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University of Washington, Seattle, WA
PROGRAM COORDINATOR – CREDENTIALING
Req #: 164738
Department: SCHOOL OF MEDICINE
Job Location: South Lake Union
Posting Date: 02/12/2019
Closing Info: Closes On 02/26/2019
Salary: $3,266 – $4,365/month
Union Position: Yes
Shift: First Shift
Notes: As a UW employee, you will enjoy generous benefits and work/life programs.
For detailed information on Benefits for this position, click here.
As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem solving skills and dedication to build stronger minds and a healthier world.
UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. All of which has allowed the UW to be nationally recognized as a “Great College to Work For” for five consecutive years.
The Dean of Medicine has an outstanding opportunity for a full-time Program Coordinator. Under the general supervision of the Manager for the Office of Medical Staff Appointments (OMSA), the Program Coordinator is responsible for organizing and coordinating the operational efforts associated with the credentialing office. This position will coordinate numerous administrative assignments related to the overall function of the medical staff credentialing unit. In compliance with established policies and procedures, bylaws, regulations, and laws; responsibilities for the program coordinator are planned and executed with significant independence. Specifically, six Program Coordinators are responsible for all efforts associated with coordinating the processing of initial applications (approximately 400/year) for practitioners joining the UW medical staff and the reappointment process for all applications (approximately 1,250/year) for those practitioners already on the UW medical staff. It is the Program Coordinator’s responsibility to be an expert, to independently advise others of the many policies and procedures associated with OMSA and the credentialing process for each of the UW Medicine facilities, which include (University of Washington Medical Center (UWMC), Harborview Medical Center(HMC), Seattle Cancer Care Alliance(SCCA), UW Neighborhood Clinics(UWNC), and Hall Health(HH).
Specialized education, training, skills, or certification:
There are two certification options available to the medical staff professional. The requirements to obtain certification are working in medical staff credentialing and privileging for a minimum of three years and pass the certifying exam. After certification, on-going education is required to keep certification. The two certification options available are:
– Certified Provider Credentialing Specialists (CPCS)
– Certified Professional Medical Services Management (CPMSM)
Certification provides evidence that the medical staff professional is knowledgeable in medical staff credentialing and privileging as well as has in-depth knowledge of medical staff bylaws, hospital procedures and standards, management processes and accreditation standards and can be considered an in-house expert resource.
Credentialing and Privileging:
The Program Coordinator is responsible for the review of initial applications and reappointment applications for all credentialing and privileging requests. The thorough review of each application requires confirmation of accuracy and a detailed review of materials for completeness prior to submitting to the Credentials Committee, Medical Executives Committee and Board of Trustees of UW Medicine facilites (UWMC, HMC, SCCA, UWNC, and HH) for final review and consideration. During the review of each application (and reappointment) continuous follow up is required. It is the Program Coordinator’s responsibility to resolve and troubleshoot difficulties associated with gathering the required verification responses. While maintaining the highest level of confidentiality the Program Coordinator must ensure all applicants and reappointments are qualified for the privileges requested and all required documentation has been received and kept on file.
The Program Coordinator is fully responsible for communicating with many different levels of management within UW Medicine. Whenever a practitioner falls outside UW Medical standards (i.e. foreign medical graduates, license or malpractice sanctions, patient complaints, etc.) the Program Coordinator has the responsibility to investigate, gather information from all sources, summarize findings and provide this information to Vice President of Medical Staff, Medical Director, Department Chairs and Credentialing Committee. Accurate assessment of issues and their impact on UW Medical policies and procedures is vital to this position. The Program Coordinator also provides information and advice to departments, medical staff and program participants regarding bylaws requirements, UW policies and privilege requirements, and recommends alternative courses of action (i.e. Board Waiver for Foreign Medical Gradates, Supervisory Plan to meet UW Medicine requirements, etc.) Engage in daily interaction with a wide variety of administrative and clinical personnel in addition to those mention above would also include Office of Risk Management, Medical Staff Offices and Compliance Offices.
Gather information on pending and settled lawsuits through primary source verification with national insurance carriers and National Practitioner Database (NPDB) as required by federal law, state licensure sanctions including open and closed complaints for past 10 years as required by UW Medicine, Patient Complaints and resolution as provided by UW Office of Risk Management and verifications of Medicare and Medicaid sanctions, verification of compliance with Office of the Attorney General and other quality control agencies.
Comply with all policies and procedures to guarantee confidentiality of any information collected and entered into the database related to individuals and entities involved with the credentialing or reporting process. Communications often deal with confidential and/or sensitive issues requiring professionalism, sanctions and peer review.
Comply and enforce accreditation and regulatory standards. Ensure OMSA’s credentialing process meets all State and Federal laws and satisfies the Medical Centers’ by-laws, meets The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), and other credentialing guidelines.
Provide assistance with monitoring and reconciling the departmental Procard expense reports.
Departmental Operations and Medical Staff Functions:
– Maintain database records of appointment, reappointment, and termination dates; granted privileges; dates for sending and receiving verifications and legally required documents.
– Maintain electronic and paper files for each medical staff member including copies of applications, current state licensure, certifications, hospital privileges, and letters of recommendation.
– Assist with the work flow, training, and reviewing files prior to submission for Departmental and Credentials Committees review and approval for other employees.
This position requires considerable independent judgment in interpreting and applying The Joint Commission medical staff standards (TJC), National Committee for Quality Assurance (NCQA), State Laws and regulations as they pertain to the credentialing and privileging of applicants for medical staff appointment. This position independently advises the Assistant Director of OMSA, hospital medical directors, academic department chairs and others’ staff of applicant’s education, training, and qualifications for medical staff appointment.
High school graduation or equivalent AND two years of experience in credentialing and privileging of medical staff OR equivalent education/experience.
Ability to communicate with a variety of institutions and their staff; attention to detail; organization skills; and respect for confidentiality of information.
CONDITIONS OF EMPLOYMENT
Certification in a Certified Provider Credentialing Specialist or Certified Professional Medical Services Management is required within 2 years of hire.
The University of Washington is a leader in environmental stewardship & sustainability, and committed to becoming climate neutral.
The University of Washington is an equal opportunity, affirmative action employer. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 / 206-543-6452 (tty) or email@example.com.
Here is a link to the web posting: https://uwhires.admin.washington.edu
Seattle Children’s Hospital
1.0 FTE 8H Day shift
Coordinate and perform functions related to medical and allied health professional staff credentialing, reappointment, and privileging. Assures credentialing, reappointment, and privileging is completed in accordance with the Medical Staff Bylaws, policies and procedures, Joint Commission, NCQA, and federal and state standards/requirements. Organize and support medical staff meetings and communication activities.
Why you’ll love working at Seattle Children’s:
We’re proud of the awards that recognize the quality of care we give our patients and families, and the supportive work environment we provide for our nurses and other health professionals.
We are Ranked Top 10 in the Country: U.S. News & World Report ranked Seattle Children’s No. 5 in the country among the nation’s best children’s hospitals for 2015-16. We are honored to be selected for the 23rd consecutive year and are the only pediatric medical center in Washington to be ranked.
Best Place to Work: Our positive work environment has been recognized by third parties, including Becker’s Hospital Review in its 2014 list of 150 Great Places to Work in Healthcare. The organizations on the list were chosen for their robust benefits packages, positive work environments, excellent employee recognition programs and opportunities for professional development and continuing education.
America’s Best Employers: Ranked #10, nationally, Seattle Children’s hospital was the only health care institution in Washington State to make the Forbes’ “America’s Best Employers” list for 2016.
1) Ability to critically analyze and apply standards to information submitted by the providers
2) Ability to communicate appropriate and effectively with providers, including sensitive and confidential information
3) Management of multiple deadlines on a weekly and monthly basis. Must be able to prioritize and meet deadlines on an ongoing basis to ensure timely completion according to process requirements
4) Management of initial application process during several high volume times of year
5) Ability to manage work flow in a complex and dynamic environment through the use of technology
6) Detail oriented and highly accurate
7) Demonstrates strong work ethic and maintains high expectation of individual work product.
– High School graduate or equivalent.
– Minimum two years of experience in the areas of customer service, office and/or project management.
– Minimum one year of experience in a medical/healthcare office setting.
– Experience in coordinating meetings and taking minutes.
– Associate degree in healthcare related field.
– Experience working as a credentialing assistant or analyst (can be in a medical staff office, health plan or medical group).
– Working knowledge of medical terminology.
– Certification as a CMSC (Certified Medical Staff Coordinator) or CPCS (Certified Provider Credentialing Specialist).