Medical Staff Credentialing Director jobs in Fresno, CA

Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Develops and implements policies and protocols related to physician, nurse and other employee verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Being a Medical Staff Credentialing Director requires a bachelor's degree in area of specialty. Typically reports to a top 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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Credentialing Specialist, Insurance Services
  • Community Medical Centers of Fresno, CA
  • Fresno, CA OTHER
  • Overview

    *All positions are located in Fresno/Clovis CA*

     

    We got our start 125 years ago as a boarding house and medical facility for people traveling in Central California. If people then could see us now... Today, Community Health System is the region’s largest healthcare provider and includes three divisions: Community Medical Centers hospitals, Community Care Health and Community Provider Network. These three pillars of healthcare – hospitals, health insurance and physicians – work best when they work together.

     

    Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

    We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here. 

    Your Career at Community | Opportunity. Challenge. Growth.

    Responsibilities

    The Credentialing Specialist CCH coordinates, monitors and performs the credentials verification process for initial appointments, temporary privileges, provisional reviews and reappointments of physicians and allied health professionals. Through formal and on-the-job training, incumbents will develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process, and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards, state and federal regulatory requirements, bylaws, rules and regulations, policies and procedures aligned with the Knox-Keene Act. 

    Qualifications

    Education• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Associate's Degree preferred Experience• 1 year previous Medical Staff experience preferred Licenses and Certifications• CPCS - Certified Provider Credentialing Specialist preferred

    Disclaimers

    • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

  • 1 Month Ago

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Director, RN, Medical Staff Services
  • Adventist Health Hanford
  • Hanford, CA FULL_TIME
  • Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by...
  • 9 Days Ago

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Executive Director
  • Executive Director
  • Madera, CA FULL_TIME
  • The Executive Director (Director) is the chief executive officer of the Madera County Economic Development Commission (MCEDC), a joint powers agency comprised of the County of Madera, the City of Made...
  • Just Posted

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Director, Medical Staff Services, Central California Network North Market
  • Adventist Health
  • Hanford, CA FULL_TIME
  • Adventist Health Hanford, is one of four medical centers that forms Adventist Health in the Central Valley. This medical center serves the communities of Kings County. It provides the following care s...
  • 1 Month Ago

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Physician Support Coordinator, Medical Staff, Full Time
  • Saint Agnes Medical Center
  • Fresno, CA FULL_TIME
  • Employment Type:Full timeShift:Day ShiftDescription:Reporting to the Director, Medical Staff Services, Medical Staff, this position is responsible for supporting physicians and coordinators during the...
  • Just Posted

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Medical Director
  • Max Populi, LLC
  • Fresno, CA FULL_TIME
  • Join a growing team of medical management professionals at one of the fastest healthcare companies in the country. Responsibilities include care management, medical appropriateness reviews, and over 5...
  • 18 Days Ago

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0 Medical Staff Credentialing Director jobs found in Fresno, CA area

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Family Nurse Practitioner
  • Central Valley Indian Health Inc
  • Clovis, CA
  • Description Central Valley Indian Health is seeking a Family Nurse Practitioner that is dedicated to providing quality h...
  • 3/28/2024 12:00:00 AM

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Full Time Nurse Practitioner/Physician Assistant
  • Baymark Health Services
  • Visalia, CA
  • Job DescriptionFull-time Nurse Practitioner/Physician Assistant - Visalia/Porterville, CASchedule: Monday through Friday...
  • 3/28/2024 12:00:00 AM

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MD/DO or NP/PA- Wound Care Specialist
  • Advantage Surgical and Wound Care
  • Fresno, CA
  • Job Description Job Description Wound Care Specialist (MD / DO / ARNP / PA) Are you a medical professional with a passio...
  • 3/27/2024 12:00:00 AM

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NURSE PRACTITIONER / PRIMARY CARE
  • International Staffing Consultants, Inc.
  • Fresno, CA
  • NURSE PRACTITIONER / PRIMARY CARE PROVIDERFresno, CA Salary: $145,831.32 - $169,274.69 per year At the direction of the ...
  • 3/27/2024 12:00:00 AM

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Nurse Practitioner
  • BayMark Services Inc
  • Visalia, CA
  • Position at BAART Programs Full-time Nurse Practitioner/Physician Assistant - Visalia/Porterville, CA Schedule: Monday t...
  • 3/27/2024 12:00:00 AM

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Physician Assistant Urgent Care Court
  • Kaweah Health Care District
  • Visalia, CA
  • Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the ...
  • 3/27/2024 12:00:00 AM

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Per Diem Physician Assistant Urgent Care Court
  • Kaweah Health Care District
  • Visalia, CA
  • Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the ...
  • 3/27/2024 12:00:00 AM

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Nurse Practitioner Physician Assistant
  • California Gastroenterology Associa
  • Fresno, CA
  • Job Description Job Description NURSE PRACTITIONER/PHYSICIAN ASSISTANT Salary: Negotiable Job Type: Full-time Hours: Mon...
  • 3/25/2024 12:00:00 AM

Fresno (/ˈfrɛznoʊ/ FREZ-noh; Spanish for "ash tree") is a city in California, United States, and the county seat of Fresno County. It covers about 112 square miles (290 km2) in the center of the San Joaquin Valley, the southern portion of California's Central Valley. Named for the abundant ash trees lining the San Joaquin River, Fresno was founded in 1872 as a railway station of the Central Pacific Railroad before it was incorporated in 1885. The city has since become an economic hub of Fresno County and the San Joaquin Valley, with much of the surrounding areas in the Metropolitan Fresno regi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$151,008 to $190,287
Fresno, California area prices
were up 2.7% from a year ago

Medical Staff Credentialing Director in Flagstaff, AZ
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.
December 09, 2019
Medical Staff Credentialing Director in Portsmouth, OH
Warstler, MBA, CPMSM, FASPR, director, University Hospitals Medical Staff Services and Credentialing; Lisa.
February 07, 2020
Medical Staff Credentialing Director in Altus, OK
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