Medical Staff Credentialing Director jobs in Charlotte, NC

Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to 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 senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Medical Director
  • Theoria Medical
  • Charlotte, NC FULL_TIME
  • Company Overview 

    Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation. 

    As a leading edge, innovative, and quality driven physician group, we continue to expand nationally.  In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team

    Theoria Medical is seeking dedicated physicians to join its team to serve as medical directors and attending physicians at the skilled nursing facilities it manages. We have a wide variety of roles available suited for physicians in various stages of their careers with flexible scheduling in a positive work environment. 

    Job Highlights

    • Work-Life Balance: Competitive compensation with balanced hours.
    • Weekend & On-Call Freedom: No on-call, no weekends.
    • Always Supported: NP/PA support at all locations, always.
    • Pre-Screened Patient Interactions: Telemedicine and APP triage before physician contact.
    • Flexible Scheduling: Your schedule, tailored to fit your life. No set daily shift times.
    • No Overnight Duties: Sleep peacefully with no overnight call/requirements.
    • Advanced Tech: Conversational AI and Dragon dictation for effortless documentation.
    • Meaningful Connections: Establish lasting relationships with patients and staff.
    • Staff Appreciation: Be part of a culture that appreciates and invests in our team
    • $1,500 CME and conference allowance
    • All equipment and practice expenses covered by employer; iPad with LTE, Apple Pen, and Apple AirPods provided
    • Medical licensure expenses reimbursed by employer
    • Malpractice insurance and tail coverage covered by employer
    • 401k with matching, Medical/Dental/Vision and Disability Insurance
    • Employer Paid - Life Insurance Policy
    • Relocation assistance
    • Referral program
    • Gas and mileage reimbursement
    • Opportunities for professional advancement; Physician leadership encouraged
    • UpToDate subscription provided with employment

    Shift Structure 

    • Shifts are flexible depending on physicians’ schedule;
    • Typically, medical directors work a minimum of 2-3 days/week at each facility they oversee; 
    • Rounding times are flexible with no set start and end time. Preferably, physicians start in the morning between 7-10 a.m. and finish their day when their caseload has been seen; 
    • No nights or weekends 
    • Call is covered by Theoria’s telemedicine team 
    • This is an in-person position 

    Essential Functions & Responsibilities 

    • The physician serves as medical director for skilled nursing facilities (SNF) and participates in administrative and quality initiatives for the facilities he or she is responsible for; 
    • Medical directorship functions include attending and participating in monthly quality assurance and process improvement meetings; participating in quality improvement initiatives; providing guidance to facility staff; overseeing clinical care plans; reviewing and revising (if necessary) facility’s clinical guidelines; insuring compliance with state and federal regulations, training facility staff; and supervising facility clinical staff.
    • In addition to the medical director role, the physician also serves as the attending physician for the residents residing at each facility; 
    • The physician collaborates with Nurse Practitioners and Physician Assistants to manage day to day resident care at each facility. Typically, each facility will have a full-time PA or NP assigned to the facility depending on the acuity and volume of the patient population;  
    • Physician will provide high quality, patient-centered, comprehensive primary care services by rounding on patients residing in SNFs; 
    • Physician is responsible for diagnosing and treating patients with acute illness, such as bacterial and viral infections, as well as chronic diseases and conditions, such as hypertension, heart disease, or diabetes
    • Provider documentation is completed in Theoria’s proprietary electronic health record (EHR) system, ChartEasy™  
    • PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems 
    • Participating in Theoria’s Chronic Care Management, Transitional Care, Remote Patient Monitoring and other medical quality initiatives and programs
    • Physician must be able to supervise collaborating nurse practitioners and physicians assistants
    • Physician must be able to utilize electronic/online medical tools such as EHR systems and state/county medical systems utilized for Death Certificates and administrative functions.

    Requirements and Qualifications

    • Board Certification Preferred:  Family Medicine, Internal Medicine - Any Subspecialty, Geriatrics, etc.
    • Candidate must hold a valid medical license in the state in which they will practice 
    • Candidate must hold a valid DEA license in the state in which they will practice
    • Candidate must have completed a valid U.S. residency program 
    • Candidate must have completed a medical degree (MD or DO) from an accredited institution 
    • If applicable, state Controlled Substance License required.
    • Reliable transportation is required.

    Physical Requirements

    • Must be able to move inside a facility frequently and briskly in order to see patients, meet with managers and facility staff, and attend to patient needs.
    • Punctual in-person attendance (though schedule may be set, it is preferred that morning rounding occur, otherwise, whatever schedule is set, physician is expected to adhere to that schedule and to notify the clinical operations team when unable to adhere to the schedule for any reason).
    • Continuous operation of app-based EMR/notes system either through a computer or on a mobile device (iPad, Phone etc.).
    • Ability to ascend and descend stairs in a facility.
    • Some ability to position oneself to obtain records, tools, medical equipment and other items that may be in locations that are below the knee or above the shoulder.
    • Effectively communicate with patients, managers, and Facility staff in English.
    • Ability to observe details in close range (within a few feet of the observer) in order to provide accurate and appropriate medical recommendations, treatment, and to provide timely updates to Managers regarding facility or patient concerns.
    • Must be able to lift at least 25 pounds.

    Compensation and Benefits 

    • Competitive compensation package 
    • Compensation ranges approximately from $50,000-$400,000/year depending upon employment status and availability (PRN, Part-Time, Full-Time) 
    • Employer Paid - Life Insurance Policy

    Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability. 

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Medical Director
  • Thompson Child & Family Focus
  • Matthews, NC FULL_TIME
  • DescriptionPURPOSE:Provides overall direction and supervision of medical/clinical aspects of the services delivered for the Agency.MAJOR JOB FUNCTIONSupports the Agency's mission, vision, philosophy a...
  • 15 Days Ago

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Credentialing Coordinator
  • Metrolina Nephrology Associates
  • Charlotte, NC FULL_TIME
  • Description Metrolina Nephrology Associates is the region’s most recognized and experienced nephrology group. The practice has been on the forefront of the treatment and management of kidney disease f...
  • 14 Days Ago

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RN Staff Development Coordinator
  • Medical Facilities of America
  • Charlotte, NC FULL_TIME
  • Charlotte Health & Rehabilitation Center in Charlotteis seeking an RN for our Staff Development Coordinator position!! The RN Staff Development Coordinator manages and provides required education to t...
  • 27 Days Ago

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Admissions Director
  • Medical Facilities of America
  • Charlotte, NC FULL_TIME
  • Charlotte Health & Rehabilitation Center, a pre-eminent provider of transitional post-acute, rehabilitative, and skilled nursing programs in Charlotte, North Carolina is actively seeking a highly moti...
  • 11 Days Ago

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Business Execution Director/Chief of Staff
  • Wells Fargo
  • CHARLOTTE, NC FULL_TIME
  • About this role: Wells Fargo is seeking a Business Execution Director/Chief of Staff. The Chief of Staff function is part of the Strategic Programs and Enterprise Change Management (SP&ECM) team. The ...
  • 1 Month Ago

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Psychiatrist-Medical Director
  • Rebound Behavioral Health Hospital
  • Lancaster, SC
  • Medical Director for Rebound Behavioral Health Hospital South of Charlotte in Lancaster, SC Rebound is a well known beha...
  • 4/26/2024 12:00:00 AM

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Medical Doctor - Telehealth Platform - California - Remote
  • WideGroup::Interactive
  • Charlotte, NC
  • Join Onlineketamineclinic.com– where our mission is to provide cutting-edge, empathetic mental health services to those ...
  • 4/26/2024 12:00:00 AM

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National Accounts Medical Director - Remote - Atlanta, GA
  • Optum
  • Charlotte, NC
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 4/25/2024 12:00:00 AM

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REMOTE: Medical Director, Utilization Management and Medical Policy
  • Evry Health
  • Charlotte, NC
  • About the Role Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management. As...
  • 4/24/2024 12:00:00 AM

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NC Licensed Physician - Medical Director - HRT Clinic - Telemedicine
  • Prime Recovery & Wellness LLC
  • Charlotte, NC
  • Job Description Job Description We are seeking a North Carolina Licensed Physican to fill the role of Medical Director f...
  • 4/24/2024 12:00:00 AM

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Psychiatrist-Medical Director
  • Rebound Behavioral Health Hospital
  • Lancaster, SC
  • Medical Director for Rebound Behavioral Health Hospital South of Charlotte in Lancaster, SC Rebound is a well known beha...
  • 4/23/2024 12:00:00 AM

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Pediatric Hospitalist - Practice Medical Director
  • Pediatrix Medical Group
  • Statesville, NC
  • Overview Attractive Leadership Opportunity $20K Sign on Available! Competitive Salary! Live in the heart of Suburbia! On...
  • 4/22/2024 12:00:00 AM

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National Accounts Medical Director - Remote - Atlanta, GA
  • Optum
  • Charlotte, NC
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 4/22/2024 12:00:00 AM

Charlotte (/ˈʃɑːrlət/) is the most populous city in the U.S. state of North Carolina. Located in the Piedmont, it is the county seat of Mecklenburg County. In 2017, the U.S. Census Bureau estimated the population was 859,035, making it the 17th-most populous city in the United States. The Charlotte metropolitan area's population ranks 22nd in the U.S., and had a 2016 population of 2,474,314. The Charlotte metropolitan area is part of a sixteen-county market region or combined statistical area with a 2016 census-estimated population of 2,632,249. Between 2004 and 2014, Charlotte was ranked as...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$154,904 to $201,478
Charlotte, North Carolina area prices
were up 1.5% from a year ago

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In response to this request for providers in ‘good standing’, a file quality letter will be displayed with the Name, Appointment Date, Reappointment Date, Department, Specialty, and Staff Status.
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Warstler, MBA, CPMSM, FASPR, director, University Hospitals Medical Staff Services and Credentialing; Lisa.
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In healthcare today, we are all challenged to be more efficient, process credentialing files faster, leverage technology to work smarter, stretch our budgetary dollars, and achieve the highest possible results on accreditation audits and surveys—all while improving the patient experience and providing the highest quality of care.
January 17, 2020