Job Information
Hackensack Meridian Health CVO Credentials Coordinator-Centralized Credentialing in Neptune, New Jersey
Overview
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
This position coordinates CVO credentialing and recredentialing processes performed on behalf of HMHS entities. A key performance area will be regulatory and accreditation knowledge and compliance.
This is a remote position
Responsibilities
A day in the life of a CVO Credentials Coordinator at Hackensack Meridian Health includes:
Coordinates comprehensive credentialing and recredentialing verification process
Conducts thorough background investigation, research and primary source verification of all components of the initial credentialing and re-credentialing file as designated; identifies issues that require additional investigation and evaluation, validates discrepancies and ensures timely processing and appropriate follow up
Supports required data entry/maintenance into credentialing software in a timely and accurate manner to maintain and monitor credentialing program operations and to ensure consistent, accurate data is available to multiple downstream applications
Performs ongoing credentialing monitoring to assure accuracy, timely performance of verification processes, profile audits, and required followup of identified issues.
Supports the use of process and performance improvement data to support best practice processes and implement change as needed.
Collaborates with Manager and other key staff in support of an ongoing performance improvement and reporting process that is accurate, timely and action driven.
Provides and supports ongoing communication with CVO Manager especially in regards to risk/issues identified during the credentialing/recredentialing process.
Contributes and supports technology integration and migration with other system information systems as needed.
Provides support to Manager, Credentialing to help ensure continuous compliance with state, federal laws, organization policies, regulatory agencies and accrediting body standards [CMS, JC, NCQA, HFAP, DNV, AAAHC, URAC, as applicable.].
Participates in department teams to confirm compliance on an ongoing basis.
Assures confidentiality is maintained at all times in all aspects of the CVO credentialing process May Support Other Related Functions by
Provides support to manager and team in supporting practitioner competency as needed (i.e. focused and ongoing professional practice evaluation (FPPE/OPPE) activities.
Collaborates with CVO Manager in monitoring ongoing client satisfaction and identified opportunities.
Consults With: I. Medical services professionals (MSPs in MSOs, CVOs, MCOs, etc.) II. Individual practitioners III. HMHS CVO leaders
Qualifications
Education, Knowledge, Skills and Abilities Required :
3+ years in industry credentialing setting (MSO, CVO, MCO) in multi-hospital system
Takes accountability, uses initiative, thinks strategically, possesses critical thinking skills, promotes change, uses good judgment, seeks guidance as needed,
Strong inpersonal skills, teamwork and communicates effectively
Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity
Excellent credentialing technical skills
Knowledge of multiple accrediting bodies and verification sites and modalities.
Overall working knowledge of software programs with a drive to incorporate technology in all operational functions.
Strong organizational skills
Detail driven
Excellent communication skills
Knowledge of medical terminology
Gets results
Drives service excellence LICENSURE/CERTIFICATION (Preferred / must be achieved within two years)
Certification (CPMSM and/or CPCS) with ongoing maintenance of certification
Education, Knowledge, Skills and Abilities Preferred :
Minimum of Associates degree in Health Care Administration or related field. Three years healthcare experience in lieu of degree will be considered.
1+ years in CVO setting.
Licenses and Certifications Preferred :
- Certified Professional in Medical Services Management or Certified Provider Credentials Specialist.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Job ID 2024-140151
Department Centralized Credentialing
Site HMH Hospitals Corporation
Job Location US-NJ-Neptune
Position Type Full Time with Benefits
Standard Hours Per Week 40
Shift Day
Shift Hours 8:30 a.m. - 5:00 p.m.
Weekend Work No Weekends Required
On Call Work No On-Call Required
Holiday Work No Holidays Required