Medical Staff Credentialing Manager jobs in North Carolina

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for medical providers. Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Being a Medical Staff Credentialing Manager presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Analyzes and prepares reports on trends in application status. Additionally, Medical Staff Credentialing Manager typically requires a bachelor's degree. Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Medical Staff/Credentialing Coordinator (FT)
  • St. Luke's Hospital
  • Columbus, NC FULL_TIME
  • The Medical Staff Credentialing Coordinator at St. Luke’s Hospital is a part of the Human Resources & Support Services team who also administers human resources, benefits, employee relations, employee recognition, corporate events, and other activities. While primary duties involve medical staff credentialing at St. Luke’s, this role also supports all other responsibilities of the Human Resources & Support Services Department.
     
    Basic Description:  Coordinates processes and procedures which lead to the appointment and reappointment of the applicants and current appointees of the hospital medical staff.  Ensures the timely and accurate completion and submission of applications for all members of the medial staff in accordance with the medical Staff Bylaws.
     
    Participates in reviews and updates of the Medical Staff Bylaws and Rules and Regulations of St. Luke’s Hospital on an ongoing basis as necessary.
     
    Assists in developing and producing St. Luke’s Hospital Criteria Based Performance Standards, Hospital policies, Joint Commission Regulations, and various other laws/regulations.
     
    Required Knowledge, Skills, and Abilities:  High school diploma required. Previous experience as a Credentialing coordinator preferred.  Knowledge of the Joint Commission Standards and other State and Federal requirements for hospitals preferred.  Knowledge of medical terminology helpful. Computer skills required. Good oral and interpersonal communication and teamwork skills essential.  Ability to work well with Medical Staff integral to job performance.
     
    Physical/Mental Demands:  Concentration and focused work required.  Extensive periods of sitting, computer use.  Requires little or no heavy lifting.
     
    Essential Functions:  Processes and submits complete, timely, and accurate applications, including delineation of privileges, for initial appointment and reappointment for the medical staff to the Chiefs of Service for review and to the Medical Staff Executive Committee and Board of Trustees for approval. Works to assure compliance with Joint Commission standards, CMS Conditions of Participation, and other regulations as they relate to the medical staff.
     
    Processes requests and prepares correspondence to appointees regarding change of status, expansion of privileges, and resignations. Maintains and updates database accordingly.
     
    Prepares the appointees credential files for audits. Maintains current licensure, certifications, malpractice insurance, and any other applicable regulatory items at the time of appointment and continuous maintenance to ensure timeliness, accuracy, and integrity of the credentialing and clinical privileging database system and compliance with the regulatory agencies. Communicates with medical staff members and applicants as necessary for credential maintenance.
     
    Participates in reviews and revisions of the Medial Staff Bylaws and Rules and Regulations of St. Luke’s Hospital as necessary.
     
    Completes the Focused and Ongoing Practice Evaluations for credentialed physicians as applicable, to be compliant with Joint Commission standards and other regulatory requirements.
     
    The statements included as essential functions are intended to describe the general content of and requirements for this job.  It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

    Position Type : Full Time
    Shift : Day

    Contact Information: 
    Tara Littlejohn
    Human Resources
    101 Hospital Drive
    Columbus, NC 28722
    Email: Tara.Littlejohn@slhnc.org
    Phone: 828-894-0981
    Fax: 828-894-0996
  • 10 Days Ago

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Credentialing Specialist
  • Atlantic Medical Management
  • Jacksonville, NC FULL_TIME
  • Summary:Atlantic Medical Management (AMM) is seeking a Credentialing Assistant. AMM is a corporate medical management firm that is dedicated to improving patient care. The Credentialing Assistant will...
  • 1 Month Ago

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Credentialing Manager
  • UNC Health
  • Hendersonville, NC FULL_TIME,PART_TIME
  • Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Credenti...
  • 3 Days Ago

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Medical Billing/Credentialing Specialist
  • Silver Linings
  • Cary, NC FULL_TIME
  • Job Description Job Description Salary : $18.00-$23.00 Job description Silver Linings is looking for an Medical Billing Specialist to join our successful team of professionals. We are specifically see...
  • Just Posted

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Medical Site Credentialing Surveyor- Independent Contractor
  • United Language Group
  • Holly, NC CONTRACTOR
  • Summary - Flexible Contractor/Freelance Opportunity 1099 IMMEDIATE NEED This is not a full-time or part-time job. This is not a set-scheduled job opportunity. This is not an hourly pay job opportunity...
  • Just Posted

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Area Manager
  • Area Manager
  • (Statewide Opening), NC FULL_TIME
  • At CalArk, we respect what you have to offer. Our industry-leading wages and benefits ensure you always feel appreciated for what you individually bring to our team. Your talent has a home with us.
  • Just Posted

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Cyber Security Specialist
  • Mindlance
  • Mc Lean, VA
  • In-Person Interview is required and have to be on-site from day 1 in McLean, VA following a hybrid schedule of 3 days (T...
  • 3/29/2024 12:00:00 AM

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CyberArk Engineer
  • Tata Consultancy Service Limited
  • San Antonio, TX
  • Knowledge of various types of DB accounts such as Oracle, Netezza, SQL Server, Snowflake, Cassandra, UDB & DB2 etc. is p...
  • 3/29/2024 12:00:00 AM

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Credentialing Manager
  • DOCTORS HEALTHCARE PLANS, INC.
  • Miami, FL
  • Scope of Position: Manages staff that process credentialing and recredentialing applications for medical providers and p...
  • 3/28/2024 12:00:00 AM

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Provider Credentialing Manager
  • 10X Health System
  • North Miami Beach, FL
  • POSITION SUMMARY As a Provider Credentialing Manager, you will be responsible for managing the onboarding process for he...
  • 3/28/2024 12:00:00 AM

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City Manager - Manassas, Virginia
  • Baker Tilly
  • Manassas, VA
  • Salary: $210,700.00 - $273,000.00 Annually Location : Manassas, VA Job Type: Full-Time Job Number: 00197 Job Classificat...
  • 3/28/2024 12:00:00 AM

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Credentialing Manager
  • AMPP: Association for Materials Protection and Performance
  • Houston, TX
  • Job Description Job Description SUMMARY Oversight and responsibility for the administration, operations and customer exp...
  • 3/27/2024 12:00:00 AM

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Provider Credentialing Manager
  • 10X Health System
  • Aventura, FL
  • POSITION SUMMARY As a Provider Credentialing Manager, you will be responsible for managing the onboarding process for he...
  • 3/26/2024 12:00:00 AM

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City Manager - Hutchinson, Kansas
  • Baker Tilly
  • Hutchinson, KS
  • Salary: $165,000.00 - $190,000.00 Annually Location : Hutchinson, KS Job Type: Full-Time Job Number: 00150 Job Classific...
  • 3/25/2024 12:00:00 AM

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$86,523 to $118,931

Medical Staff Credentialing Manager in Cedar Rapids, IA
Medical Staff Services Coordinator - Credentialing - Full-Time (40hrs/wk), Days - Corporate Services - Glendale, WI.
January 14, 2020
Medical Staff Credentialing Manager in Tampa, FL
Patient safety is the name of the game in credentialing.
January 25, 2020
Medical Staff Credentialing Manager in Nassau, NY
There are several reasons why a commercial payer, such as a managed care organization or health plan, may consider delegating all or part of its credentialing activities to qualified business partners such as IPAs, PHOs, CVOs, medical societies, even other health plans.
December 17, 2019