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    Health System Specialist - Loma Linda, United States - Department Of Veterans Affairs

    Department Of Veterans Affairs
    Department Of Veterans Affairs Loma Linda, United States

    3 weeks ago

    Default job background
    Full time
    Description

    Summary



    The Health System Specialist (Credentialing Specialist) is assigned to the Medical Staff Office within the Office of the Chief of Staff and has delegated authority and responsibility for the centralized Credentialing and Privileging Program of the medical staff at this integrated health care facility.



    Duties


    Major duties include, but are not limited to:

    • Performing as the subject matter expert (SME) to Licensed Independent Providers (LIPs) and Service Chiefs regarding routine and complex matters related to C&P.
    • Assisting the C&P Manager/Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P program.
    • Assisting the C&P Manager/Analyst in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations.
    • Receiving and reviewing VetPro reports detecting problem areas requiring further investigation.
    • Informing the C&P Manager/Analyst of trends identified, audit results and identified problems that may affect a provider's privilege status.
    • Providing guidance and instruction to hospital staff in completing the required documentation of establishing privileges for LIPs.
    • Assuring application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account (VetPro or other internal databases and spreadsheets) meet technical requirements.
    • Serving as technical advisor to the Clinical Executive Board of the Medical Staff (CEB) and if applicable the Credentialing and Clinical Privileges Committee (C&CP).
    • Developing and providing routine and special reports as requested by the C&P Manager/Analyst.
    • Establishing and maintains a variety of files and records pertaining to the C&P process.
    Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

    Work Schedule: 8:00am to 4:30pm, Monday through Friday.

    Telework: To be discussed during interview.

    Virtual: Not Authorized

    Position Description Title/PD#: Health System Specialist (Credentialing & Privileging)/PD99876A

    Physical Requirements: Performance of the incumbent's duties may require extensive walking per day to meet with the facility managers and other clinic personnel. Trips to satellite outpatient clinics are sometimes necessary and will involve transportation via automotive vehicle.

    Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.


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