Credentials Specialist - Nemours Enterprise, Florida and Delaware Campuses
Posted on: August 6, 2022
Nemours is seeking a Credentialing Specialist to join our team!
This position is remote. This position will follow department
policies and procedures, collect data for the verification and
evaluation of providers applying for initial appointment.
Individuals in this role interact with applicants, liaisons,
department chairs, division chiefs, medical staff leaders and
Nemours management. Through the work performed individuals in this
position assist the Department in complying with applicable
accreditation standards. The individuals in this role are
responsible for maintaining accurate and complete credentials
files, maintaining credentials database, identifying potential
issues, and communicating this information to the appropriate
reviewers. Responsibilities: Coordinates and processes initial
credentialing and privileging applications in a manner that assures
compliance with applicable accreditation standards and Medical
Staff policies. Obtains and evaluates information from primary
sources. Analyzes applications and supporting documents for
completeness and informs the practitioner of the application
status, including the need for any additional information.
Recognizes, investigates, and validates discrepancies and adverse
information obtained from the application, primary source
verifications, or other sources and communicates with Director and
others regarding these matters. Compiles, evaluates, and presents
the practitioner-specific data collected for review and
recommendation by the Medical Staff. Assists in maintenance of
systems to track expiring credentials Verifies and documents
expirables using acceptable verification sources to ensure
compliance with accreditation and regulatory standards Provides
responses to external queries regarding practitioners' status.
Maintain accurate, complete and timely information in the
electronic credentialing data base Requirements: Experience in
Medical Staff credentialing and privileging is required. ECHO
Credentialing Date base experience is preferred Knowledge of
related accreditation and certification requirements Knowledge of
medical staff policies, regulations, and bylaws Ability to
communicate effectively, both orally and in writing with all levels
of the organization Ability to use independent judgment and to
manage confidential information Ability to be flexible -
prioritizes change rapidly, must have ability to adapt to
changes/interruptions Current NAMSS certification as a Certified
Provider Credentials Specialist preferred. Associates Degree - In
lieu of the above educational requirement, previous work history in
credentials and years of experience may be considered.
Keywords: Nemours, Wilmington , Credentials Specialist - Nemours Enterprise, Florida and Delaware Campuses, Other , Wilmington, Delaware
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