Position/Program Information TYPE OF RECRUITMENT: Open Competitive Job Opportunity EXAM NUMBER: Y0928D
FIRST DAY OF FILING: September 20, 2024, AT 8:00 a.m., PT
CLOSING DATE:Continuous - Until needs of the department are met and is subject to closure without prior notice.
NO OUT-OF-CLASS EXPERIENCE OR WITHHOLDS ARE ALLOWED FOR THIS EXAMINATION. 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. Through its integrated system of 25 health centers, four acute hospitals, and an expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion.
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.
For additional information regarding DHS please visit www.dhs.lacounty.gov .
THE MISSION:To advance the health of our patients and our communities by providing extraordinary care.
ABOUT THE POSITION: DEFINITION:Under direction, coordinates the credentialing program for the appointment of medical practitioners to the medical staff of a hospital or clinic and ensures compliance with applicable rules and regulations.
Essential Job Functions- Evaluates completed credentialing and proctoring documents submitted by Credentialing Specialists, ensures summary report of applications including all relevant information regarding education, licensure and work history. Identifies inconsistencies in information being collected by staff, ensures any judgments, settlements or adverse actions are documented; conducts follow-ups. Presents completed documents to the Credentialing Committee and Chair for review and recommendation.
- Attends Committee meetings and presents completed medical staff and allied health practitioner credentialing and proctoring files. Ensures all appropriate forms and signatures are signed by the Professional Staff Association (PSA) President, Hospital Medical Director and Hospital Administrator. Submits signed New Membership and/or Reappointment recommendations to the Governing Body.
- Prepares meeting notices, minutes, agendas and status reports for committee meetings; conducts meeting follow-ups, tracks actions and assignments to ensure completion; ensures committee actions are distributed to hospital staff in a timely manner.
- Conducts routine internal audits of the review process to ensure compliance with regulatory agencies; assures credential files are prepared and maintained in a confidential manner in accordance with documentation requirements outlined by Joint Commission standards and other regulatory agencies and develops corrective action plans for deficiencies as noted in the audit report.
- Monitors National Practitioner Data Bank reports and maintains integrity of the database by randomly conducting cross-checks of data, ensures updates reflect the current status of medical staff members and their approved clinical privileges.
- Guides and trains staff on appropriate credentialing policies and proper primary source verification procedures of the practitioners' education, licensure, employment history, professional liability and references.
- Plans, directs, and oversees the Credentialing Unit. Supervises staff involved in the verification process of credentialing and privileging applications.
- Coordinates the credentialing application process to ensure complete and accurate credential files are sent and received. Maintains practitioner files and monitors expired documents. Creates rosters for tracking status of credentialing applications and assignment completion, prepares reports and credentialing forms. Researches and obtains information regarding credentialing standards, regulations, and requirements.
- Analyzes and makes recommendations on processes and procedures for, but not limited to, credentialing, peer review, focused practitioner performance review, and review of hospital policies and procedures to ensure continued accreditation by the Joint Commission on Accreditation of Healthcare Organizations and other regulatory agencies.
- Act as the liaison between medical and nursing staff, interpreting departmental bylaws, fair hearing plans, and any other rules and regulations that reference accreditation, quality control and confidentiality of medical staff documents.
- Supports various Committees by working closely with the Chair and Administrator of Medical Staff Affairs to set the agenda, schedule meetings, and distribute meeting schedules and notices. Provides follow-up of outstanding issues and external committee referrals.
- Initiates procedure for Protection of Practitioner's Rights in the appointment process when information obtained through the verification process varies substantially from information contained in the application.
- Initiates the review process for updating the department rules and regulations as defined by the PSA Bylaws, Joint Commission and other agencies to ensure accuracy and compliance with industry standards.
- Maintains a procedural manual on the appropriate credentialing functions for the ongoing initial, provisional and reappointment credentialing process and guides staff on procedural methods.
- Coordinates the Continuing Medical Education training program by researching available speakers or lectures on specific topics. Arranges dates and locations, scheduling and confirming attendance, issues certificates of completion and collects evaluation sheets. Tabulate results and prepares summaries of the training topics and speakers.
RequirementsSELECTION REQUIREMENTS:Option I - Two (2) years of recent*, full-time experience in a Medical Staff Services Office** or health care environment as a Credentialing Specialist***.
Option II - Three (3) years of recent*, full-time experience performing medical staff credentialing functions for a hospital (health system), ambulatory care center, group practice, or health maintenance organization.
Possession of a valid Certified Professional Medical Services Management certificate, issued by the National Association of Medical Staff Services (NAMSS) -OR- Possession of a valid Certified Provider Credentialing Specialist certificate, issued by the NAMSS and one year of the required experience may be substituted for the required experience. A pplicants must attach the certificate to their application at the time of filing or email the documents to the exam analyst at mtadeo3@dhs.lacounty.gov within seven (7) calendar days from the date of filing your application online. Please note, we do not accept password-protected documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst. DESIRABLE QUALIFICATIONS:
Additional points will be awarded for additional experience in excess of the Selection Requirements.
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.
All required licenses and certifications must be active and unrestricted or your application will not be accepted. PHYSICAL CLASS II - Light: This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10 pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.
SPECIAL REQUIREMENT INFORMATION:Possession of a valid Certified Professional Medical Services Management certificate, issued by the National Association of Medical Staff Services within 12 months of employment.*Recent experience is deemed to be within the last five (5) years.
** Medical Staff Services Office provides credentialing to medical practitioners to ensure they meet the standard requirements that are necessary for them to perform their medical duties.
***Credentialing Specialist provides staff support to the medical credentialing functions for the appointment and evaluation of physicians and allied health care professionals.
Additional InformationEXAMINATION CONTENT:This examination will consist of an evaluation of experience and desirable qualifications weighted at 100%.
CANDIDATES MUST ACHIEVE A PASSING SCORE OF 70% OR HIGHER ON THE EXAMINATION IN ORDER TO BE PLACED ON THE ELIGIBLE REGISTER. 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 score on the examination will be placed on the eligible register in the order of their score group for a period of twelve (12) months following the date of promulgation.
NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS.SPECIAL INFORMATION:AVAILABLE SHIFT:Appointees may be required to work any shift, including evenings, nights, weekends, and holidays.
VACANCY INFORMATION:The resulting eligible register resulting from this examination will be used to fill vacancies throughout the Department of Health Services as they occur.
APPLICATION AND FILING INFORMATION:APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED.Applications electronically received after 5:00 p.m., PT on the last day of filing will not be accepted.Apply online by clicking the green "
APPLY" button at the top right of this posting. You can also track the status of your application using this website.
Plan to submit your online application well in advance of the 5:00 p.m. (PT) deadline on the last day of filing, as you may be required to verify your email address. This only needs to be done once per email address, and if you already have a job seeker account on www.governmentjobs.com/careers/lacounty, you can verify at any time by logging in and following the prompts. This is to enhance the security of your online application and to ensure you do not enter an incorrect email address.
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 the Class Specification and Selection Requirements serving as your description of duties
WILL NOT be sufficient to demonstrate that you met the requirements. Doing so may result in an I
NCOMPLETE 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 without advance notice.
Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the
SELECTION 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.
Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add mtadeo3@dhs.lacounty.gov and info@governmentjobs.com to your email address book 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 Los Angeles 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.
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 individualized 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.
COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: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.
ANTI-RACISM, DIVERSITY, AND INCLUSION (ARDI):The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. The Department of Human Resources is committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices.
SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed person have a Social Security number for record control purposes.
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.
ADA COORDINATOR PHONE:(323) 914-6365
CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922
DEPARTMENT CONTACT: Christina Tadeo, Exam Analyst
(213) 288-7000
mtadeo3@dhs.lacounty.gov
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