Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for 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 a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Description
THE ORGANIZATION
North Shore Community Health (NSCH) is a highly accomplished community health organization that prides itself on its compassionate approach to serving the surrounding communities with comprehensive and culturally sensitive care. With a strong commitment to excellence, NSCH provides:
Comprehensive primary care.
Dental services.
Behavioral health care.
Care management.
Pharmacy services.
Substance abuse disorder treatment.
Nurse care management.
Insurance enrollment assistance.
NSCH operates service sites at Gloucester, Peabody, and Salem Family Health Centers, ensuring convenient access to care. Additionally, NSCH extends its reach through school-based health centers within the Salem and Peabody School Districts. NSCH collaborates with Bentley Academy, Collins Middle School, Horace Mann School, Bates Elementary School, and the Peabody Learning Academy for behavioral health services.
As a community-based safety net healthcare provider, NSCH actively encourages diversity and welcomes staff members who reflect the rich tapestry of our communities. We highly value the contributions of our team members and offer a wide range of perks and comprehensive benefits. These include health and wellness benefits, tuition reimbursement, loan forgiveness opportunities, and other appealing benefits.
We believe in supporting our employees from day one, and all eligible staff members can take advantage of these benefits right from the start of their employment at NSCH. We aim to foster a supportive and rewarding environment that empowers our team members to provide exceptional care to our communities.
Primary Purpose of Position:
NSCH is seeking a dedicated and experienced Manager, Talent Acquisition and Credentialing to join our team. The successful candidate will oversee and set the strategic vision for both the talent acquisition and credentialing functions, leading a team of professionals to attract top talent to our organization and ensure compliance with regulatory standards.
Essential Functions:
· Manage and lead the talent acquisition and credentialing teams, providing direction, support, and mentorship to staff members.
· Develop and implement a strategic vision for talent acquisition that aligns with the organization's goals and objectives.
· Develop and implement effective talent acquisition strategies to attract and retain qualified candidates for clinical and non-clinical positions.
· Oversee the full recruitment lifecycle, including job postings, candidate sourcing, interviewing, and onboarding.
· Partner with department leaders to understand staffing needs and develop recruitment plans to meet organizational objectives.
· Ensure compliance with regulatory requirements and accreditation standards related to credentialing and privileging processes.
· Lead the credentialing and privileging of healthcare providers, including initial credentialing, re-credentialing, and ongoing monitoring.
· Collaborate with HR and clinical leadership to streamline the onboarding process for new providers and staff.
· Serve as a subject matter expert on talent acquisition and credentialing best practices, providing guidance and support to internal stakeholders.
· Stay informed of industry trends, regulatory changes, and emerging technologies related to talent acquisition and credentialing.
Non-Essential Functions:
· Attend periodic staff meetings and training sessions.
· Compile proper paperwork procedures, prompt follow-up communications, and departmental policies.
· Adheres to NSCH values and principles:
Ø Integrity
Integrity is the foundation of healthy relationships. We are committed to the highest ethical standards: honesty, fairness, respectfulness, and trustworthiness. We are honorable and respectful in dealings with others, and we strive to deal honestly, fairly and in a respectful, ethical, and trustworthy manner when in agreement or disagreement.
Ø Commitment
NSCH is committed to the health and well-being of its community, patients, and staff. We demonstrate this commitment by constantly striving to align our actions with our mission, vision, and values.
Ø Accountability
We take our responsibility to ourselves, each other, and the NSCH community very seriously. We understand our individual roles and positions of power with respect to how others perceive our roles, and actions. We hold ourselves accountable when we make mistakes--acknowledging the error, owning it, taking corrective actions, and moving forward. We follow through on what we commit or resolve to do.
Ø Courage
We see courage as the strength of character to stand up for our convictions and belief system. To have courage is to have the fortitude to take risks and to extend one’s behaviors, actions, and thoughts beyond one’s comfort zone. We appreciate that courage is often required to compromise. Courage is a state of mind to face adverse, difficult, and challenging situations with confidence and positive energy.
Ø Empathy
Empathy is a deep appreciation for another's situation and point of view which is the basis for the golden rule and our intrinsic sense of justice. We strive to bring empathy into our interactions with each other and with our patients.
Ø Respect
NSCH holds its patients in the highest regard. We provide care that is respectful of and responsive to individual patient needs and values. We take the time to listen to concerns, understand what is important, and provide appropriate solutions and care. We do this through coordination and integration of care, collaboration, and teamwork.
Requirements
Requirements and Qualifications:
· Bachelor’s degree in human resources, Business Administration, Healthcare Administration, or related field.
· Minimum of five years of experience in talent acquisition and/or credentialing, with at least three years in a managerial role.
· Experience managing different HR functions, preferably in a health care and/or community health center environment.
· Demonstrated expertise in employer-branding, recruitment strategies, candidate sourcing, selection methodologies, and creating effective onboarding programs.
· Knowledge of credentialing processes, regulations, and standards (e.g., Joint Commission, NCQA).
· Strong leadership and team management skills, with the ability to motivate and develop staff members.
· Excellent communication and interpersonal skills, with the ability to build effective relationships with internal and external stakeholders.
· Proficiency in Microsoft Office Suite and HRIS/credentialing software.
Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ø Activities require a significant amount of sitting at office and work desks and in front of a computer monitor.
Ø Regularly required to verbally communicate, listen, and give presentations as needed.
Ø Some walking and standing relative to interaction with other personnel and applicants.
Internal and External Contacts:
· Interfaces regularly with general employee population in person, on the phone and through email.
· Interfaces regularly with outside Providers and employees in person, through email and on the phone.
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