What are the responsibilities and job description for the Physician Credentialing Manager position at Providence Medical Center?
Overview
We are seeking a Physician Credentialing Manager, sometimes referred to as a Provider Credentialing Manager or Credentialing Manager. The Physician Credentialing Manager, will manage the administrative and logistical aspects of verifying healthcare providers credentials to ensure they meet all required standards key duties include processing applications, maintaining accurate provider files and databases, tracking certifications, and facilitating communication between providers, committees, and regulatory bodies. The Physician Credentialing Manager will require strong attention to detail, communication, and organizational skills to ensure the organizations compliance and the providers ability to practice.
Shifts Available: Days
Employment Type: Full-Time
Hours: 8-hour – Flex start time between 7am to 8:30am
Location: Providence Medical Center – Kansas City, KS
Here are some of the benefits of working at Prime Healthcare:
**To move forward in this position you must have some experience with Provider Credentials for Medical Privileges with Medical Staff.**
Essential Duties And Responsibilities (includes, But Not Limited To)
Before we go any further, we do have some deal-breakers. You must have:
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
We are seeking a Physician Credentialing Manager, sometimes referred to as a Provider Credentialing Manager or Credentialing Manager. The Physician Credentialing Manager, will manage the administrative and logistical aspects of verifying healthcare providers credentials to ensure they meet all required standards key duties include processing applications, maintaining accurate provider files and databases, tracking certifications, and facilitating communication between providers, committees, and regulatory bodies. The Physician Credentialing Manager will require strong attention to detail, communication, and organizational skills to ensure the organizations compliance and the providers ability to practice.
Shifts Available: Days
Employment Type: Full-Time
Hours: 8-hour – Flex start time between 7am to 8:30am
Location: Providence Medical Center – Kansas City, KS
Here are some of the benefits of working at Prime Healthcare:
- Health, dental, and vision insurance options
- Paid vacation, sick time and holidays
- Bereavement leave, FMLA and other leave options
- Employer 401K options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Many other amazing benefits
**To move forward in this position you must have some experience with Provider Credentials for Medical Privileges with Medical Staff.**
Essential Duties And Responsibilities (includes, But Not Limited To)
- Manage medical staff credentialing and re-credentialing to ensure all providers are qualified and authorized to practice
- Maintain and update all provider files including licenses, certifications, DEA, board status and other required documents
- Coordinate medical staff committees and meetings such as MEC, Credentials Committee, and Peer Review
- Oversee medical staff bylaws, rules, regulations, policies and ensure compliance with Joint Commission, CMS, state law and hospital standards
- Conduct and support quality/peer review activities including case review, performance monitoring and OPPE/FPPE tracking
- Serve as liaison between hospital administration and medical staff leadership and provide support to department chairs and chiefs for provider performance, privileging and corrective actions
Before we go any further, we do have some deal-breakers. You must have:
- Bachelor's degree preferred or equivalent education/experience
- Certified Provider Credentialing Specialist (CPCS), or equivalent, required within a year of employment
- Minimum of 5 years experience in a hospital with 2 years’ full time experience in the Medical Staff Services Department as a Medical Staff Manager or Medical Staff Coordinator
- Must have strong computer, communication and writing skills with knowledge of medical terminology
- Certification from the National Association of Medical Staff Services as Certified Professional in Medical Services Management (CPMSM), preferred
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf