Credentialing Specialist

Position / Program Information

TYPE OF RECRUITMENT: OPEN COMPETITIVE JOB OPPORTUNITY

EXAM NUMBER: Y0927E

FILING

START DATE:

June 2, 2022 at 8:00 a.m. (PT)

Until the needs of the service are met and is subject to closure without notice.

The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the juvenile justice system and inmates in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community‑based clinics, DHS cares for about 500,000 unique patients each year, employs over 23,000 staff, and has an annual operating budget of 8.4 billion.

For additional information regarding DHS please visit (Use the "Apply for this Job" box below)..

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.

"To advance the health of our patients and our communities by providing extraordinary care."

Provides support in the process of obtaining, verifying and assessing the qualifications of physician and allied health professionals to provide patient care services.

Under general supervision, positions allocable to this class are responsible for collecting, reviewing, monitoring, and updating credentialing documentation for existing and the appointment of new medical providers. Incumbents follow policies and procedures, established by departmental by‑laws and regulatory agencies, to evaluate and verify professional licensure, education, training, experience, competencies and hospital affiliations to ensure that medical providers are appropriately qualified and privileged.

Incumbents in this class are required to serve a one‑year probationary period.

Positions allocated to the Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a Multi‑Service Ambulatory Care Center.

Positions allocated to the Department of Mental Health typically report to a higher‑level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review committee.

• Receives and processes applications for credentialing and privileging from licensed independent practitioners and allied health professionals applying for membership in the Professional Staff Association (PSA); notifies the respective department chair and the applicant of their status and time frames for completion.
• Reviews applications for required documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing online queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, and Office of the Inspector General.
• Ensures physicians, allied health professionals and other practitioners of a healthcare facility are properly licensed, trained, and certified as mandated by state and federal regulations.
• Reviews requested privileges to ensure that appropriate criteria and training is documented for the privileges sought.
• Monitors documentation of provisional applications for completion of proctoring; notifies the respective department chair and provisional members regarding their status…