- Related Keywords: Credentialing
- Senior Contract Manager
- Take Care Health Systems (Philadelphia, PA)
- ...relationships for TCHS * Ensures the completion of NP credentialing with private payors for assigned contracts * Negotiates delegated credentialing agreements * Provides support to Medical and Finance departments to ensure compliance of TCHS * Resolves payment issues with...
- Mgr., Delegated Operations
- VISITING NURSE SERVICE OF NEW YORK (New York, NY)
- ...boroughs of New York City.Responsible for assisting the Director, Delegated Operations with the oversight of all delegated...limited to, customer service, claims processing, enrollment, medical management, credentialing and grievance and appeals, performed by contracted business...
- Credentialing Specialist III Job
- AMERIGROUP Corporation (Virginia Beach, VA)
- ...staff, and works with various group administrators and hospital medical staff offices to ensure successful and timely completion of the delegated credentialing , credentialing and recredentialing process. May provide guidance to Credentialing Specialists I and II on more complex...
- Credentialing Coordinator
- Healthfirst (New York, NY)
- ... with day-to-day activities of the Credentialing Department. Other Duties and Responsibilities: 1. Responsible for maintaining Delegated Credentialing Documents including, but not limited to, Delegated Credentialing Policy and Procedure Reviews, On-site Medical...
- Credentialing Coordinator
- Healthfirst (New York, NY)
- ... with day-to-day activities of the Credentialing Department. Other Duties and Responsibilities: 1. Responsible for maintaining Delegated Credentialing Documents including, but not limited to, Delegated Credentialing Policy and Procedure Reviews, On-site Medical...
- Credentialing Manager
- The Methodist Hospital Physician Organization (Houston, TX)
- ...this committee. 4. If credentialing functions are delegated to a third party, maintains policies and procedures for delegated credentialing services and provides management and oversight to the Credentialing Verification Organization (CVO) and conducts onsite audits on a...
- Credentialing Info Services Manager-Medical Staff Services
- UTMB (Galveston, TX)
- ...Medical Staff Office. These activities include, but are not limited to, the medical staff appointment and reappointment process, oversight of delegated credentialing , compliance with regulatory requirements and quality management profiling. This person will be responsible for the daily...
- Manager of Medical Staff Services
- Baystate Health (Springfield, MA)
- ...coordination with the software vendor and Information Services, working to ensure the capabilities of the software are fully utilized. . Support delegated credentialing agreements and oversee annual audit processes for delegated plans. . Management has the right to change or add to...
- Senior Contract Manager
- Take Care Health Systems (Philadelphia, PA)
- ...relationships for TCHS * Ensures the completion of NP credentialing with private payors for assigned contracts * Negotiates delegated credentialing agreements * Provides support to Medical and Finance departments to ensure compliance of TCHS * Resolves payment issues with...
- Manager, Medical Staff Affairs
- WVU Healthcare (Morgantown, WV)
- ...D. Office Organization 1. Direct Medical Staff Affairs employees and oversee credentialing process. 2. Ensure compliance with delegated credentialing standards. 3. Integrate Medical Staff Affairs with WVUHS/HPN as warranted. E. Other 1. JCAHO Standards a. Review outline of...
- Provider Relations Coordinator
- Universal American Corporation (Oklahoma City, OK)
- ...to management changes within the provider network * Provide telephonic education to providers on policies and procedures -Obtains delegated credentialing materials and coordinates processes -Support production and distribution of provider communication and educational materials -...
- Medical Staff Secretary
- Billings Clinic Downtown (Billings, MT)
- ...for the purpose of documenting activities and actions, and providing follow-up. Provides assistance in the process of delegated credentialing . Provides assistance in maintenance of provider CME accounts. Coordinates and performs key duties for Billings Clinic-practitioner licensing,...
- Mgr Quality Data Mgmt - Plan
- AMERIGROUP Florida, Inc. (Tampa, FL)
- ...Services and other regulators.7. Ensures all aspects of nationally delegated vendor VSOC and regulatory requirements for Florida Plan...support of the activities of Provider Relations, Risk Management, Credentialing , Health Education, Appeals and Grievances teams and Long...
- Asst Nurse Mgr- ER-7p-7a shift-FT
- Norton Healthcare (Louisville, KY)
- ...obtained Magnet designation for nursing excellence from the American Nurses Credentialing Center in 2007. A fourth adult hospital will open...Assistant Nurse Manager is responsible for managing developmental functions as delegated by the Nurse Manager. He or She works collaboratively...