Overview

Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Dedicated to the community’s well-being our staff and volunteers provide excellence in care for our patients each year. Mercy San Juan Medical Center has received recognition for being a Comprehensive Stroke Center and Center of Excellence for Bariatric Surgery along with Certificates of Excellence in Perinatal Care Hip- and Knee- Replacement.  

One Community. One Mission. One California

Responsibilities
This position is responsible for coordination, facilitating, monitoring and maintaining the credentialing and re-credentialing process for the Greater Sacramento San Joaquin Service Area, which includes, but is not limited to, initial applications, re-applications, site transfers , maintenance of MSOW database and expirables. The incumbent ensures credentialing compliance with the accrediting and regulatory agencies, Joint Commission, Title 22, CMS, NCQA), and Medical Staff bylaws, rules and regulations. This position is responsible for the accuracy and integrity of the credentialing and clinical privileging database system and ensuring the timeliness of credentialing/re-credentialing verification processes including the gathering, verification and evaluation of source documents for education/training, professional liability, licensure/certifications, hospital affiliations, work history, professional references and all other primary source verifications as required by the hospital(s), the medical staff(s) and regulatory agencies.

We offer the following benefits to support you and your family:

Health/Dental/Vision InsuranceFlexible spending accountsVoluntary Protection: Group Accident Critical Illness and Identity TheftAdoption AssistanceFree Premium Membership to Care.com with preloaded credits for children and/or dependent adultsEmployee Assistance Program (EAP) for you and your familyPaid Time Off (PTO)Tuition Assistance for career growth and developmentRetirement ProgramsWellness Programs
Qualifications

Experience: 

A minimum of 3 years credentialing experience in an Acute Care setting or 5 years credentialing experience in an Ambulatory setting (required).

Education: 

High School diploma or equivalent (required).

Associate's or Bachelor's degree or some college education preferred.

Licensure: 

CPCS certification is preferred.

Special Skills:

Special skills required include: good data entry skills; excellent verbal and written communication skills; medical terminology; customer service;
organizational skills; team orientation; ability to maintain confidentiality and familiarity with HIPAA regulations.

Training: 

Training in or working knowledge of TJC/CMS/Title 22 /NCQA standards and requirements; advanced Microsoft Office products MSO/MSOW, Excel, Word, Outlook, Access, Internet software; and office equipment including computer, copy machine, fax, and scanner (required).