✓ Logistics and Warehousing ✕ Clear
Logistics and Warehousing Jobs in Santa Fe New Mexico
2 positions found
Credentialing Specialist - Med Staff Admin
✦ New
Salary not disclosed
Description
Summary:
The Credentialing Specialist works at the direction of the Director of Medical Staff Services. This position performs credentialing and recredentialing for the purpose of Medical and Advance Practice Clinician membership and privileging in accordance with the Medical Staff Bylaws, Rules & Regulations, Policy and Procedure, and in alignment with appropriate regulatory agencies (e.G. DNV, The Joint Commission, NCQA, CMS, etc.)
The Medical Staff Credentialing Specialist manages practitioner files, working cooperatively with practitioners, internal departments, and contract groups ensuring the seamless and timely flow of credentials information in order to meet credentialing deadlines.
Responsibilities:
Coordinates Medical/APC Staff credentialing (initial, reappointment applications, temporary privileges and requests for additional privileges) from receipt to approval
Collects and analyzes documents, data and verifications and prepares reports by monitoring data published by regulatory agencies and boards, OIG, NPDB and other applicable sources, screening for any adverse actions
Collaborates with practitioners and/or contract and practice group contacts regarding status of applications, credentialing issues, pending expirations or expirations of required licensure and certifications, or questions related to credentialing and to ensure timely credentialing
Coordinate with healthcare providers, insurance companies, and regulatory agencies to resolve discrepancies
Maintains and updates provider databases and files with current documentation
Prepare reports and assist in audits to support organizational compliance.
Ensure compliance with state, federal, and accrediting body regulations - DNV, NCQA, Joint Commission, CMS CoPs, NM state statutes
Assists with special projects as assigned
Requirements:
Education:
High School diploma or equivalent required. Two or more years of college in business courses preferred.
Experience:
Two or more years’ experience in health care environment working directly with physicians, advanced practice professionals, and office staff demonstrating the ability to complete assigned tasks independently or with minimum supervision.
Credentialing or Medical Staff experience desired.
Above average verbal and written communication skills to promote excellent customer relations, with ability to transmit and receive information accurately
Strong reading and writing skills in English
Strong organizational and analytical skills
Strong understanding of technology with ability to learn new software programs including database and cloud-based services
Ability to work in stressful situations and perform multiple tasks simultaneously
Ability to work collaboratively
Must have critical thinking skills to execute the detailed job functions
Certifications, Registrations, or Licenses:
Current Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS) or must become certified within twenty-four (24) months after date of hire.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Summary:
The Credentialing Specialist works at the direction of the Director of Medical Staff Services. This position performs credentialing and recredentialing for the purpose of Medical and Advance Practice Clinician membership and privileging in accordance with the Medical Staff Bylaws, Rules & Regulations, Policy and Procedure, and in alignment with appropriate regulatory agencies (e.G. DNV, The Joint Commission, NCQA, CMS, etc.)
The Medical Staff Credentialing Specialist manages practitioner files, working cooperatively with practitioners, internal departments, and contract groups ensuring the seamless and timely flow of credentials information in order to meet credentialing deadlines.
Responsibilities:
Coordinates Medical/APC Staff credentialing (initial, reappointment applications, temporary privileges and requests for additional privileges) from receipt to approval
Collects and analyzes documents, data and verifications and prepares reports by monitoring data published by regulatory agencies and boards, OIG, NPDB and other applicable sources, screening for any adverse actions
Collaborates with practitioners and/or contract and practice group contacts regarding status of applications, credentialing issues, pending expirations or expirations of required licensure and certifications, or questions related to credentialing and to ensure timely credentialing
Coordinate with healthcare providers, insurance companies, and regulatory agencies to resolve discrepancies
Maintains and updates provider databases and files with current documentation
Prepare reports and assist in audits to support organizational compliance.
Ensure compliance with state, federal, and accrediting body regulations - DNV, NCQA, Joint Commission, CMS CoPs, NM state statutes
Assists with special projects as assigned
Requirements:
Education:
High School diploma or equivalent required. Two or more years of college in business courses preferred.
Experience:
Two or more years’ experience in health care environment working directly with physicians, advanced practice professionals, and office staff demonstrating the ability to complete assigned tasks independently or with minimum supervision.
Credentialing or Medical Staff experience desired.
Above average verbal and written communication skills to promote excellent customer relations, with ability to transmit and receive information accurately
Strong reading and writing skills in English
Strong organizational and analytical skills
Strong understanding of technology with ability to learn new software programs including database and cloud-based services
Ability to work in stressful situations and perform multiple tasks simultaneously
Ability to work collaboratively
Must have critical thinking skills to execute the detailed job functions
Certifications, Registrations, or Licenses:
Current Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS) or must become certified within twenty-four (24) months after date of hire.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Credentialing Specialist - Med Staff Admin (Hiring Immediately)
🏢 Christus Health
Salary not disclosed
Description
Summary:
Provides technical support to the operations of patient care services through performance of scheduling, staffing, and report development and special projects related to staffing and scheduling.
Responsibilities:
- Assists managers to provide an adequate staff of nursing personnel for all shifts through the development, preparation, and maintenance of staffing schedules that meet hospital needs and apply to variable census conditions.
- Refers to established unit staffing patterns to determine minimum staffing requirements for each nursing classification and work status for each unit based on 24-hour coverage.
- Maintains current personnel phone lists.
- In cooperation with nursing Managers and using the established nursing staffing system, assists in daily staffing of units by assigning personnel, calling replacements, and communicating staffing issues, including projecting weekend needs.
- Schedules and posts calendars containing information important to float per diem nursing personnel.
- Enters changes to current and future schedules promptly.
- Assists in development and implementation of projects for patient care services division.
- Maintains staffing, scheduling and related use.
- Assists in accurate recording of payroll data for per diem personnel.
Requirements:
Education:
- High school graduate or equivalent required. One year post high school courses in business preferred.
Experience:
- Experience in the health care field especially hospital experience preferred.
- Excellent communication (verbal, written, listening) skills. Multi-line telephone skills. Demonstrates ability in technical and analytical functions, knowledge of computer applications preferred.
Certifications, Registrations, or Licenses:
- N/A
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
jobs by
