The Credentialing Specialist is a professional specialized in credentialing activities, coordinates the credentialing functions, performs analytical and utilizes critical thinking skills when credentialing an applicant, and acts as a liaison between the medical staff, nursing staff and administration within the parameters established by the System Director, Administration, and the officers of the Medical Staff.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

• Writing ability
• Medical terminology (preferred)
• Computer proficiencies in WORD, EXCEL, and working in PDF documents, MDStaff
• Excellent and effective communication skills
• Organized
• Dependable
• Positive professional appearance and attitude
• Regularly demonstrates the ability to exercise independent judgment in times of need and emergency situations
• Familiarity with standards and requirements set forth by CIHQ and Health plans (Medical Group)
• Critical thinking skills
• Analytical skills

Required:

• High school diploma and 5-7 years’ experience as a Credentials Coordinator or credentialing capacity, in a medium to large size medical center with knowledge of medical staff function, credentialing, preparation of meeting minutes, CIHQ, Title XXII, NCQA, health plans and CMA.
• CPCS certified within 1 year of employment
• Knowledgeable with ASM MDStaff software
• Must obtain LA City Fire Card within 6 months of employment (PHGSH Only)

 Preferred:

• Bachelor’s degree
• ASM MDStaff Super user certified

About PIH Health

PIH Health is the Communities’ Health and Wellness Partner Our network of highly trained and compassionate physicians, nurses, clinicians, staff and volunteers work tirelessly and collaboratively every day to maintain and enhance the health and wellbeing of every member of our service areas. And when needed, we are here to coordinate care, manage chronic disease, and treat health conditions for the best possible outcomes. We’re a nonprofit, regional healthcare network with three hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare. We serve more than 3.7 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. Why PIH Health? Our culture is built around our core values, which are the guiding principles for everything we do. For over 60 years, PIH Health has maintained a sense of community and a family-like cultur...e where patients are the top priority, and employees and volunteers are proud to be affiliated with such an outstanding organization. PIH Health Hospital - Whittier Our Whittier campus delivers outstanding and compassionate care to patients, every day. Among other awards, PIH Health Hospital - Whittier has been named one of the nation’s 100 Top Hospitals® for the third consecutive year by Truven Health Analytics. PIH Health Hospital in Whittier, CA is located 30 minutes east of Los Angeles, close to the Los Angeles and Orange County border. There are many great communities in which to live that surround the hospital. This means easy access to work, great dining, shopping, entertainment and spectacular beaches. Whatever your passion, you’ll find the right place for it here. PIH Health Hospital - Downey is a nonprofit hospital with a rich, nearly 100-year history of meeting the healthcare needs of its community. The Downey campus is part of the PIH Health comprehensive health network consisting of two hospitals, 18 medical office locations and a host of specialty services. According to US News & World Report, the hospital scores highly in patient safety and orthopedics. With 955 employees, the hospital is the 5th largest employer in the city of Downey.

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