Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). 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)
The Medical Staff and Credentialing Manager serves as a liaison between the Medical Staff and CRMC Administration. The Medical Staff Manager is responsible for performing the credentialing functions for the Medical Staff at Conway Regional Medical Center, Conway Regional Rehabilitation Hospital, and the Conway Regional Physician Hospital Organization, as well as coordinating all meetings of the Medical Staff Departments and Committees.
Minimum Education:
The incumbent shall have at least a high school diploma with post high school business education preferred.
Minimum Experience:
The incumbent must be proficient in medical staff terminology, Joint Commission Standards, and NCQA Standards, grammar, spelling, and general communication skills.
Other education and experience may be substituted (if applicable) for the required minimum job qualifications with the approval of the Corporate Director of Human Resources.