Director of Medical Staff Services & Credentialing

01 Kaweah Delta Health Care District; Visalia (CA); On-site; USD 132,000 - 198,000; Full time

Job summary

Kaweah Health in Visalia, California, seeks a Credentialing Specialist to support Medical Staff leadership and manage credentialing and re-credentialing activities across the organization.

You will maintain Medical Staff files, policies, and bylaws, and serve as a resource on accreditation standards and regulatory requirements. The role requires strong communication, organizational, and analytical abilities within a busy hospital setting.

Qualifications

• Five years of medical staff experience and three years supervisory experience.
• Extensive knowledge of credentialing concepts, Joint Commission standards, Title 22, CMS and HIPPA regulations.
• Ability to analyze, trend, and identify issues that should be addressed.
• Ability to effectively communicate and interact with department staff, physician customers, and hospital staff.
• Familiar with Echo software preferred.

Responsibilities

• Provides administrative assistance and support to the Medical Staff leadership.
• Oversees the functions of the Medical Staff Office and is accountable for managing credentialing and re-credentialing activities.
• Maintains accurate Medical Staff files and a current master copy of bylaws, rules, and policies.
• Acts as a resource for accreditation standards and other regulations (NCQA, Joint Commission, CMA, Title 22, HCFA, Medi-Cal, HIPAA).
• Collaborates with management and departments to facilitate service standards and maintains financial records for the Medical Staff.

Skills

Credentialing expertise

Communication skills

Organizational skills

Analytical skills

Supervisory experience

Education

Bachelor's degree

Tools

Echo software

Job description

Kaweah Health in Visalia, California, seeks a Credentialing Specialist to support Medical Staff leadership and manage credentialing and re-credentialing activities across the organization.

You will maintain Medical Staff files, policies, and bylaws, and serve as a resource on accreditation standards and regulatory requirements. The role requires strong communication, organizational, and analytical abilities within a busy hospital setting.