Medical Staff Credentialing Director jobs in Spartanburg, SC

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 Staff/Credentialing Coordinator (FT)
  • St. Luke's Hospital
  • Columbus, NC FULL_TIME
  • The Medical Staff Credentialing Coordinator at St. Luke’s Hospital is a part of the Human Resources & Support Services team who also administers human resources, benefits, employee relations, employee recognition, corporate events, and other activities. While primary duties involve medical staff credentialing at St. Luke’s, this role also supports all other responsibilities of the Human Resources & Support Services Department.
     
    Basic Description:  Coordinates processes and procedures which lead to the appointment and reappointment of the applicants and current appointees of the hospital medical staff.  Ensures the timely and accurate completion and submission of applications for all members of the medial staff in accordance with the medical Staff Bylaws.
     
    Participates in reviews and updates of the Medical Staff Bylaws and Rules and Regulations of St. Luke’s Hospital on an ongoing basis as necessary.
     
    Assists in developing and producing St. Luke’s Hospital Criteria Based Performance Standards, Hospital policies, Joint Commission Regulations, and various other laws/regulations.
     
    Required Knowledge, Skills, and Abilities:  High school diploma required. Previous experience as a Credentialing coordinator preferred.  Knowledge of the Joint Commission Standards and other State and Federal requirements for hospitals preferred.  Knowledge of medical terminology helpful. Computer skills required. Good oral and interpersonal communication and teamwork skills essential.  Ability to work well with Medical Staff integral to job performance.
     
    Physical/Mental Demands:  Concentration and focused work required.  Extensive periods of sitting, computer use.  Requires little or no heavy lifting.
     
    Essential Functions:  Processes and submits complete, timely, and accurate applications, including delineation of privileges, for initial appointment and reappointment for the medical staff to the Chiefs of Service for review and to the Medical Staff Executive Committee and Board of Trustees for approval. Works to assure compliance with Joint Commission standards, CMS Conditions of Participation, and other regulations as they relate to the medical staff.
     
    Processes requests and prepares correspondence to appointees regarding change of status, expansion of privileges, and resignations. Maintains and updates database accordingly.
     
    Prepares the appointees credential files for audits. Maintains current licensure, certifications, malpractice insurance, and any other applicable regulatory items at the time of appointment and continuous maintenance to ensure timeliness, accuracy, and integrity of the credentialing and clinical privileging database system and compliance with the regulatory agencies. Communicates with medical staff members and applicants as necessary for credential maintenance.
     
    Participates in reviews and revisions of the Medial Staff Bylaws and Rules and Regulations of St. Luke’s Hospital as necessary.
     
    Completes the Focused and Ongoing Practice Evaluations for credentialed physicians as applicable, to be compliant with Joint Commission standards and other regulatory requirements.
     
    The statements included as essential functions are intended to describe the general content of and requirements for this job.  It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

    Position Type : Full Time
    Shift : Day

    Contact Information: 
    Tara Littlejohn
    Human Resources
    101 Hospital Drive
    Columbus, NC 28722
    Email: Tara.Littlejohn@slhnc.org
    Phone: 828-894-0981
    Fax: 828-894-0996
  • 9 Days Ago

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Medical Director
  • Theoria Medical
  • Rutherfordton, 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. T...
  • 1 Month Ago

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Medical Director
  • Hopscotch Primary Care
  • Rutherfordton, NC FULL_TIME
  • Join Us on Our Mission to Transform Healthcare! Hopscotch Primary Care takes a team approach to serve patient needs and provide the best care possible. Our goal is to provide the care each of us would...
  • 18 Days Ago

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Medical Director
  • Hopscotch Primary Care
  • Tryon, NC FULL_TIME
  • Join Us on Our Mission to Transform Healthcare! Hopscotch Primary Care takes a team approach to serve patient needs and provide the best care possible. Our goal is to provide the care each of us would...
  • 20 Days Ago

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Senior Medical Director
  • Regenesis Health Care, Inc
  • Spartanburg, SC FULL_TIME
  • Senior Medical Director ReGenesis Health Care is seeking a Full Time Family Medicine physician to join our well-established Family Practice in Spartanburg, SC. If you are looking to serve the greater ...
  • 21 Days Ago

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Medical Director Physician
  • Eventus WholeHealth
  • Rutherfordton, NC FULL_TIME
  • Position Summary: Eventus WholeHealth delivers an integrated model of care to adults who reside in skilled nursing and assisted living facilities through a network of healthcare providers including Ph...
  • 8 Days Ago

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0 Medical Staff Credentialing Director jobs found in Spartanburg, SC area

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Veterinarian
  • Southern Veterinary Partners
  • Boiling Springs, SC
  • Heartland Animal Hospital is a multi-doctor practice with 4 doctors currently and expanding to add a 5th! We are located...
  • 4/24/2024 12:00:00 AM

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Paramedic OR Nurse - LPN, LVN or RN (Bilingual - English/Spanish)
  • CSL
  • Greenville, SC
  • Job Description Summary Responsible for the evaluation of donor suitability for automated pheresis procedures. Administr...
  • 4/24/2024 12:00:00 AM

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Managing Director of Center
  • Concordance
  • Spartanburg, SC
  • Managing Director of Center Department: AdministrationEmployment Type: Full TimeLocation: Greenville-SpartanburgReportin...
  • 4/24/2024 12:00:00 AM

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Nurse Practitioner Physician Assistant
  • The DRIPBaR Greenville
  • Greenville, SC
  • Job Description Job Description Tired of too many night shifts, or stressing your own mind and body? Frustrated with try...
  • 4/23/2024 12:00:00 AM

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Operations Manager for Oncology Services
  • Spartanburg Regional Medical Center
  • Spartanburg, SC
  • Position Summary The Operations Manager for Oncology Services serves as the lead expert in data analytics, process impro...
  • 4/23/2024 12:00:00 AM

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Physician
  • SSG Medical, NA
  • Union, SC
  • PHYSICIAN This is professional medical work providing direct patient care involving provision of evaluation, diagnosis a...
  • 4/21/2024 12:00:00 AM

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Respiratory Therapist (RRT) I - PRN
  • Spartanburg Regional Medical Center
  • Spartanburg, SC
  • Position Summary # The PRN Registered Respiratory Therapist under the guidance of the Department Director/Manager, and M...
  • 4/20/2024 12:00:00 AM

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Physician
  • Ssg Medical Na
  • Union, SC
  • PHYSICIAN This is professional medical work providing direct patient care involving provision of evaluation, diagnosis a...
  • 4/20/2024 12:00:00 AM

Spartanburg is the most populous city in and the seat of Spartanburg County, South Carolina, United States, and the 12th-largest city by population in the state. The city of Spartanburg has a municipal population of 37,013, and Spartanburg County has an urban population of 180,786 as of the 2010 census. The Spartanburg Metropolitan Statistical Area, including Spartanburg and Union counties, had a population of 317,057 as of the 2010-2014 American Community Survey 5-Year Estimates. Spartanburg is the second-largest city in the greater Greenville–Spartanburg–Anderson Combined Statistical Area, w...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$150,113 to $195,247
Spartanburg, South 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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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