Credentialing Manager jobs in Michigan

Lead RN Case Manager
  • Ascension
  • Madison Heights, MI
  • BLS Provider credentialed from the American Heart Association (AHA) preferred. * Case Manager ... credentialed from the Commission for Case Manager Certification (CCMC) preferred. Education
  • 22 hours ago

Ophthalmology Executive Director
  • ETS Vision
  • Birmingham, MI
  • Interested candidates should be ready to assume a senior non-physician leader roll and have prior upper management experience. Benefits for the Executive Director * Dedicatedstaff with top notch Drs ...
  • yesterday

Project Manager-Division Support
  • Trinity Health - IHA
  • Ann Arbor, MI
  • The Project Manager, Division Support provides operational and project management support for the ... CREDENTIALS/LICENSURE: N/A MINIMUM EXPERIENCE: Previous experience working to provide high level ...
  • 3 days ago

Home Care Recruiter
  • Addus HomeCare Corporation
  • Okemos, MI
  • ... caregiver credentials and certifications. Essential Duties: * Provide strategic recruitment ... Manage all aspects of pre/post-employment compliance screening: references, background checks, I-9 ...
  • 4 days ago

Radiology Manager
  • Ascension
  • Saginaw, MI
  • This is a First Shift manager position working mainly weekdays, 8am - 4:30pm, on call weekdays and ... BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or ...
  • 4 days ago

Quality Analyst (Travel Finance)
  • Computer Aid
  • Dearborn, MI
  • Generate customized management reports as required. * Assist in the processing of weekly and monthly sales reports for distribution to Travel Services Delivery Teams. * Communicate with software ...
  • 5 days ago

Mgr Medical Staff Eval Program
  • Beaumont Hospitals
  • Royal Oak, MI
  • Work in conjunction with credentialing and appropriate departments to provide physician information for use in reappointments. Track and manage the physician and provider professionalism process in ...
  • 5 days ago

  • Inter-Tribal Council
  • Sault Sainte Marie, MI
  • Job Title: Program Manager (full-time permanent) Department: Healthy Start Division: Maternal ... Additional credentials such as LPN, RN, LSW, MSW or MPH desirable. Must have experience in related ...
  • 6 days ago

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$45,321 to $90,737

Credentialing Manager
Maintains a thorough understanding of medical staff bylaws, Joint Commission standards, hospital organization and policies, medical staff rules and regulations, national practitioner data bank regulations and procedures, credentialing and privilege delineation procedures and medico-legal issues.
March 04, 2021
Assists in the development and implementation of medical record practices policies and procedures to ensure the timely, quality, and accurate delivery of medical record services.
February 23, 2021
Provides day to day supervision of site-specific medical record services and staff consistent with established policy and regulatory requirements, and statutes governing health information management practices.
February 17, 2021
Manage operations for the credentialing and recredentialing process to satisfactorily meet all standards as required by HMSA policies and procedures, state and federal regulatory requirements and all relevant accreditation standards pertaining to the credentialing for HMSA providers in all lines of business including commercial, Medicare, Medicaid and ACA products.
February 10, 2021
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
February 09, 2021
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
January 31, 2021
Prepares,reviews and submits credentialing applications as determined by state, federalor accrediting agency guidelines and standards for review, recommendations anddecision by the appropriate organizational committee or body.
January 30, 2021
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
January 28, 2021
Develops strong knowledge of the credentialing software, and full capabilities, to maximize its use and understands the functionality of the claims software, as it relates to the credentialing process.
December 12, 2020
Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment.
September 13, 2020