Provider Applications

 

CHIPA Provider Panel

  1)  Minimum Requirements for network consideration:

  • Do you have two years of independent post-licensure clinical experience (applies only to Masters level clinicians, Ph.D.s and R.N.s)?
  • Do you have minimum professional liability coverage of $1 million/$3 million?


  2)  At this time our panel is closed in many areas, however we are open to the

following license level and geographic locations:

  • Do you have a current/clear MD/DO/RN license?

                                     or

  • Do you practice in any of the following Counties?
    • Fresno
    • Inyo
    • Kern
    • Kings
    • Madera
    • Merced
    • San Luis Obispo
    • Santa Barbara
    • Tulare

Should you meet all of the criteria above, we welcome your interest in joining our panel. If you did not say yes to the questions in section 2, but have a language or specialty that you feel is valuable to our network, please consider submitting your interest.

To submit your interest, please send a letter of interest with your CV/Resume to Network Management:

  • Email (click here)
  • Fax: 877-349-1135
  • Mail: 17100 Pioneer Blvd Ste 420

    Cerritos, CA 90701-2709

If you have any questions please contact us by phone at 1-800-779-3825 x5320.

Thank you,

Network Management

Community Care Coordinator Panel

We have a new program starting for Community Care Coordinators/In-Home Services to a selected group of our membership.  If you are interested in joining this panel and have the following qualifications, please complete the Clinician Profile and submit your resume to the Network Department mentioned above.

Qualifications:

  • Behavioral Health Licensed Clinician (LCSW, MFT, PhD) or Licensed Nurse Practitioner
  • Documented experience in a medical setting or treating patients with multiple co-morbid medical conditions
  • Experience with in-home service delivery, care coordination, and community resource development
  • Experience with the serious and persistently mentally ill population
  • Knowledge of motivational interviewing and coaching techniques
  • Access to a broadband or wireless internet connection
  • Ability to send and receive emails
  • Ability to complete online data entry
  • Proof of Professional Liability Insurance (1Mil/3Mil)
  • Unrestricted driver's license

Application: Clinician Profile

 

 

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