Los Angeles, CA30+ days ago
Enacts credentialing and privileging maintenance and management by: Independently completing evaluation of application and supporting documents for completeness and to determine applicants initial eligibility for membership/participation; Serving as main point of contact for practitioner during application process, providing timely updates and additional information as requested; Preparing and completing moderately complex documents (e.g., Board Reports, Delegation reports) related to practitioner-specific data for presentations to decision-making bodies (e.g., committees); Conducting initial or reappointment/re-credentialing for eligible practitioners; Independently applying defined and may begin to suggest improvements to credentialing and privileging processes for all practitioners/providers, with general review; Maintaining documents needed for presentation during committees. Applies and ensures control and application of data systems by: Maintaining data structures, system functions, creations of workflows, portal management and coordinating the access and controls of data; Interpreting guidelines to enact auditing, assessing, procuring, implementing, effectively utilizing, and maintaining practitioner/provider and delegated credentialing processes and information systems (e.g., files, reports, minutes, databases) as outlined; Reviewing current and may begin suggesting new processes (e.g., electronic board memos) to ensure compliance.