Credentialing Specialist (Coordinating Manager Level A), MPA Healthcare Improvement Job at NYC Health Hospitals, New York, NY

NHd1NGtTemdMekJvMURoNHRYV0EyWVloenc9PQ==
  • NYC Health Hospitals
  • New York, NY

Job Description

Empower Every New Yorker - Without Exception - to Live the Healthiest Life Possible

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.

Job Description

Summary of Duties and Responsibilities:

For the activities of professional and non-professional staff in delivering a health therapy program and support services including physical, occupational, inhalation specialties, radiological, laboratory, emergency, ambulatory care services, medical utilization review and quality assurance.
Coordinates rehabilitation services as indicated so as to integrate these programs with other hospital programs to maximize patient treatment and recovery. Coordinates, supervises and monitors medical utilization review and/or quality assurance programs for the health care facilities.
For planning, controlling, coordinating administrative and office operations and interpreting compliance with predetermined standards for quality care in a variety of organizational settings and modalities in the delivery of business, office and management support systems. Integrates, coordinates these programs, operations, functions and services with other hospitals and Central Office sectors to optimal levels of performance in the administration and supervision of such functional activities.

General tasks and responsibilities will include:
  • Credentialing: Responsible for all aspects of provider credentialing and recredentialing.
  • License Renewals: Ensures that physician licenses are renewed prior to expiration.
  • Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.
  • Records Management: Maintains assigned physician files, updating each item/action as processed.
  • Utilizes database status/alert and other report functions, software tools and links to scanned documentation.
  • Ensures that information is current and accurate.
  • Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes.
  • Back-up Coverage: provide credentialing back-up for other members of the credentialing group.

Minimum Qualifications
1. A Baccalaureate Degree from an accredited college or university in Public Health, Public Administration, Business Administration, Social Work, Psychology or Rehabilitation Counseling, and three years of full-time experience in medicallyoriented health care and medical support systems environment, two years of which included experience in an administrative or supervisory capacity in such occupations as physical, occupational, inhalation, speech and audiology therapy or as Medical/Laboratory Technologist, Microbiologist (various specialties), Chemist (biochemist), Radiation and X-Ray Technician or three years of responsible level experience in business management systems or general administration including two years in a supervisory or administrative capacity.
2. A Masters Degree from an accredited college or university in the disciplines listed in (1), and two years of full-time experience as listed in (1), plus one year experience in an administrative or supervisory capacity in occupations as listed in (1); or,
3. A satisfactory equivalent combination of training, education and experience.

Note: Certification or licensure may be required.

Department Preferences

  • Working knowledge of credentialing system

If applying online, please include your cover letter in the same file attachment with your uploaded resume.

NYC Health and Hospitals offers a competitive benefits package that includes:
  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Loan Forgiveness Programs for eligible employees
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • College tuition discounts and professional development opportunities
  • Multiple employee discounts programs

Job Tags

Holiday work, Full time, New year, Work from home,

Similar Jobs

Johnson Service Group

Document Control Specialist Job at Johnson Service Group

 ...Description Job Description Clerical Assistance need to offer assistance/support to team: - Organize filing cabinets - Prep documents for disposition, shredding, digitizing, indexing, scanning, and/or boxing up 9/80 schedule, offering every other Friday off... 

USAA

Business Insurance Agent - Mid-Level (Remote) Job at USAA

 ...contact center type of environment.***We are seeking a dedicated Business Insurance Agent - Mid-level for our Commercial Lines department...  ...a High Value insurance agency, Commercial Insurance agency or broker setting.- Valid Property and Casualty insurance license for... 

Allied Universal® Compliance and Investigations

SIU Investigator Job at Allied Universal® Compliance and Investigations

 ...Job Description Job Description Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation... 

George Washington University Hospital

Registered Nurse (RN) - NICU - Neonatal Intensive Care - $38-54 per hour Job at George Washington University Hospital

 ...Washington University Hospital is seeking a Registered Nurse (RN) NICU - Neonatal Intensive Care for a nursing job in Washington, District of Columbia....  ...in 2024, along with free-standing emergency centers, urgent-care centers, and outpatient procedural care centers.... 

Saxon Global

Devops Engineer (Cassandra and Elastic Search) - Remote - FTE Job at Saxon Global

 ...Role: DevOps Engineer with Cassandra and Elastic Search Location: 100% Remote (Client at Bellevue, WA) Duration: Fulltime/ FTE Basic Qualifications: Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider...