a full range of benefits, including:
- A choice of two health plans, flexible spending and health savings accounts
- A 401(k) with a profit-sharing component
- Paid Time Off and Holiday Pay
- Life and disability insurance
- Learning opportunities through professional development programs
Thank you for taking the time to learn more about Radia and applying online! Radia is committed to employing a diverse workforce. EOE
(posted 4/17/19)
Virginia Mason, Seattle, WA
DIRECTOR, MEDICAL STAFF SERVICES
Honored as Top Hospital of the Decade by The Leapfrog Group, Virginia Mason in Seattle, WA, is internationally recognized as a preeminent organization that is focused on transforming health care. True to that vision, we spent this past decade creating and delivering a multitude of innovations. The results? Industry-changing process improvements and initiatives that have revolutionized our ability to eliminate waste, cut costs, and most importantly, improve the quality of services. Our commitment to Team Medicine and the transformation of health care is what built our reputation as a quality leader, and empowers us with the capability to provide rapid access to care through our Virginia Mason Production System.
Shift Details: Management, Fulltime-Regular
As a key member of our leadership team, you will help to continually develop the results-driven initiatives that define our success and are transforming healthcare.
The Director of Medical Staff Services is a critical position for the organization and provides professional expertise and leadership to inform decision making, continuously improve processes, and ensure overall regulatory compliance related to credentialing, privileging, and medical staff governance. This position provides leadership, supervision, and expertise to a shared services model that supports credentialing functions for more than one hospital. This position provides an important contribution to our overall patient safety strategy and is highly regulated by The Joint Commission, CMS, and NCQA.
QUALIFICATIONS:
Bachelor’s Degree required.
Minimum 5 years progressive experience in a supervisory/leadership role in the medical staff services setting required.
Certified Processional Medical Staff Services Management (CPMSM) required.
Must possess a thorough understanding of medical staff credentialing and privileging regulatory requirements and best practices.
Strong critical thinking skills.
Strong written and verbal communication skills.
Experience interacting with physicians in highly sensitive situations.
Experience with electronic credentialing processes and shared services models supporting more than one facility.
Must also have knowledge and skills with various credentialing software programs.
Master’s degree preferred.
About Us
Virginia Mason, established in 1920 in Seattle, WA, is internationally recognized as a preeminent health care organization focused on delivering quality services to our patients. We have a 336-bed hospital in Seattle and multi-specialty medical group practice with more than 450 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best practices and a model that is the benchmark for other medical organizations. Join us, and find out how many ways Virginia Mason offers you the chance to focus on what really matters—your patients.
Located in the Pacific NW, Seattle is an area with a mild climate year round and close to the great outdoors where we enjoy an abundance of activities with our close proximity to the waters of Puget Sound and surrounding mountains. City life and cultural activities are also thriving. With a variety of neighborhoods and areas to work and live, there are many choices for the type of lifestyle you’d like to enjoy.
Apply online: https://jobs.virginiamason.org/job/VIMAUS4539/Director-Medical-Staff-Services
We are an equal opportunity/affirmative action employer.
(posted 4/8/19)
Harrison Medical Center- Bremerton, WA
CREDENTIALING SPECIALIST
CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country. Our mission is to deliver high quality care that meets our patients’ medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!
Shift Details: Full time, 8:00am to 4:30pm
JOB SUMMARY
Performs the provider credentialing and database maintenance processes based on department and organizational policy, procedure, and standards and guidelines set forth by The Joint Commission (TJC) and the National Committee for Quality Assurance (NCQA), URAC, State and Federal Government, and health plan payors. Incumbents are responsible for: 1) ensuring accurate and timely credentialing and subsequent submission of provider information to support appointing and claims submission; 2) ensuring accurate and timely data entry of provider demographics; and 3) performing as the point of contact for internal stakeholders, vendors and providers.
ESSENTIAL DUTIES:
- Performs credentialing and re-credentialing processes according to departmental policies and procedures, various accreditations standards, health plan, state and Federal requirements.
- Provides assistance and guidance to physicians and professional providers through the hospital privileging processes.
- Prepares files, letters and summaries for Medical Staff Office and/or Franciscan Medical Group (FMG) Credentialing Committee review.
- Maintains all written/verbal correspondence and data collection records regarding provider status and credentialing process.
- Assists with productivity reporting.
- Assists in preparation for health plan delegation oversight audits.
Education/Work Experience:
Two (2) years practitioner credentialing experience, or three (3) years administrative experience, that demonstrates attainment of the requisite job knowledge skills/abilities, preferably in a healthcare setting.
Licensure/Certification
Certified Provider Credentialing Specialist (CPCS) preferred, or able to obtain within two years of meeting prerequisites.
https://chi2.referrals.selectminds.com/jobs/.XKT2AITpjIE.mailto
(posted 4/03/19)