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Credentialing Coordinator - Care Management

3B Healthcare, Inc

The Dalles, OR

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JOB DETAILS
SKILLS
Background Investigation, Bakery, Budgeting, Certified Professional Medical Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS), Healthcare, Healthcare Software, Home Care, Hospital, Legal, Medical Office, Medical Protocols, Medical Treatment, Organizational Skills, Performance Reviews, Process Management, Regulations, Restaurant, Secondary School, The Joint Commission (TJC), Time Management
LOCATION
The Dalles, OR
POSTED
5 days ago
Description:
In the heart of The Dalles, Oregon, Adventist Health Columbia Gorge has served the Columbia River Gorge community since 1901. We are comprised of a 49-bed hospital, various medical offices, home health, a birthing center and a vast scope of services located throughout The Dalles and the surrounding areas. The Dalles is known for its picturesque views of the Columbia River, local charm and delicious downtown restaurants and bakeries. There is something for everyone in this scenic community. Job Summary: Coordinates and processes all medical staff applications for appointment/reappointment for assigned areas of responsibility, according to established procedures. Coordinates physician initial application appointment process for the organization in accordance with the Joint Commission on the Accreditation of Health care Organizations (JCAHO) standards and medical bylaws. Acts as liaison between organization administration and the Medical Staff. Coordinates small program(s) with limited budget/impact. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associate?s/Technical Degree or equivalent combination of education/related experience: Preferred Five years' relevant experience: Preferred Healthcare industry experience: Preferred Commercial healthcare experience: Preferred Facility Specific License/Certifications: Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS): Required Essential Functions: Initiates letters of inquiry regarding education, training, personal medical references, staff affiliations, board certifications, out-of-state licensure and relevant information. Requests verification from the Medical Board of California for current state licensure. Queries the National Practitioner Databank. Creates confidential files on new practitioners and obtain copies of state licensure/s and certificates, if applicable. Conducts thorough background investigation, research and primary source verification of all components of the application file. Performs primary source verification of all necessary elements through letters or faxes, websites, telephone verifications or equivalent sources. Follows up on all incomplete or problematic information in a timely and consistent manner. Ensures that all reappointments are completed and reviewed by the appropriate credentialing entity before expiration date. Tracks license and certification expirations for all providers to ensure timely renewals. Assists with conducting an annual review of Medical Staff Bylaws, rules and regulations and all documents pertinent to the medical staff who are maintained in the department. Submits sections for revisions to appropriate committees. Keeps current with legal issues necessary for implementation of the bylaws etc. Oversees provider information in online credentialing databases and system. Performs other job-related duties as assigned. Organizational Requiremen...

Requirements:
At least two years recent experience in field, current BLS certification, and a current nursing license per the state of assignment. For additional and specialty-specific requirement, please contact us

About the Company

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3B Healthcare, Inc