Credentialing Specialist - University of Utah Health
Salt Lake City, UT
About the Job
Overview
_As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education
Success in this mission requires a culture of collaboration, excellence, leadership, and respect
University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission
EO/AA_ This position is responsible for coordinating and implementing activities related to the credentialing and privileging of initial applicants and reappointment applicants of the Medical and Allied Health Professional Staff of the University of Utah Health Care in accordance with the Medical Staff Bylaws, applicable regulatory requirements and accreditation standards
This position is not responsible for providing care to patients
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience
Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes
Responsibilities
+ Facilitates monthly credentialing for medical and allied health professional staff to ensure compliance with the Medical Staff Bylaws, Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), URAC, as well as State regulatory requirements and all other accreditation requirements
+ Facilitates the reappointment process for medical and allied health professional staff every two years to ensure compliance with the Medical Staff bylaws, regulatory standards and accreditation standards
+ Supports the activities of the Credentials Committee, the Interdisciplinary Credentials Committee and the Medical Board
+ Ensures compliance with Medical Staff Bylaws, departmental policies and procedures, regulatory requirements and accreditation standards
+ Ensures that expiring documents are tracked, practitioners notified 30 to 60 days in advance, and renewal copies obtained before expiration
+ Ensures compliance with UUMG delegated credentialing contracts in accordance with regulatory requirements and accreditation standards
+ Communicates appropriately with others so that day-to-day operations are facilitated
+ Exhibits excellent customer relations with office visitors, department coordinators, physicians, allied health professionals, committee members, coworkers and outside contacts in support of the exceptional patient experience
+ Demonstrates the ability to perform job duties incorporating knowledge of age and cultural differences to ensure that the credentialing and privileging process is administered fairly across the applicant population
Knowledge / Skills / Abilities
+ Demonstrated potential ability to perform the essential functions as outlined above
+ Demonstrated human relations, customer service, organization and effective communication skills
+ Heightened attention to detail
+ Ability to simultaneously facilitate multiple priorities efficiently and effectively
+ Ability to work consistently with frequent interruption
+ Knowledge of business telephone etiquette
+ Demonstrated database systems management skills
+ Ability to utilize word processing and spreadsheet software effectively
+ Knowledge of regulatory requirements and accreditation standards
+ Technical clerical skills
+ Ability to communicate diplomatically with applicants, department coordinators, division chiefs, department chairs and others
Qualifications
Qualifications
Required
+ Associates degree in a related area of assignment or equivalency
+ Three years experience as professional support in a medical field, preferably in the medical staff services field
+ Certified Provider Credentialing Specialist certification or ability to become certified within three years of hire
Qualifications (Preferred)
Working Conditions and Physical Demands
_Employee must be able to meet the following requirements with or without an accommodation._ + This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects
This position involves sitting most of the time and is not exposed to adverse environmental conditions
Physical Requirements
Color Determination, Listening, Manual Dexterity, Near Vision, Sitting, Speaking, Standing, Walking Multi-lingual Candidates Welcomed
_To inquire about this posting, email: careers@hsc.utah.edu_
EEO Statement
_University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students._ _Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply
Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law
Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities._ _University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status
The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106
The requirement not to discriminate in education programs or activities extends to admission and employment
Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both._ _To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500
If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action (OEO/AA)
More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at:www.utah.edu/nondiscrimination/_ _Online reports may be submitted atoeo.utah.edu/_ _The University is a participating employer with Utah Retirement Systems (“URS”)
Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work)
Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information
Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions
Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules._ _This position may require the successful completion of a criminal background check and/or drug screen._
Requisition Number
_71897_
Reg/Temp
_Regular_
Employment Type
_Full-Time_
Shift
_Day_
Work Schedule
_Mon-Fri_
Clinical/Non-Clinical Status
_Non-Clinical_
Location Name
_525 Plaza_
Workplace Set Up
_Hybrid_
_City_
_Salt Lake City_
_State_
_UT_
Department
_COR ISC 18C MEDICAL STAFF OFF_
Category
_Regulatory and Quality_
Workplace Set Up
_Hybrid_